Does the Length of Hospital Stay for Rehabilitation Affect Functional Outcomes in Stroke Patients

Stroke Clinical Trial

Official title:

Does the Length of Hospital Stay for Rehabilitation Affect Functional Outcomes in Stroke Patients: A Retrospective Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04700982
• Other study ID #: 94603339-604.01.02
• Status: Completed
• Start date: October 7, 2020
• Est. completion date: November 1, 2020

Study information

• Verified date: December 2020
• Source: Baskent University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study was to evaluate whether the length of hospital stay for rehabilitation affects functional outcomes of stroke patients.

Description:

The medical records of patients who were admitted to a rehabilitation unit were analyzed retrospectively. The functional output, the level of spasticity, and the level of motor development at admission and discharge will be determined using the Functional Independence Measure instrument, the Modified Ashworth Scale, and the Brunnstrom test, respectively. Based on the length of hospital stay, patients will be divided into two groups: hospital stays ≤ 3 months (Group 1) and > 3 months (Group 2). Clinical features and functional output will be compared between the groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 97
• Est. completion date: November 1, 2020
• Est. primary completion date: November 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Clinical diagnosis of stroke

• must be able to receive rehabilitation in an inpatient clinic between 2010 and 2013

Exclusion Criteria:

• previous history of stroke,

• other neurological diseases,

• amputation,

• severe arthritis

• undergoing hemodialysis

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• Based on the length of hospital stay
Based on the length of hospital stay, patients were divided into two groups: hospital stays = 3 months (Group 1) and > 3 months (Group 2).Clinical features and functional output will be then compared between the groups.

Locations

Country	Name	City	State
Turkey	Kirklareli Univesity	Kirklareli

Sponsors (1)

Lead Sponsor	Collaborator
Baskent University

Country where clinical trial is conducted

Turkey, 

References & Publications (3)

Balaban B, Tok F, Yavuz F, Yasar E, Alaca R. Early rehabilitation outcome in patients with middle cerebral artery stroke. Neurosci Lett. 2011 Jul 12;498(3):204-7. doi: 10.1016/j.neulet.2011.05.009. Epub 2011 May 11. — View Citation

Foulkes MA, Wolf PA, Price TR, Mohr JP, Hier DB. The Stroke Data Bank: design, methods, and baseline characteristics. Stroke. 1988 May;19(5):547-54. — View Citation

Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, Bayley M, Dowlatshahi D, Dukelow S, Garnhum M, Glasser E, Halabi ML, Kang E, MacKay-Lyons M, Martino R, Rochette A, Rowe S, Salbach N, Semenko B, Stack B, Swinton L, Weber V, Mayer M, Verrilli S, DeVeber G, Andersen J, Barlow K, Cassidy C, Dilenge ME, Fehlings D, Hung R, Iruthayarajah J, Lenz L, Majnemer A, Purtzki J, Rafay M, Sonnenberg LK, Townley A, Janzen S, Foley N, Teasell R. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015. Int J Stroke. 2016 Jun;11(4):459-84. doi: 10.1177/1747493016643553. Epub 2016 Apr 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Clinical features and Functional Independence Measure instrument, the Modified Ashworth Scale, and the Brunnstrom test outcomes will be then compared between the groups.	Demographic features, clinical features and Functional Independence Measure (FIM) instrument, the Modified Ashworth Scale (MAS), and the Brunnstrom test outcomes will be documented for all patients. The FIM includes 18 items with higher scores indicating greater independence. The motor development of the upper extremity, hand, and lower extremity will be evaluated using the Brunnstrom test with higher stages indicating greater development. The degree of spasticity of the upper and lower extremity muscles will be assessed using the MAS with high stage indicating greater spasticity.; All patients will be divided into two groups based on length of hospital stay. Clinical features, demographic features and FIM, MAS, and the Brunnstrom test outcomes will be then compared between the groups. All data for normality were tested with Kolmogorov-Smirnov tests. Mann-Whitney U tests will be used for comparison of the differences between the two groups.	through study completion, an average of 1 month