Cerebral Stroke
Conditions
Keywords
stroke, rehabilitation, multidisciplinary, description
Brief summary
A descriptive study of the stroke rehabilitation content in specialized clinics in seven countries: procedures for admission to rehabilitation, services available and provided to patients, as well as duration of the stay and discharge routines. An observational study of changes in regard to the physical function, quality of life and psycho-social factors in stroke patients before and after specialized rehabilitation
Detailed description
The descriptive study is two folded: 1\) Description of the rehabilitation centers and the content the respective clinic presents as specialized rehabilitation. A description of the expected change this input will result in in form of patients change in ADL and life satisfaction, with repeated measurements: 2a) reports of change in activities of daily living from baseline, to one fixed time (18-22 days in rehab),at discharge (which will vary),6 and 12 months post discharge (relatively fixed time) . 2b) reports of possible change in life satisfaction at baseline, discharge, 6 and 12 months after discharge. Since the times for admission is expected to vary, which will be described under 1),we also want to measure if and how this difference might influence results. Therefore a fixed measure is inserted between admission and discharge. we have added a relatively fixed date at 6 months post stroke in order to see if change of function from specialized rehabilitation will differ in a longitudinal perspective, and if possible to see if the difference in time to admission (time from debut till admission in specialized rehabilitation)might influence results. 3\) description of psycho- social factors at 6 and 12 months post discharge
Interventions
OTHERrehabilitation
Description of specialized rehabilitation and Influence on activities, life satisfaction, psycho social aspects 6 and 12 months post discharge
Sponsors
China Rehabilitation Research Center
Sichuan 81 Rehabilitation Center, Chengdu
NYU Langoon medical center; The Rusk Institute of Rehabilitation Medicine, New York
City outpatient clinics №2,Petrozavodsk, Petrozavodsk
Sheba Medical Center
Al-Wafa Rehabilitation Hospital
Bethlehem Arab Society for Rehabilitation, Betlehem
Sahlgrenska University Hospital
Sunnaas Rehabilitation Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* primary diagnosis of stroke, in need of specialized comprehensive rehabilitation, voluntary participation
Exclusion criteria
* sub-arachnoid hæmorrhage, tumor or other severe medical condition in combination with stroke that will influence outcomes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| activities of daily living | patients will be followed 6 months from baseline testing | Changes in Activities of daily living are monitored as an indirect evaluation of how the specialized rehabilitation may influence patients' outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Life Satisfaction checklist (LiSat-11) | patients will be followed 6 months from baseline testing | LiSat-11 consists of patients estimations of satisfaction with life as a whole as well as satisfaction in ten specific domains: vocation, economy, leisure, contacts, sexual life, activities of daily living (ADL), family life, partner relationship, somatic health, psychological health |
Other
| Measure | Time frame | Description |
|---|---|---|
| Description of the psycho- social situation | 6 months after discharge | A semi - structured interview, with focus on the psycho-social situation 6 months after rehabilitation, will be performed. Questions will focus on the work-, financial situation, what sort of follow-up services, recreational- and social activities are available, and what is considered the major change of life after stroke. |
| National Institutes of health stroke scale (NIHSS) | patients will be tested baseline and at discharge | NIHSS is a clinical stroke assessment tool to evaluate and document neurological status in acute stroke patients. The timeframe for discharge will vary with the different clinics since this is one of the differences expected. Length of stay is one of the outcomes |
| registration data | baseline | questionnaire regarding demographic data; age, gender, civil status, comorbidity, medication |
| description of institution | baseline | a questionaire where the participants are required to describe the services available, methods used in rehabilitation, intensity of training, procedures for intake and discharge |
| Modified Rankin Scale | patients will be followed 6 months from baseline testing | it is an evaluation of the degree of disability or dependence in the daily activities of people who have suffered a stroke |
Countries
China, Israel, Norway, Palestinian Territories, Russia, Sweden, United States
Outcome results
None listed