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26 Outcome of acute rehabilitation after stroke

Published online by Cambridge University Press:  24 June 2014

Mira Kadojić  and
Dragutin Kadojić
Mira Kadojić
Affiliation:
Department of Physical Medicine and Rehabilitation and Department of Neurology, University Hospital Osijek, J. Huttlera 4, 31000 Osijek, Croatia, E-mail: kadojic.dragutin@kbo.hr
Dragutin Kadojić
Affiliation:
Department of Physical Medicine and Rehabilitation and Department of Neurology, University Hospital Osijek, J. Huttlera 4, 31000 Osijek, Croatia, E-mail: kadojic.dragutin@kbo.hr
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Abstract

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Introduction/Objectives:

The aim of this research was to identify the outcome of the acute rehabilitation after the stroke and to analyze a degree of recovery in certain age groups.

Participants, Materials/Methods:

Our retrospective analysis included 517 patients treated after the first stroke at Department for physical medicine and rehabilitation in Bizovac, University Hospital Osijek, Croatia in 2005 and 2006.

Results:

Average value of BI in all examinees at the beginning of rehabilitation was 52.99 and in the end it was 65.77. Average Delta value of improvement level was 12.78. 15 patients suffered the first stroke at the age less than 44, average BI value at admission was 69.4 and 78.4 at discharge, while Delta value was 9.0. In the age group 45–54 years there were 56 patients, average BI value at admission was 62.7 and 75.82 at discharge, while Delta value was 13.25. In the age group 55–64 years there were 77 patients, average BI value at admission was 55.81 and 68.57 at discharge, while Delta value was 12.92. In the age group 65–74 there were 202 patients, average BI value at admission was 51.23 and 64.26 at discharge, while Delta value was 13.2. In the age group 75–84 years there were 158 patients, average BI at admission was 49.69 and 62.34 at discharge, while Delta value was 12.6. In the age group over 85 years there were 9 patients, average BI value at admission was 34.44 and 49.22 at discharge, Delta value was 14.77.

Conclusions:

After conducted acute rehabilitation in all age groups significant recovery of functional deficit was obvious as well as improvement in everyday living activities. Average value of Barthel Index at the admission to the rehabilitation was at the level of severe dependence in all age groups while at the discharge all patients showed improvement and were placed in the group of medium dependence. The value of Barthel Index decreased with age while functional recovery, which was expressed through Delta value, was equal in all age groups. The highest degree of dependence was noticed in patients who were 85 year old or more and one remained the same.