2010 Volume 32 Issue 4 Pages 346-350
The aim of this study was to examine the efficacy of stroke treatments in an intra-hospital referral model, by investigating the outcome of acute cerebral infarction. During a recent 3-year period, 456 consecutive acute cerebral infarctions, including 170 lacunar, 151 atherothrombotic, 116 cardioembolic and 19 other ischemic strokes were treated in acute stroke therapies. The outcome was evaluated using both the modified Rankin Scale (mRS) and home-recovery rate.
By an analysis of mRS 0-2 rates as a good outcome, mortality, home-recovery rate, and determining the stroke type on admission is useful to assess the outcome of acute cerebral infarction. NIH stroke scale (NIHSS) on admission as a clinical assessment of gravidity is useful for the prospective evaluation of outcome on discharge. Cases with Functional Independence Measure (FIM) score over 90 at the end of acute therapy and those with an FIM score under 89 with a significant gain of FIM points during convalescent rehabilitation could recover to home. FIM score and FIM gain points are useful for judging the necessity of convalescent rehabilitation and estimating the possibility of home recovery. By an analysis of mRS 3 and 4 cases, convalescent rehabilitation has been more beneficial, resulting in a 77% home-recovery rate.
It is useful to evaluate stroke treatment for acute cerebral infarctions in an intra-hospital referral model, because of the seamless coordination from acute stroke therapy to convalescent rehabilitation, by clarifying a prospective evaluation on admission and necessity of successive rehabilitation.
