Inpatient stroke rehabilitation outcomes in Korea derived from the Korean Brain Rehabilitation Centers' online database system for the years 2007 to 2011.
The purpose of this report was to provide information for patients receiving inpatient rehabilitation after stroke and to identify the possible factors influencing functional outcome after inpatient rehabilitation. Stroke patients (n = 5,212) who were discharged from the Departments of Rehabilitation Medicine (RM) of university hospitals and rehabilitation hospitals from 2007 through 2011 were participants. Prevalence, age, transfer time after onset, length of stay (LOS), functional status at admission and discharge were analyzed. In all stroke subjects, cerebral infarctions (67%) were more common than hemorrhages. Cerebral infarctions in the middle cerebral artery territory were most common, while the basal ganglia and cerebral cortex were the most common areas for hemorrhagic stroke. The LOS decreased from 45 to 28 days. Transfer time after onset decreased from 44 to 30 days. Shorter transfer time after onset was correlated with better discharge functional status and shorter LOS. Initial functional status was correlated with discharge functional status. In ischemic stroke subtypes, cerebellar and brainstem strokes predicted better outcomes, while strokes with more than one territory predicted poorer outcomes with more disabilities. In hemorrhagic stroke subtypes, initial and discharge functional status was the lowest for cortical hemorrhages and highest for brainstem hemorrhages. This report shows that LOS and transfer time after onset has been decreased over time and initial functional status and shorter transfer after onset are predictors of better functional outcome at discharge.
Department of Physical & Rehabilitation Medicine, School of Medicine, Inha University, Incheon, Korea.
Kyung-Lim
0000-0002-3747-9831
KL
Joa
Department of Physical & Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
Tai-Ryoon
0000-0002-7532-9068
TR
Han
Department of Physical & Rehabilitation Medicine, Korea University School of Medicine, Seoul, Korea.
Sung-Bom
0000-0002-3471-9692
SB
Pyun
Department of Physical & Rehabilitation Medicine, Ajou University College of Medicine, Suwon, Korea.
Ueon-Woo
0000-0001-8062-7521
UW
Rah
Department of Physical & Rehabilitation Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea.
Joo-Hyun
0000-0002-5585-5239
JH
Park
Department of Physical & Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yun-Hee
0000-0003-0101-6103
YH
Kim
Department of Physical & Rehabilitation Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Min-Ho
0000-0002-2075-6820
MH
Chun
Department of Physical & Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Nam-Jong
0000-0001-5623-578X
NJ
Paik
Department of Physical & Rehabilitation Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
Seung-Don
0000-0003-0787-765X
SD
Yoo
Department of Physical & Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea.
Sam-Gyu
0000-0003-0091-231X
SG
Lee
Department of Physical & Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
Si-Woon
0000-0002-9295-7074
SW
Park
Seong Hoon
SH
Lim
Department of Physical & Rehabilitation Medicine, The Catholic University of Korea School of Medicine, St. Vincent's Hospital, Suwon, Korea.
Sung-Hun
0000-0002-1530-6120
SH
Im
Department of Physical & Rehabilitation Medicine, School of Medicine, Inha University, Incheon, Korea.
Han-Young
0000-0003-1428-9821
HY
Jung
D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D003710:Demography; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006785:Hospitals, University; D006801:Humans; D007297:Inpatients; D007511:Ischemia / Q000150:complications; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012047:Rehabilitation Centers; D020521:Stroke / Q000209:etiology; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
Database; Korea; Outcome; Rehabilitation; Stroke