Maehlum S, Roaldsen K, Kolsrud M, Dahl M
Sunnaas sykehus, Nesoddtangen.
Tidsskr Nor Laegeforen. 1990 Aug 30;110(20):2657-9.
Our hospital's stroke rehabilitation programme has been evaluated through a retrospective study of the record of 183 males (mean age 60 +/- 11 years) and 94 females (mean age 59 +/- 14 years) admitted in 1982/83. 87% of the patients had motoric impairments on admission; 45% had apraxia, 17% neglect, 38% aphasia and 57% other cognitive impairments. Most patients had both motoric and cognitive problems. 79% were able to ambulate freely at discharge as opposed to 55% on admission. 88% were independent in ADL when discharged; 67% on admission. The average length of stay (LOS) was shorter (p less than 0.005) for the males (57 +/- 32 days) than for the females (68 +/- 40 days). LOS was not significantly influenced by the patients' age. 81% of the patients were discharged to their homes. Significantly fewer patients with cognitive impairments were able to return to their homes after rehabilitation than in the case of those without such problems. The presence of aphasia did not significantly affect the rehabilitation outcome. It is concluded that the major obstacles for successful rehabilitation (i.e. back to the patient's home) are the cognitive impairments.
我们医院的中风康复项目通过对1982/83年收治的183名男性（平均年龄60±11岁）和94名女性（平均年龄59±14岁）的病历进行回顾性研究来评估。87%的患者入院时存在运动障碍；45%有失用症，17%有疏忽症，38%有失语症，57%有其他认知障碍。大多数患者同时存在运动和认知问题。79%的患者出院时能够自由行走，而入院时这一比例为55%。88%的患者出院时在日常生活活动方面能够自理；入院时为67%。男性的平均住院时间（LOS）（57±32天）比女性（68±40天）短（p<0.005）。住院时间不受患者年龄的显著影响。81%的患者出院后回家。与没有认知障碍的患者相比，有认知障碍的患者康复后能够回家的比例明显更低。失语症的存在对康复结果没有显著影响。得出的结论是，成功康复（即回家）的主要障碍是认知障碍。
