Table of Contents
ISRN Rehabilitation
Volume 2013 (2013), Article ID 595318, 6 pages
http://dx.doi.org/10.1155/2013/595318
Research Article

First-Year Outcomes after Stroke Rehabilitation: A Multicenter Study in Thailand

1Rehabilitation Medicine Department, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok, Bangkok 10700, Thailand
2Rehabilitation Medicine Department, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
3Rehabilitation Medicine Department, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand

Received 17 May 2013; Accepted 14 June 2013

Academic Editors: K. Hashimoto, J. D. Kingsley, K. Masani, M. Syczewska, and M. Yu

Copyright © 2013 Vilai Kuptniratsaikul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Stroke affects the long-term quality of life and the well-being of patients and families. Stroke patients gain benefits from rehabilitation. Authors reported 1-year outcomes of stroke rehabilitation in 327 patients registered to the Thai Stroke Rehabilitation Registry. The outcomes included death rate, readmission rate, functional ability score (Barthel Index, BI), and factors affecting BI score. Of 327 patients, 214 (65.4%) had adequate follow-up data for analysis. The average age was 62.1 ± 12.5 years, and 57.9% were male. The mortality rate was 2.5% and the readmission rate was 11.2%. The number of the patients who could function independently increased from 5.5% at discharge to 22.9% and 25.5% at month 6 and month 12, respectively. The change in functional ability level of 214 patients included improvement (51.5%), deterioration (12.8%), and equivocal (35.7%). The low functional score at month 12 was significantly correlated with longer length of stay (LOS), longer onset to admission interval, and higher depression score at month-12. In conclusion, approximately half of the patients had an improvement in the disability level for at least one grade at 1-year follow-up. The low functional score by the end of the first year is associated with longer LOS during the first admission, delay in rehabilitation program, and psychological depression.