London, United Kingdom 2013 Poster Session Nurses/AHP’s Cerebrovasc Dis 2013; 35 (suppl 3)1-854 205 2019 Cerebral reorganization and recovery for physiotherapists IMPACT OF THE STROKE UNIT IN FUNCTIONAL OUTCOME FOR STROKE INDIVID-UALS: TIME IS BRAIN IN REHABILITATION G.J. LUVIZUTTO1, M.O. GAMEIRO2, S.M. COLENCI3, G.P. BRAGA4, R. BAZAN5 Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL1, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesqui-ta Filho - UNESP, Botucatu, BRAZIL2, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL3, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL4, Botucatu School of Medi-cine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL5 Background: Recent years have seen a reduction in death from strokes with the implementation of special help units, increasing the number of patients in rehabilitation. The objective of this study was to evaluate the impact the Stroke Unit, with time between hospital discharge, first evaluation in rehabilitation and its correlation with functional incapacity in individuals after stroke. Methods: A retrospective study of medical records from stroke individuals at Botucatu University Hospital (UNESP). The following data were noted: start of the ictal picture, time in hospital, hospital dis-charge date, and date of first evaluation at the rehabilitation centre; exclusion criteria were previous Rankin≥1 and changes prior to picture installation, such as structural bone deformities, cognitive deficiency, or associated neurological disease. Functional incapacity was measured by recording Modified Rankin Scale (mRS) 180 days after ictus and individuals were divided into two groups (before and after 2010, when the Stroke Unit opened). Intentional non-probabilistic sampling was used; comparison between admission periods was by Mann-Whitney, chi-squared, and Fisher exact tests. Results: Out of the 450 medical records consulted between January 2005 and December 2012, 159 were included; the rest failed exclusion criteria or had incomplete data. In the post 2010 group patients were significantly older (p=0.002), time between hospital admission and release were sig-nificantly shorter (p=0.036), and patient distribution in relation to mRS underwent a change in rela-tion to the pre 2010 period, increasing the percentage of patients classified as having mild incapacity (mRS = 0 to 2; p=0.004; table 1). Conclusion: A reduction in functional incapacity was seen after 2010 due to the opening of the Stroke Unit with protocol standardisation, less time in hospital, and early rehabilitation treatment.
Karger_ESC London_2013
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