본문 바로가기
KERD
논문KCI 등재

뇌졸중 재활치료에 있어서 병원군집간 의료서비스 제공실태와 치료성과 -일본 뇌졸중 환자 데이터베이스를 이용하여 -

Stroke Rehabilitation Performance and Outcomes among Hospitals

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

초록

This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise wihtout therapist, and exercise in wards, were statistically significant differences between hospitals.

Abstract

This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise wihtout therapist, and exercise in wards, were statistically significant differences between hospitals.

참고문헌 (19)

  1. 손미옥, "뇌졸중 입원환자를 대상으로 한 변형 건측 상지 운동 제한 치료법의 효과", Annals of Rehabilitation Medicine, 31(1), pp.56~62 (2007), 대한재활의학회
  2. 박인숙, "뇌졸중 노인의 기능장애 정도, 일상생활 수행능력, 우울과 삶의 질 간의 관계", 보건의료산업학회지, 5(2), pp.173~186 (2011), 보건의료산업학회
  3. G. Saposnik, "Hospital volume and stroke outcome: Dose it matter", Neurology, 69, pp.1~10 (2007)
  4. 近藤克則, "オーバービュー:症例登録データベースの現状と課題", J.of Clinical Rehabilitation, 19(4), pp.377~382 (2010)
  5. 김경호, "뇌졸중 환자의 자가 훈련 프로그램이 기능 회복 및 재원 기간에 미치는 효과", Annals of Rehabilitation Medicine, 34(4), pp.417~423 (2010), 대한재활의학회
  6. S. Jeong, "An evaluation of the quality of post-stroke rehabilitation in Japan", Clinical Audit, 20, pp.59~66 (2010)
  7. Appelros P, "For whom is training after stroke most beneficial? Selection method exists and should be used", Lakartidningen, 96(19), pp.2343~2347 (1999)
  8. CV. Granger, "Rasch analysis of the Functional Independence Measure (FIM) mastery test", Arch Phys Med Rehabilitation, 79(1), pp.52~57 (1998)
  9. RA. Keith, "The functional independence measure: a new tool for rehabilitation", Adv Clin Rehabilitation, 1, pp.6~18 (1987)
  10. JL. Banks, "Outcomes validity and reliability of the modified Rankin scale: implications for stroke clinical trials: a literature review and synthesis", Stroke, 38(3), pp.1091~1096 (2007)
  11. TJ. Quinn, "Reliability of the modified Rankin Scale: a systematic review", Stroke, 40(10), pp.3393~3395 (2009)
  12. Stroke Unit Trialists’ Collaboration, "Collaborative systematic review of the randomized trials of organized inpatient (stroke unit) care after stroke", BMJ, 314, pp.1151~1159 (1997)
  13. Leys D, "The main components of stroke unit care: results of a uropean expert survey", Cerebrovasc Dis, 23(5), pp.344~352 (2007)
  14. Govan L, "Organized Inpatient (Stroke Unit) Care for Stroke", Stroke, 39, pp.2402~2403 (2008)
  15. Galvin R, "The impact of increased duration of exercise therapy on functional recovery following stroke--what is the evidence", Top Stroke Rehabil, 15(4), pp.365~377 (2008)
  16. Slade A, "A randomised controlled trial to determine the effect of intensity of therapy upon length of stay in a neurological rehabilitation setting", J Rehabil Med, 34(6), pp.260~266 (2002)
  17. Jette DU, "The relation between therapy intensity and outcomes of rehabilitation in skilled nursing facilities", Arch Phys Med Rehanil, 86, pp.373~379 (2005)

관련 논문AI추천

뇌졸중 발생 후 재활의학과 입원 치료 이용 실태김병식, 김선옥, 김수경, 김완호, 이규범, 임현정, 장숙랑대한뇌졸중학회 · 대한뇌졸중영문학회지2005 · 제7권 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 제4호일개 대학병원의 뇌졸중 환자 재활치료 시작에 대한 주임상경로의 효과강은경, 권오기, 배희준, 백남종, 오민균, 오창완, 임종엽, 한문구대한재활의학회 · Annals of Rehabilitation Medicine2009 · 제33권 제6호Factors Influencing Discharge Destination and Length of Stay in Stroke Patients in Restorative Rehabilitation InstitutionGyu-Bum Lee, Jee-Sun Lee, Jeong Soo Kim한국전문물리치료학회 · 한국전문물리치료학회지2024 · 제31권 제1호Role 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 제2호

이 간행물의 다른 논문 (16건)