Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications

SAVAŞ, Serpil; AKKUŞ, Selami; SOYUPEK, Feray Cinevre; İLGÜN, Erdem; YILDIZ, Sedat

Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications

Serpil SAVAŞ, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta, Türkiye)

Selami AKKUŞ, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta, Türkiye)

Feray Cinevre SOYUPEK, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta, Türkiye)

Erdem İLGÜN, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta, Türkiye)

Sedat YILDIZ (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2007 Cilt: 53 Sayı: 2 Sayfa Aralığı: 45 - 49 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications

Öz:

Amaç: İnmeli hastalarda rehabilitasyona geç başlanmasının fonksiyonel sonuçlar ve tıbbi komplikasyonlar üzerine etkisini belirlemektir.Gereç ve Yöntem: İlk tek taraflı inme atağını takiben rehabilitasyon kliniğine başvuran 60 hasta çalışmaya alındı. Hastaların tıbbi dosyaları incelendi. Hastalar, inme olayı ile rehabilitasyona başvuru süresi arasında geçen süreye göre, erken başvuru (<30 gün) ve geç başvuru (>30 gün) grubu olarak 2 gruba ayrıldı. İki grup arasındaki demografik ve klinik özellikler, rehabilitasyon sonuçları ve tıbbi komplikasyonlar arasındaki farklar incelendi. Bulgular: Rehabilitasyonuna inmeden sonraki 1 ay içinde başlanan hastalarda, 1 aydan geç başlanan hastalara göre Fonksiyonel Bağımsızlık Ölçeğinde daha fazla artış gözlendi. (12,65±5,59 ve 8,59±5,50, p=0,008). Geç başvuran hastalarda görülen tıbbi komplikasyon sayısı erken başvuran hastalardan daha fazla idi (3,16±1,36 ve 1,91±1,12, p=0,001). Omuz ağrısı ve spastik üst ekstremite, rehabilitasyonu geciken hastalarda daha fazla bulundu (p=0,01 ve p=0,01). Sonuç: İnmeli hastalarda rehabilitasyonun gecikmesi fonksiyonel sonuçları olumsuz etkilemekte ve tıbbi komplikasyonların artmasına neden olmaktadır.

Anahtar Kelime: Tıbbi kayıtlar Komplikasyonlar Rehabilitasyon Zaman Sonuç değerlendirilmesi (Sağlık bakımı) Geriyedönük çalışma İnme

Konular: Rehabilitasyon

İnme rehabilitasyonundaki gecikmenin fonksiyonel sonuçlar ve tıbbi komplikasyonlar üzerine etkisi

Öz:

Objective: To examine the effects of delayed admission to rehabilitation on functional outcomes and medical complications in stroke patients.Materials and Methods: The inpatient discharge records of 60 stroke patients who admitted to a Physical Medicine and Rehabilitation Department for first ever unilateral stroke patients were reviewed. The patients were divided into 2 groups as early (<30 days) and delayed admission group (>30 days) based on the length of time from stroke event to admission to the rehabilitation unit. Potential differences between early and delayed admission groups were examined in terms of demographic and clinical features, rehabilitation outcomes and medical complications. Results: The patients beginning rehabilitation in the first month following stroke had a better Functional Independent Measurement Scores gain than the patients beginning rehabilitation longer than one month (12.65±5.59 vs. 8.59±5.50, p=0.008). The number of complications was higher in the delayed admission group than the early admission group (3.16±1.36 vs. 1.91±1.12, p=0.001). Shoulder pain and spastic upper limb was detected more frequently in patients with delayed group (p=0.01 and p=0.01, respectively). Conclusion: Delayed admission time to rehabilitation caused poorer functional outcomes, increased number of medical complications in stroke patients.

Anahtar Kelime: Outcome Assessment (Health Care) Retrospective Studies Stroke Medical Records Complications Rehabilitation Time

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	SAVAŞ S, AKKUŞ S, SOYUPEK F, İLGÜN E, YILDIZ S (2007). Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. , 45 - 49.
Chicago	SAVAŞ Serpil,AKKUŞ Selami,SOYUPEK Feray Cinevre,İLGÜN Erdem,YILDIZ Sedat Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. (2007): 45 - 49.
MLA	SAVAŞ Serpil,AKKUŞ Selami,SOYUPEK Feray Cinevre,İLGÜN Erdem,YILDIZ Sedat Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. , 2007, ss.45 - 49.
AMA	SAVAŞ S,AKKUŞ S,SOYUPEK F,İLGÜN E,YILDIZ S Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. . 2007; 45 - 49.
Vancouver	SAVAŞ S,AKKUŞ S,SOYUPEK F,İLGÜN E,YILDIZ S Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. . 2007; 45 - 49.
IEEE	SAVAŞ S,AKKUŞ S,SOYUPEK F,İLGÜN E,YILDIZ S "Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications." , ss.45 - 49, 2007.
ISNAD	SAVAŞ, Serpil vd. "Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications". (2007), 45-49.

APA	SAVAŞ S, AKKUŞ S, SOYUPEK F, İLGÜN E, YILDIZ S (2007). Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 53(2), 45 - 49.
Chicago	SAVAŞ Serpil,AKKUŞ Selami,SOYUPEK Feray Cinevre,İLGÜN Erdem,YILDIZ Sedat Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 53, no.2 (2007): 45 - 49.
MLA	SAVAŞ Serpil,AKKUŞ Selami,SOYUPEK Feray Cinevre,İLGÜN Erdem,YILDIZ Sedat Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.53, no.2, 2007, ss.45 - 49.
AMA	SAVAŞ S,AKKUŞ S,SOYUPEK F,İLGÜN E,YILDIZ S Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2007; 53(2): 45 - 49.
Vancouver	SAVAŞ S,AKKUŞ S,SOYUPEK F,İLGÜN E,YILDIZ S Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2007; 53(2): 45 - 49.
IEEE	SAVAŞ S,AKKUŞ S,SOYUPEK F,İLGÜN E,YILDIZ S "Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 53, ss.45 - 49, 2007.
ISNAD	SAVAŞ, Serpil vd. "Impact delayed initiation to stroke rehabilitation on functional outcomes and medical complications". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 53/2 (2007), 45-49.