Post-acute care for stroke – a retrospective cohort study in Taiwan

Figures & data

Figure 1 Flow diagram of healthcare pathway.

Abbreviations: PAC, post-acute care; PAC-CVD, post-acute Care Cerebrovascular Diseases.

Table 1 Baseline data of stroke patients

	N	%	Mean ± SD
Gender
Male	99	58.9
Female	69	41.1
Age (years)	168		63.01±13.24
<65	88	52.4
65–74	43	25.6
≥75	37	22.0
Affected side
Left	77	45.8
Right	88	52.4
Bilateral	3	1.8
Days after stroke	168		15.56±7.58
Stroke type
Ischemic	126	75.0	14.33±7.41
Hemorrhagic	42	25.0	19.02±7.07
Length of stay in the PAC	168		43.57±26.28

Abbreviation: PAC, post-acute care.

Table 2 Effect of functional performance and quality of life in patients with stroke

	N	Admission	Discharge	P-value
MRS	168	3.71±0.49	3.26±0.76	0.000*
B-ADL	168	44.08±23.38	70.24±29.41	0.000*
LB-IADL	168	1.5±1.42	3.0±2.34	0.000*
FOIS	168	5.48±1.86	6.33±1.28	0.000*
MNA	168	10.72±3.51	12.70±5.04	0.000*
EQ-5D:mobility	168	2.11±0.42	1.71±0.57	0.000*
EQ-5D:self-care	168	2.42±0.56	1.93±0.69	0.000*
EQ-5D:usual activities	168	2.33±0.53	1.89±0.62	0.000*
EQ-5D:pain/discomfort	168	1.19±0.48	1.13±0.37	0.203
EQ-5D:anxiety/depression	168	1.32±0.53	1.14±0.38	0.000*
BBS	168	18.48±16.32	35.98±18.08	0.000*
MMSE	161	19.05±9.22	22.16±9.84	0.001*
CCAT	58	8.74±3.88	9.25±3.91	0.823

Notes:

* P<0.05. Data presented as mean ± SD unless otherwise indicated.

Abbreviations: MRS, Modified Ranking Scale; B-ADL, Barthel Activity Daily Living index; LB-IADL, Lawton–Brody Instrumental Activity Daily Living scale; FOIS, Functional Oral Intake Scale; MNA, Mini Nutrition Assessment; EQ-5D, EuroQol Five Dimensions questionnaire; BBS, Berg Balance Scale; MMSE, Mini Mental State Examination; CCAT, Concise Chinese Aphasia Test.

Table 3 Ratio of Modified Rankin Scale (MRS) at admission

Disability level	N	%
0 (no symptoms)	0	0
1 (no significant disability)	0	0
2 (slight disability)	3	1.8
3 (moderate disability)	42	25.0
4 (moderately severe disability)	123	73.2
5 (severe disability)	0	0

Notes: 1, Despite symptoms able to perform all usual duties and activities. 2, Unable to perform all previous activities but able to look after own affairs without assistance. 3, Requires some help, but able to walk without assistance. 4, Unable to walk without assistance and unable to attend to own bodily needs without assistance. 5, Bedridden, incontinent, and requires constant nursing care and attention.

Table 4 Number and ratio of the change of EQ-5D after the program

	Better	Unchanged	Worse
Mobility	69 (41.0%)	94 (56.0%)	5 (3.0%)
Self-care	79 (47.0%)	85 (50.6%)	4 (2.4%)
Usual activities	69 (41.1%)	96 (57.1%)	3 (1.8%)
Pain/discomfort	23 (13.7%)	129 (76.8%)	16 (9.5%)
Anxiety/depression	39 (23.2%)	117 (69.6%)	12 (7.2%)

Abbreviation: EQ-5D, EuroQol Five Dimensions questionnaire.