The Correlation Between the Length of Stay in Post Acute Care(PAC) and General Improvements in Stroke Patients

Chimei Medical Center

Status: Completed

Conditions: Stroke

Treatments: Other: Rehabilitation

Study type: Observational

Funder types: Other

Identifiers

NCT03778905

CMMC10711-J02

Details and patient eligibility

About

Post-Acute Care(PAC) had been inaugurated in Taiwan for almost four years and current essays revealed positive effects upon general improvements in stroke patient after PAC training. During acute phase, a stroke patient would admit to internal medicine or surgical ward and transferred to rehabilitative ward for more intensive therapeutic programs, restoring muscle power and promoting activity of daily life(ADL) ability. Under relative stable condition, the patient would transfer to PAC institution or hospitals afterwards for continuing rehabilitative program if the patient is acknowledged to have rehabilitative potentials. However, there's still lacking of investigation upon whether the length of stay in PAC correlates to general improvements. Thus, stroke patients' functional ability, such as activities of daily living (ADL) function, swallowing ability and so on, as well as their corresponding scales were assessed on the first and last day during PAC hospitalization. Statistical analysis was conducted via SPSS ver21.0 to compare the relationship of improvements in functional ability and the length of stay in PAC. We're looking forward to the final results!

Full description

Functional ability in stroke patients are evaluated by following measurements. Activity of daily life (ADL) function was estimated through modified Rankin scale(MRS) and Barthel index(BI), swallowing ability by functional oral intake scale, nutritional status via mini nutritional assessment, life quality through EuroQoL-5D, instrumental ADL function by Lawton-Brody IADL Scale(IADL), balance/coordination via Berg Balance Test, walking speed through Usual Gait Speed, cardiopulmonary capability by Six-Minute Walk Test, occupational mobility (amount use/quality) via Motor Activity Log, language through concise Chinese aphasia test, motor function of upper extremities by Fugl-Meyer Assessment and so on.

Enrollment: 305 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• >18 y/o
• acute onset of stroke within 30 days
• Modified Rankin Scale 2~4

Exclusion criteria

• patients refused to join post acute care(PAC) program
• hemodynamic unstable
• disease progression

Trial design

305 participants in 1 patient group

stroke patient with complete post-acute care hospitalization

Description:

This study aims on stroke patients with complete rehabilitative program in post acute care institution and we try to assess their functional improvements after rehabilitative training.

Treatment:

Other: Rehabilitation