Andersen H E, Jürgensen K S, Boysen G
H:S Bispebjerg Hospital, center for forskning og udvikling på aeldreområdet, og neurologisk afdeling.
Ugeskr Laeger. 2001 Feb 26;163(9):1255-9.
Stroke is among the leading causes of disability in Denmark. Rehabilitation services are in the process of being reorganised into dedicated stroke units. There is a general tendency toward reduction of length of in-patient treatment. The literature on outpatient rehabilitation services following primary rehabilitation on an inpatient basis was reviewed. The results of 16 randomised studies indicate that: 1) Continued rehabilitation after discharge can improve functional capacity of disabled stroke survivors; 2) Home-based rehabilitation is as effective as hospital-based outpatient rehabilitation; 3) Early supported discharge (ESD) services can reduce length of hospital stay but the relative advantages and drawbacks remain unclear. Ongoing rehabilitation by teams specialised in stroke rehabilitation seems to be crucial. More research, including evaluation of home-based rehabilitation services, is called for and existing outpatient rehabilitation services should be evaluated scientifically.
中风是丹麦导致残疾的主要原因之一。康复服务正在被重组为专门的中风单元。住院治疗时长总体呈缩短趋势。对住院基础上的初次康复后门诊康复服务的文献进行了综述。16项随机研究的结果表明：1）出院后持续康复可改善中风残疾幸存者的功能能力；2）居家康复与医院门诊康复效果相同；3）早期支持出院（ESD）服务可缩短住院时间，但相对优缺点仍不明确。由中风康复专业团队进行持续康复似乎至关重要。需要开展更多研究，包括对居家康复服务的评估，并且应对现有的门诊康复服务进行科学评估。
