A Study of the Liaison Critical Pathway for Stroke between an Acute Hospital and a Convalescent Rehabilitation Ward and the Effect of Clinical Factors on Outcome

Abstract

We examined the effect of the liaison critical pathway for stroke among the inpatients in an acute hospital AH from 2007 to 2008. The average length of hospital stay in the AH was reduced by 5.7 days compared with 2006 by means of the critical pathway. Among 155 patients who had been transferred from the AH to a convalescent rehabilitation ward CRW , 148 were discharged from the CRW. Ninety-seven patients returned home and 44 patients were transferred from the CRW to a nursing home type unit or an institution. One patient died in the CRW, six were returned to the AH. From among the clinical factors, that included sex, age, modified Rankin Scale mRS , total, motor and cognitive scores of Functional independence measure FIM at discharge from the AH, total FIM scores and FIM gain at discharge from the CRW, mRS at discharge from the AH and total FIM scores at discharge from the CRW exerted an influence on outcome. Patients living with their spouses and or children before the onset of stroke were more inclined to return home. Jpn J Rehabil Med .

Implementation of Rehabilitation and Patient Outcomes During the Initial COVID-19 Pandemic

“…Particularly for patients with stroke or hip fracture, the Japanese medical system has established care plan coordination between acute hospitals and communities, rehabilitation hospitals, and long-term care facilities, which is reported to contribute to shortened hospital stay. 26,27) Our results indicate that the coordination was strongly promoted and probably worked effectively during the pandemic.…”