Ozyemisci-Taskiran Ozden, Gunendi Zafer, Aknar Ozlem, Karatas Gulcin K, Sepici Vesile
Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey.
Arch Phys Med Rehabil. 2011 Feb;92(2):257-64. doi: 10.1016/j.apmr.2010.08.017.
To investigate the parameters influencing length of stay (LOS) in stroke rehabilitation in Turkey.
Retrospective study.
Rehabilitation ward in a university hospital, a referral center in the capital of Turkey.
Consecutive inpatient stroke survivors (N=142) after ischemic or hemorrhagic cerebrovascular events rehabilitated in a university rehabilitation center between January 2005 and October 2009.
Not applicable.
The primary study outcome measurement is LOS on the rehabilitation ward.
LOS was best predicted by Brunnstrom's motor recovery stages (BMRS) lower extremity on admission, BMRS hand on admission, and the presence of infections (LOS in days = 70.6 - 5 × BMRS lower extremity - 3.2 × BMRS hand + 10.3 × presence of infections [infection; present=2, absent=1]; R(2)=.37).
Motor impairments and infections were the parameters that most affected LOS in stroke rehabilitation. Prevention strategies for infections should be pursued more aggressively. The prevention of infections, which is an essential component of a patient's general well-being, also shortened LOS in stroke rehabilitation. High medical costs urge LOS to shorten in the developing countries hereafter. A national rehabilitation policy should be implemented to reach the same functional outcome with shorter LOS in stroke patients.
调查影响土耳其中风康复住院时间（LOS）的参数。
回顾性研究。
土耳其首都一家大学医院的康复病房，该医院为转诊中心。
2005年1月至2009年10月间在一所大学康复中心接受康复治疗的缺血性或出血性脑血管事件后连续住院的中风幸存者（N = 142）。
不适用。
主要研究结局指标是康复病房的住院时间。
住院时Brunnstrom运动恢复阶段（BMRS）下肢、住院时BMRS手部以及是否存在感染对住院时间的预测效果最佳（住院天数= 70.6 - 5×BMRS下肢 - 3.2×BMRS手部 + 10.3×是否存在感染[感染；存在=2，不存在=1]；R² = 0.37）。
运动障碍和感染是中风康复中最影响住院时间的参数。应更积极地推行感染预防策略。感染预防作为患者总体健康的重要组成部分，也可缩短中风康复的住院时间。在发展中国家，高昂的医疗费用促使今后缩短住院时间。应实施国家康复政策，以使中风患者在住院时间更短的情况下达到相同的功能结局。
