Jung Se Hee
Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
Ann Rehabil Med. 2022 Feb;46(1):1-8. doi: 10.5535/arm.22001. Epub 2022 Feb 28.
With rapid aging, the number of stroke survivors with disabilities in Korea is increasing even if mortality is declining. Despite coordinated efforts for quality improvement of stroke rehabilitation in Korea, the statistics of stroke rehabilitation were not well reported. This review aimed to provide contemporary and comprehensive statistics and recent changes in stroke rehabilitation in Korea. The Clinical Practice Guideline for Stroke Rehabilitation in Korea was developed in 2009 and updated in 2012 and 2016. Additionally, the representative databases for stroke rehabilitation include the Korean Brain Rehabilitation Database and the Korean Stroke Cohort for functioning and rehabilitation. These nationwide databases provided current information on stroke rehabilitation. Among Korean stroke survivors, one in three had motor impairment, one in four had cognitive impairment, one in three had speech impairment, one in four was dependent in ambulation, one in six had swallowing difficulty, and one in four was dependent in activities in daily living at 5 years after stroke. Comprehensive inpatient rehabilitation following transfer to the department of rehabilitation medicine significantly decreased stroke-related mortality and long-term disability. This review provides an improved understanding of stroke rehabilitation and guidance to implement timely, coordinated, evidence-based stroke rehabilitation services to relieve the socioeconomic burden of stroke.
随着老龄化加速,尽管韩国中风幸存者的死亡率在下降,但残疾中风幸存者的数量仍在增加。尽管韩国为提高中风康复质量做出了协同努力,但中风康复的统计数据报告并不完善。本综述旨在提供韩国中风康复的当代综合统计数据以及近期变化。韩国中风康复临床实践指南于2009年制定,并于2012年和2016年更新。此外,中风康复的代表性数据库包括韩国脑康复数据库和韩国功能与康复中风队列。这些全国性数据库提供了中风康复的当前信息。在韩国中风幸存者中,三分之一有运动障碍,四分之一有认知障碍,三分之一有言语障碍,四分之一在中风后5年行走依赖,六分之一有吞咽困难,四分之一在日常生活活动中依赖他人。转至康复医学科后进行全面的住院康复可显著降低中风相关死亡率和长期残疾率。本综述有助于更好地理解中风康复,并指导实施及时、协调、基于证据的中风康复服务,以减轻中风的社会经济负担。