Journal of the Hong Kong Geriatrics Society

Volume 11 Number 1, January 2002

Stroke rehabilitation in a Geriatrics Day Hospital: Functional gain, its maintenance at 6 months post-discharge

KW Lee, CKW Pei, FHW Chan

Rehabilitation at Geriatrics Day Hospital (GDH) has been shown to improve functional outcome among stroke patients, yet whether the improvement can be maintained by 6 months after discharge is unknown. A prospective study was performed to examine the functional outcome of stroke patients rehabilitated at GDH and again at 6 months post discharge. 50 elderly were included prospectively. There was a gain of 8.5 points on total Functional Independent Measurement (FIM) score over a median period of 12 weeks. The gain in FIM correlated positively with number of attendance (r=0.49, p<0.001) and length of stay (r=0.42, p=0.002). There was a non-significant drop of FIM score by 1.4 at 6 months. Patients who were cognitively impaired (AMT <= 6) did similar with their cognitively normal (AMT >6) counterparts. We concluded that functional outcome is maintained with stroke rehabilitation at GDH at 6 months and cognitive impairment should not be a hibdrance to he access of the service. (J HK Geriatr Soc 2002; 11:26-30)

Keywords : stroke rehabilitation, geriatric day hospital, cognitive impairment

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