The Correlation Between the Length of Stay in Post Acute Care(PAC) and General Improvements in Stroke Patients

NCT ID: NCT03778905

Last Updated: 2020-07-28

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 305 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-12-03
• Study Completion Date: 2019-06-22

Brief Summary

Post-Acute Care(PAC) had been inaugurated in Taiwan for almost four years and current essays revealed positive effects upon general improvements in stroke patient after PAC training. During acute phase, a stroke patient would admit to internal medicine or surgical ward and transferred to rehabilitative ward for more intensive therapeutic programs, restoring muscle power and promoting activity of daily life(ADL) ability. Under relative stable condition, the patient would transfer to PAC institution or hospitals afterwards for continuing rehabilitative program if the patient is acknowledged to have rehabilitative potentials. However, there's still lacking of investigation upon whether the length of stay in PAC correlates to general improvements. Thus, stroke patients' functional ability, such as activities of daily living (ADL) function, swallowing ability and so on, as well as their corresponding scales were assessed on the first and last day during PAC hospitalization. Statistical analysis was conducted via SPSS ver21.0 to compare the relationship of improvements in functional ability and the length of stay in PAC. We're looking forward to the final results!

Detailed Description

Functional ability in stroke patients are evaluated by following measurements. Activity of daily life (ADL) function was estimated through modified Rankin scale(MRS) and Barthel index(BI), swallowing ability by functional oral intake scale, nutritional status via mini nutritional assessment, life quality through EuroQoL-5D, instrumental ADL function by Lawton-Brody IADL Scale(IADL), balance/coordination via Berg Balance Test, walking speed through Usual Gait Speed, cardiopulmonary capability by Six-Minute Walk Test, occupational mobility (amount use/quality) via Motor Activity Log, language through concise Chinese aphasia test, motor function of upper extremities by Fugl-Meyer Assessment and so on.

Conditions

Stroke

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: RETROSPECTIVE

Study Groups

stroke patient with complete post-acute care hospitalization

This study aims on stroke patients with complete rehabilitative program in post acute care institution and we try to assess their functional improvements after rehabilitative training.

Rehabilitation

Intervention Type: OTHER

The stroke patients who admitted to post acute care(PAC) institution would undergo regular rehabilitation.

Interventions

Rehabilitation

The stroke patients who admitted to post acute care(PAC) institution would undergo regular rehabilitation.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• >18 y/o
• acute onset of stroke within 30 days
• Modified Rankin Scale 2~4

Exclusion Criteria

• patients refused to join post acute care(PAC) program
• hemodynamic unstable
• disease progression

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Chimei Medical Center

OTHER

Sponsor Role: lead

Responsible Party

Willy Chou

Director of physical medicine and rehabiliation

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Willy Chou, MD, MS

Role: STUDY_DIRECTOR

Chi Mei Medical Hospital

Locations

Chi Mei Medical Center

Tainan City, , Taiwan

Countries

Taiwan

Other Identifiers

CMMC10711-J02

Identifier Type: -

Identifier Source: org_study_id