title: Hemorrhagic Transformation in Patients with Cerebral Infarction Referred to a Rehabilitation Hospital.
abstract: OBJECTIVE
  The aim of our study was to investigate the presenting conditions of patients with hemorrhagic transformation (HT), the frequency of HT and its treatments at a rehabilitation hospital.
  
  
  METHODS
  165 patients with cerebral infarctions transferred to our rehabilitation hospital during the study period were enrolled. HT was diagnosed by two stroke specialists using computed tomography (CT) at the time of transfer to our rehabilitation hospital and other imaging data from previous consultations. Neurological status, activities of daily living, administered agents, patient age, duration from stroke onset to transfer and length of hospital stay were examined.
  
  
  RESULTS
  30 of the 165 patients (18.2%) were diagnosed with HT. Decreased activities of daily living at admission and discharge as well as longer hospitalization stays were more prevalent in HT patients than in those without HT. We did not change antiplatelet or anticoagulant agents, but continued rehabilitation over a defined period while monitoring blood pressure; we confirmed with CT that the patients' physical conditions did not deteriorate.
  
  
  CONCLUSIONS
  With careful symptom and CT monitoring over a defined period, rehabilitation can be continued in patients who develop HT at the time of transfer to a rehabilitation hospital in the acute phase of cerebral infarction.
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Maeshima
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Sayaka
authors.initials: S
authors.lastname: Okamoto
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Hideto
authors.initials: H
authors.lastname: Okazaki
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Shiho
authors.initials: S
authors.lastname: Mizuno
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Asano
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tsunoda
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Maeda
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Masaki
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Sonoda
keywords: Cerebral infarction; Complication; Hemorrhage