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Stroke Rehabilitation Fact Sheet in Korea

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주제분류재활의학

초록

With rapid aging, the number of stroke survivors with disabilities in Korea is increasing even if mortality is declining. Despite coordinated efforts for quality improvement of stroke rehabilitation in Korea, the statistics of stroke rehabilitation were not well reported. This review aimed to provide contemporary and comprehensive statistics and recent changes in stroke rehabilitation in Korea. The Clinical Practice Guideline for Stroke Rehabilitation in Korea was developed in 2009 and updated in 2012 and 2016. Additionally, the representative databases for stroke rehabilitation include the Korean Brain Rehabilitation Database and the Korean Stroke Cohort for functioning and rehabilitation. These nationwide databases provided current information on stroke rehabilitation. Among Korean stroke survivors, one in three had motor impairment, one in four had cognitive impairment, one in three had speech impairment, one in four was dependent in ambulation, one in six had swallowing difficulty, and one in four was dependent in activities in daily living at 5 years after stroke. Comprehensive inpatient rehabilitation following transfer to the department of rehabilitation medicine significantly decreased stroke-related mortality and long-term disability. This review provides an improved understanding of stroke rehabilitation and guidance to implement timely, coordinated, evidence-based stroke rehabilitation services to relieve the socioeconomic burden of stroke.

Abstract

With rapid aging, the number of stroke survivors with disabilities in Korea is increasing even if mortality is declining. Despite coordinated efforts for quality improvement of stroke rehabilitation in Korea, the statistics of stroke rehabilitation were not well reported. This review aimed to provide contemporary and comprehensive statistics and recent changes in stroke rehabilitation in Korea. The Clinical Practice Guideline for Stroke Rehabilitation in Korea was developed in 2009 and updated in 2012 and 2016. Additionally, the representative databases for stroke rehabilitation include the Korean Brain Rehabilitation Database and the Korean Stroke Cohort for functioning and rehabilitation. These nationwide databases provided current information on stroke rehabilitation. Among Korean stroke survivors, one in three had motor impairment, one in four had cognitive impairment, one in three had speech impairment, one in four was dependent in ambulation, one in six had swallowing difficulty, and one in four was dependent in activities in daily living at 5 years after stroke. Comprehensive inpatient rehabilitation following transfer to the department of rehabilitation medicine significantly decreased stroke-related mortality and long-term disability. This review provides an improved understanding of stroke rehabilitation and guidance to implement timely, coordinated, evidence-based stroke rehabilitation services to relieve the socioeconomic burden of stroke.

참고문헌 (14)

  1. GBD 2019 Stroke Collaborators, "Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019", Lancet Neurol, 20, pp.795~820 (2021)
  2. Chang WH, "Korean Stroke Cohort for functioning and rehabilitation(KOSCO) : study rationale and protocol of a multi-centre prospective cohort study", BMC Neurol, 15, pp.42~ (2015)
  3. "Annual report on the causes of death statistics, 2019" (2020)[URL]
  4. Lee Ye Seol, "The Socioeconomic Burden of Acquired Brain Injury among the Korean Patients over 20 Years of Age in 2015–2017: a Prevalence-Based Approach", 뇌신경재활, 14(3), pp.1~15 (2021), 대한뇌신경재활학회[DOI]
  5. "2018 Health statistics of people with disabilities" (2020)[URL]
  6. 김원섭, "Status of Rehabilitation After Ischemic Stroke: A Korean Nationwide Study", Annals of Rehabilitation Medicine, 42(4), pp.528~535 (2018), 대한재활의학회
  7. Park HK, "Quality of acute stroke care in Korea(2008-2014) : retrospective analysis of the nationwide and nonselective data for quality of acute stroke care", Eur Stroke J, 4, pp.337~346 (2019)
  8. Kim YH, "Clinical practice guideline for stroke rehabilitation in Korea", Brain Neurorehabil, 2, pp.1~38 (2009)
  9. Kim DY, "Clinical practice guideline for stroke rehabilitation in Korea 2016", Brain Neurorehabil, 10(Suppl 1), pp.e11~ (2017)
  10. Rah UW, "Clinical practice guideline for stroke rehabilitation in Korea 2012", Brain Neurorehabil, 7(Suppl 1), pp.S1~S75 (2004)
  11. 좌경림, "Inpatient Stroke Rehabilitation Outcomes in Korea Derived from the Korean Brain Rehabilitation Centers’ Online Database System for the Years 2007 to 2011", Journal of Korean Medical Science, 30(5), pp.644~650 (2015), 대한의학회
  12. 10 year report of the stroke survival rate, functioning and rehabilitation in Korea, "National Institute of Health", National Institute of Health, ~ (2021)
  13. 김민수, "Impact of Functional Status on Noncardioembolic Ischemic Stroke Recurrence Within 1 Year: The Korean Stroke Cohort for Functioning and Rehabilitation Study", Journal of Clinical Neurology, 15(1), pp.54~61 (2019), 대한신경과학회[DOI]
  14. 장원혁, "Characteristics of Inpatient Care and Rehabilitation for Acute First-Ever Stroke Patients", Yonsei Medical Journal, 56(1), pp.262~270 (2015), 연세대학교의과대학[DOI]

관련 논문AI추천

Changes in Epidemiological Trends and Rehabilitation Usage in Neurological Diseases in Korea: Stroke장원혁대한뇌신경재활학회 · 뇌신경재활2021 · 제14권 제2호Characteristics of Inpatient Care and Rehabilitation for Acute First-Ever Stroke Patients김연희, 신용일, 오경재, 이삼규, 임영실, 장원혁연세대학교의과대학 · Yonsei Medical Journal2015 · 제56권 제1호Status of Rehabilitation After Ischemic Stroke: A Korean Nationwide Study김원섭, 배희준, 신형익, 이현행대한재활의학회 · Annals of Rehabilitation Medicine2018 · 제42권 제4호Role of Intensive Inpatient Rehabilitation for Prevention of Disability after Stroke: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study김덕용, 김연희, 손민균, 신용일, 오경재, 이삼규, 이양수, 이종민, 장원혁, 주민철, 한은영, 한준희대한뇌신경재활학회 · 뇌신경재활2016 · 제9권 제2호Clinical Practice Guideline for Stroke Rehabilitation in Korea—Part 1: Rehabilitation for Motor Function (2022)임선, 김경태, 김돈규, 김두영, 김영국, 박시운, 백남종, 신용일, 이소영, 임성훈, 장원혁, 최윤희, 최효선, 편성범, Bok Soo-Kyung, Chang Min Cheol, Chang Won Kee, Choi Miyoung, Chun Min Ho, Han Soo Jeong, Hyun Sung Eun, Jee Sungju, Jung Se Hee, Kang Min-Gu, Kim Dae Yul, Kim Da-Sol, Kim Deog Young, Kim Eun Joo, Kim Hyoung Seop, Kim Hyun Jung, Kim Jong Moon, Kim Min Wook, Kim Na Young, Kim Sung Hoon, Kim Tae-Woo, Kim Yeo Hyung, Kim Yong Wook, Ko Myoung-Hwan, Ko Sung-Hwa, Kwon SuYeon, Lee Hoo Young, Lee Hyun Haeng, Lee Jongmin, Lee Ju Kang, Lee Seong Jae, Lee Seung Hak, Lee Sook Joung, Oh Byung-Mo, Oh Hyun Mi, Oh Ju Sun, Ohn Suk Hoon, Park Jihye, Park Jihyun, Park Jin Gee, Park Ki Deok, Park Yoon Ghil, Ryu Byungju, Seok Hyun, Shin Joon-Ho, Song Min-Keun, Yang Seung Nam, Yoon Seo Yeon, Yoo Seung Don, Yoo Woo-Kyoung, Yoo Yeun Jie대한뇌신경재활학회 · 뇌신경재활2023 · 제16권 제2호Factors Associated to Returning Home in the First Year after Stroke고성화, 김덕용, 김승한, 김연희, 민지홍, 손민균, 신용일, 오경재, 이삼규, 이양수, 이종민, 장원혁, 주민철, 한은영, 한준희, Kim Seung Chan대한뇌신경재활학회 · 뇌신경재활2020 · 제13권 제1호

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