["Time is brain": only in the acute phase of stroke?].

作者: M. Murie-Fernández , S. Ortega-Cubero , M. Carmona-Abellán , M. Meyer , R. Teasell

DOI: 10.1016/J.NRLENG.2011.06.002

关键词: StrokeNeurorehabilitationInstitutionalisationMedicineFunctional independenceRetrospective cohort studyPhysical therapyCause of deathRehabilitationAcute stroke

摘要: Abstract Introduction and objective In Spain, stroke is the leading cause of death in women as well disability adults. This translates into a huge human economic cost. recent years there have been significant advances both treatment acute neurorehabilitation process; however, it still unclear when best time to initiate what consequences delaying are. To test effect single day delay onset on functional improvement achieved, influence that rate institutionalisation at discharge. Methods A retrospective study patients admitted Parkwood Hospital's Stroke Neurorehabilitation Unit (UNRHI) (University Western Ontario, Canada) between April 2005 September 2008 was performed. We recorded age, Functional Independence Measurement (FIM) score admission discharge, number days discharge destination. Results After adjustment for age FIM, we found association patient (FIM gain) starting rehabilitation. also observed correlation initiating therapy level Conclusions affects prognosis associated with increased rates

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