脳卒中リハビリテーションのクリニカルパス

抄録

Recently standardization of the early stroke rehabilitation has been promoted after the presentation of guidelines for the management of acute CVDs of AHA in 1994. In our hospital, clinical pathway of stroke rehabilitation was applied in order to facilitate the teamwork among different staffs and shorten the length of hospital stay. By the clinical impairments, stroke patients were divided into three groups and their lengths of stay were arranged, and then the variance analysis was done for the length of stay as a final outcome. It was revealed that the secondary complications, such as infections after stroke, elongated the hospital stay more than the original diseases, and the evaluation of activities of daily living was more practical than that of clinical impairments, in the performance of clinical pathway of stroke rehabilitation.