Evaluation of rehabilitation in stroke patients and comparison with Canadian guidelines

Abstract

Rehabilitation is one of the important components of recovery that is necessary to help patients recover lost skills, relearn tasks and gain independence. Following a stroke, many people require ongoing rehabilitation to continue their neurological deficits. Therefore, the purpose of this study is to investigate the extent of rehabilitation in stroke patients who refer to the emergency room, the extent of referral and its outcome.

Methods: Considering that the data will be extracted from the stroke registry and rehabilitation input list, and only patients who have referred to the rehabilitation department will be included in the study. Then, the patient's lesion that needs rehabilitation (including paresis, plegia, aphasia, swallowing, etc.) is noted and whether or not it is referred for rehabilitation. Then the documentation is followed up and it is evaluated whether the patient completed the rehabilitation or not, and finally, what was the patient's outcome from the point of view of rehabilitation is recorded. Finally, the data are compared with the Canadian guidelines for the rehabilitation of stroke patients.

Results: In this study, 1863 patients were included in the study, the age of the patients was 55 to 80 years, and most of the patients were 57 to 77 years old. In examining the gender distribution of patients, both genders were almost equally involved. More than half of the patients had undergone physiotherapy and rehabilitation at the time of hospitalization. At the time of discharge, all patients were referred for rehabilitation, but nearly 30% of patients had referred to physiotherapy and rehabilitation. In examining the relationship between rehabilitation and the three-month outcome of patients, there is a relationship, but this relationship was average. That is, patients who underwent physiotherapy and rehabilitation had a higher chance of survival than others. In examining the relationship between rehabilitation and three-month mRS of patients, there is a relationship, but this relationship was weak, that is, patients who underwent physiotherapy and rehabilitation had relatively better mRS scores than others, but this difference was not significant.