Duration of Follow-up Affecting Attendance for Outpatient Rehabilitation of Acute Stroke Patients After Discharge from Nakhonpathom Hospital
Keywords:
NIHSS (National Institutes of Health Stroke Scale), BI (Barthel index for Activities of Daily Living), logistic regression modelAbstract
Objectives: Primary objective is to determine the relationship between the duration of follow-up and attendance for outpatient rehabilitation of acute stroke patients after discharge from hospital. Secondary objectives are (1) to report the rate of acute stroke patients attended outpatient rehabilitation after discharge from hospital (2) to evaluate other factors relating to attendance outpatient rehabilitation.
Methods: This retrospective cohort study involved collecting data from consecutive acute stroke cases’ medical records in Nakhonpathom Hospital from 1 July 2566 to 31 December 2566 by using a case record form. The data including number of all acute stroke patients, number of acute stroke patients attended outpatient rehabilitation after discharge from hospital, duration of follow-up, age, gender, type of stroke, side of hemispheric affectation, NIHSS, and BI were analyzed by SPSS 26 program and the correlation was tested by logistic regression model.
Result: A total of 292 patients was enrolled and there were 170 patients attended outpatient rehabilitation (58.2%). The duration of follow-ups was not a statistically significant factor relating to attendance for outpatient rehabilitation of acute stroke patients after discharge from Nakhonpathom Hospital (RR 1.00, p = .73). However, the appointment time of 26 days resulted in the best patient follow-up after hospital discharge, with a sensitivity of 51% and a specificity of 49%. The type of stroke was a factor that significantly affected attendance for outpatient rehabilitation after hospital discharge (RR 2.27, p = .01); hemorrhagic stroke was a factor that significantly affected attendance for outpatient rehabilitation. While age (RR 0.99, p = .50); gender (RR 1.23, p = .39); side of hemispheric affectation (RR 1.21, p = .44); NIHSS at administration (RR 0.98, p = .87); and BI before discharge from hospital (RR 1.02, p = .93) did not associate with attendance for outpatient rehabilitation after discharge from the hospital.
Conclusion: The follow-up duration was not an associated factor of attendance for outpatient rehabilitation of acute stroke patients after discharge from Nakhonpathom Hospital. Hemorrhagic stroke was the significant factor of attendance for outpatient rehabilitation. The rate of acute stroke patients which attended outpatient rehabilitation, Nakhonpathom Hospital during the period from 1 July to 31 December 2023 was 58.2%.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
