Hospitalization in Physical and Rehabilitation Medicine in a Stroke Patient in the Context of Acute Hospitals - Evolution of Function and Satisfaction with Quality of Life: A Pre COVID-19 Pandemic Analysis
DOI:
https://doi.org/10.25759/spmfr.425Keywords:
Hospitalization, Length of Stay, Patient Satisfaction, Quality of Life, Stroke, Stroke RehabilitationAbstract
Introduction: Stroke is the pathology with the highest mortality in Portugal. This study aims to analyze the functional evolution and the assess satisfaction with quality of life of stroke cases hospitalized in PRM acute hospital unit.
Methods: This study is a retrospective cohort, analyzing data between 2017 and 2019, referring to inpatients in the PRM department. 106 patients whose diagnosis on admission was stroke were evaluated (divided into ischemic stroke (IS) and hemorrhagic stroke (HS) groups). Participants were characterized in terms of different variables, namely the characterization of functional status at admission (FIM). Also the quality of life using the Satisfaction with Life Scale (SWLS) was assessed. Finally, multiple linear regression models were performed in order to determine which factors had an impact on functional improvement in stroke cases.
Results: Of the 106 patients, 76 were IS (72%) and 30 were HS (28%). The HS group had younger patients compared to the IS group (67.57 ± 11.41 vs 58.33 ± 11.33, p<0.001). There were no statistically significant differences between the IS and HS groups in terms of length of stay (pre-PRM length of stay: 13.66 ± 15.01 vs 11.53 ± 12.414, p=0.495; length of stay in PMR: 21 .74 ± 15.46 vs 22.10 ± 19.77, p=0.920; total length of stay: 35.39 ± 22.15 vs 33.63 ± 23.66, p=0.918), functional status at admission (68 .19 ± 17.25 vs 73.42 ± 16.50, p=0.198). However, there is a difference between the IS and HS groups regarding the functional status at clinical discharge (79.64 ± 19.67 vs 98.10 ± 20.04, p<0.001), as well as in the degree of improvement during the hospital stay (11.38 ± 7.08 vs 26.88 ± 14.40, p<0.001). A positive correlation of functional status at clinical discharge with the diagnosis of HS (β = 13.35, p=2.442) and with age (β = -0.268, p= 0.006). Finally, differences were found between the IS and HS groups in terms of satisfaction with quality of life (20.01 ± 5.33 vs 23.88 ± 6.07, p= 0.016).
Conclusion: The results of this study reflect the importance of considering different variables of stroke cases in PRM units.
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