Brain Neurorehabil.  2016 Sep;9(2):e4. 10.12786/bn.2016.9.e4.

Role of Intensive Inpatient Rehabilitation for Prevention of Disability after Stroke: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study

Affiliations
  • 1Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yunkim@skku.edu
  • 2Department of Rehabilitation Medicine, School of Medicine, Chungnam National University, Daejeon, Korea.
  • 3Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, Korea.
  • 4Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 5Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea.
  • 6Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 7Department of Preventive Medicine, Wonkwang University School of Medicine, Iksan, Korea.
  • 8Department of Rehabilitation Medicine, Kyungpook National University School of Medicine, Kyungpook National University Hospital, Daegu, Korea.
  • 9Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Korea.
  • 10Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University, School of Medicine, Jeju, Korea.
  • 11Division of Biostatistics, Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 12Department of Health Sciences and Technology, Department of Medical Device Management & Research, Samsung Advanced Institute for Health Science and Technology, Sungkyunkwan University, Seoul, Korea.

Abstract

The objective was to investigate the effects of the intensive inpatient rehabilitation treatment during subacute phase to reduce disabilities at chronic phase in patients with first-ever stroke. This study presents interim results of the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO). Stroke patients who transferred to the rehabilitation department during the 1st hospitalization were classified into the intensive rehabilitation group, and the other stroke patients were classified into the nonintensive rehabilitation group. Disability grade at subacute phase and 6 months after stroke was defined using the Korean modified Barthel Index (K-MBI). The change of disability grade at chronic phase was analyzed by the intensive inpatient rehabilitation treatment. A total of 5,380 first-ever stroke patients were included in this analysis. Among these 5,380 patients, 1,162 and 4,218 patients were classified into the intensive rehabilitation group and the non-intensive rehabilitation group, respectively. The proportion of patients to improve the disability grade at 6 months after stroke was significantly higher in the intensive rehabilitation group than the non-intensive rehabilitation group with severe functional impairment at subacute phase (p < 0.05). This study revealed that the intensive inpatient rehabilitation treatment during subacute stage could significantly improve the disability grade at chronic phase in first-ever stroke patients.

Keyword

Stroke; Rehabilitation; Disability; Independence; Cohort
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