Stroke rehabilitation in the Philippines: an audit study

Date

2015

Authors

Gonzalez Suarez, C.
Grimmer, K.
Alipio, I.
Anota Canencia, E.G.
Santos Carpio, M.L.
Dizon, J.M.
Liao, L.
Cabrera, J.T.
Martinez, R.
Beredo, E.

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Disability, CBR and Inclusive Development, 2015; 26(3):44-67

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Purpose: Although cerebrovascular accident is a leading cause of mortality in the Philippines, there has never been a national survey of stroke client descriptors and rehabilitation practices. This paper reports on data from the audit of stroke care for inpatients in hospitals serviced by psychiatrists. Method: Audit was done of the medical records of stroke clients admitted to hospitals with rehabilitation units. Performance indicators for timely referral to rehabilitation were applied. Results: A total of 1683 records were audited. The majority of clients had cerebral infarct followed by cerebral hemorrhage. The median length of stay was 7 days; stay was lengthier for hemorrhagic strokes. Only 54.1% of the clients were referred to rehabilitation, with a median delay of 3 days between admission and referral to rehabilitation. 25.4% of the clients had early referral to rehabilitation. 39.2% of the 1397 clients were referred to rehabilitation earlier than 2 days before discharge. Conclusion: This Filipino study provides valuable information on stroke types and prevalence, demographics and rehabilitation practices. Despite the prevalence of post-stroke rehabilitation, it has been under utilised in the management of stroke.

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Copyright 2015, The Authors. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. https://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)

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