Geler Külcü Duygu, Kuran Banu, Karahan Ali Yavuz, Özgirgin Neşe, Başaran Sibel, Yalıman Ayşe, Savaş Serpil, Tıkız Canan, Aktaş İlknur, Bardak Ayşenur, Tuncer Tiraje, Yılmaz Figen, Erhan Belgin, Şirzai Hülya, Çelik Berna, Durlanık Gülgün, Doğu Beril, Öncü Jülide, Hüner Berrin, Öztürk Gülcan, Eskiyurt Nurten, Akpınar F Merih, Ünlü Özkan Feyza, Paker Nurdan, Soy Buğdaycı Derya, Gündüz Berrin, Şatır Özlem, Şimşir Atalay Nilgün, Yıldız Necmettin, Altındağ Özlem, Eroğlu Demir Saliha, Kaya Erkan, Uçar Demet, Sarı Aylin, Kaymak Karataş Gülçin, Özyemişçi Taşkıran Özden
Department of Physical Therapy and Rehabilitation, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey.
Department of Physical Therapy and Rehabilitation, Şişli Hamidiye Training and Research Hospital, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2022 Mar 1;68(1):9-18. doi: 10.5606/tftrd.2022.8171. eCollection 2022 Mar.
This study aims to assess the stroke rehabilitation facilities provided by university hospitals (UHs) and training and research hospitals (TRHs) and to evaluate the geographical disparities in stroke rehabilitation.
Between April 2013 and April 2014 a total of 1,529 stroke patients (817 males, 712 females; mean age: 61.7±14.0 years; range, 12 to 91 years) who were admitted to the physical medicine and rehabilitation clinics in 20 tertiary care centers were retrospectively analyzed. Demographic, regional and clinical characteristics, details of rehabilitation period, functional status, and complications were collected.
The median duration of stroke was five (range, 1 to 360) months. The ratio of the patients treated in the TRH in the Marmara region was 77%, but only 25% of the patients were living in the Marmara region. Duration of hospitalization was longer in the TRHs with a median of 28 days compared to those of UHs (median: 22 days) (p<0.0001). More than half of the patients (55%) were rehabilitated in the Marmara region. Time after stroke was the highest in the Southeast region with a median of 12 (range, 1 to 230) months and the lowest in the Aegean region with a median of four (range, 1 to 84) months.
This study provides an insight into the situation of stroke rehabilitation settings and characteristics of stroke patients in Turkey. A standard method of patient evaluation and a registry system may provide data about the efficacy of stroke rehabilitation and may help to focus on the problems that hinder a better outcome.
本研究旨在评估大学医院（UHs）和培训与研究医院（TRHs）提供的中风康复设施，并评估中风康复中的地理差异。
回顾性分析了2013年4月至2014年4月期间入住20家三级医疗中心物理医学与康复诊所的1529例中风患者（817例男性，712例女性；平均年龄：61.7±14.0岁；年龄范围12至91岁）。收集了人口统计学、地区和临床特征、康复期细节、功能状态及并发症情况。
中风的中位病程为5（范围1至360）个月。马尔马拉地区在TRH接受治疗的患者比例为77%，但仅有25%的患者居住在马尔马拉地区。TRH的住院时间更长，中位数为28天，而UHs为22天（p<0.0001）。超过半数患者（55%）在马尔马拉地区接受康复治疗。中风后时间在东南部地区最长，中位数为12（范围1至230）个月，在爱琴海地区最短，中位数为4（范围1至84）个月。
本研究深入了解了土耳其中风康复机构的情况及中风患者的特征。患者评估的标准方法和登记系统可能会提供有关中风康复疗效的数据，并有助于关注阻碍取得更好疗效的问题。
