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Outcome after stroke rehabilitation in Hong Kong

Medical and Geriatric Unit

CM Lum

Medical and Geriatric Unit

Frank K Sze

Medical and Geriatric Unit

KH Or

Medical and Geriatric Unit

J. Woo

Department of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong

Objective: To determine the outcome of patients discharged to the community after stroke rehabilitation.

Methods: One hundred and eighty-five consecutive patients discharged after stroke rehabilitation were enrolled for follow-up 12 months after discharge from a hospital in Hong Kong. A telephone interview to determine disability and place of residence was conducted. Disability was assessed by the Barthel Index and ratings of activities of daily living and mobility on a 4-point scale.

Results: One hundred and thirty-one patients or their carers were contacted (70.1 %). This comprised 19 patients (10.3%) who died and 112 patients or their carers (60.5%) who were interviewed. Fifty-four patients (29.2%) were lost to follow-up. Comparison of the patients contacted and those lost to follow-up did not detect membership bias. Median Barthel Index of the surviving patients who were contacted rose from 90.0 (interquartile range 78.75-100.0) at discharge to 100.0 (interquartile range 85.0-100.0) at 12 months. Ratings of activities of daily living and mobility were maintained, with significant improvement in toileting. After rehabilitation 77.3% of the patients were discharged home and there was no significant change in residence at 12 months. Elderly patients ( 70 years old) had higher rates of institutionalization after hospital discharge and more disability although they achieved similar gains in Barthel Index and had similar lengths of hospital stay compared to younger patients.

Conclusions: These results suggest that stroke patients were able to maintain their gains achieved during inpatient rehabilitation up to one year after discharge from hospital.

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