| Title |
Post-acute care for stroke – a retrospective cohort study in Taiwan
|
|---|---|
| Published in |
Patient preference and adherence, August 2017
|
| DOI | 10.2147/ppa.s136041 |
| Pubmed ID | |
| Authors |
Chung-Liang Lai, Ming-Miau Tsai, Jia-Yuan Luo, Wan-Chun Liao, Pi-Shan Hsu, Han-Yu Chen |
| Abstract |
Stroke often causes functional decline in patients. Therefore, after the acute phase, many patients require post-acute care (PAC) to maximize their functional progress, reduce disability, and make it possible for them to return to their home and community. PAC can be provided in different settings. Taiwan's National Health Insurance (NHI) proposed a PAC pilot program, effective since 2014, for stroke patients that allowed patients with the potential for functional improvement to receive PAC rehabilitation in regional or community hospitals. The purpose of this study was to explore the initial achievements and clinical impact of this program in Taiwan. This was a retrospective cohort study that mainly analyzed basic hospitalization data and scores for function and quality of life, as recorded immediately after admission and before discharge, for stroke patients in the PAC program in a hospital in Taiwan. This study collected complete data from a total of 168 patients. After an average of 43.57 days in the program, patients showed significant improvement in the Modified Rankin Scale (MRS), the Barthel Activity Daily Living Index (B-ADL), the Lawton-Brody Instrumental Activity Daily Living Scale (LB-IADL), the Functional Oral Intake Scale (FOIS), and the Mini Nutrition Assessment (MNA), in mobility, self-care, and usual activity, as well as on anxiety/depression in the EuroQol Five Dimensions Questionnaire (EQ-5D) and in the Mini Mental State Examination (MMSE). After discharge, 76.8% of the patients could return to their home and community. This study showed that the pilot PAC program significantly promoted recovery of function in stroke patients and helped them to return to their home and community. Patients with the potential for functional recovery should consider receiving PAC service in a hospital after discharge from acute stroke care. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 68 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 68 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 12 | 18% |
| Student > Bachelor | 11 | 16% |
| Researcher | 7 | 10% |
| Student > Doctoral Student | 6 | 9% |
| Other | 4 | 6% |
| Other | 12 | 18% |
| Unknown | 16 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 19 | 28% |
| Medicine and Dentistry | 19 | 28% |
| Neuroscience | 3 | 4% |
| Psychology | 2 | 3% |
| Economics, Econometrics and Finance | 1 | 1% |
| Other | 3 | 4% |
| Unknown | 21 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 July 2023.
All research outputs
#3,416,577
of 25,382,440 outputs
Outputs from Patient preference and adherence
#199
of 1,757 outputs
Outputs of similar age
#59,671
of 327,503 outputs
Outputs of similar age from Patient preference and adherence
#7
of 47 outputs
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