뇌졸중 환자의 재활치료에 있어서 타과 의뢰 기반 치료와 입원치료의 비교

Abstract

Department of Rehabilitation medicine, Seoul National University College of medicine,Seoul National University Boramae Hospital* Background: The purpose of this study was to investigate factors related to the functional outcome of stroke patients at discharge. Methods: Retrospective analysis of existing medical records of 202 stroke patients was performed. Checked variables were: 1) whether the patient was transferred to the rehabilitation unit or not, 2) functional outcome at discharge, 3) the length of hospital stay and rehabilitation course, 4) risk factors such as hypertension, heart disease, diabetes mellitus, and hypercholesterolemia, 5) department of admission, 6) dischar g e course. The factors associated with functional outcome at discharge were analyzed using multiple logistic regression analysis. Results: A multivariate analysis revealed that the following factors were found to be associated with good functional outcome at discharge: 1) ischemic stroke (OR=5.733, p=0.003), 2) transfer to the rehabilitation unit (OR=7.004, p=0.001 ). Factors such as risk factors, department of admission, discharge course, length of hospital stay and rehabilitation course showed no significant association with good functional outcome at discharge. Conclusions: Although there may be selection bias, whether the patient was transferred to the rehabilitation unit or not is the strongest prognostic factor for the functional outcome at discharge. Therefore, it seems important for the stroke patients be treated at the rehabilitation unit.