TY - JOUR T1 - Physical and rehabilitation medicine intervention in stroke in the acute hospital setting: A cross-sectional study JO - Rehabilitación T2 - AU - Ferreira,E. Freitas AU - Portugal,D. AU - Silva,N. AU - Peixoto,C. AU - Matos,C. AU - Prates,L. SN - 00487120 M3 - 10.1016/j.rh.2021.10.001 DO - 10.1016/j.rh.2021.10.001 UR - https://www.elsevier.es/es-revista-rehabilitacion-120-articulo-physical-rehabilitation-medicine-intervention-in-S0048712021001031 AB - IntroductionStroke represents the main cause of death and disability in Portugal. Resulting functional deficits are widely recognized. This work aims to evaluate the variation in functionality of stroke patients in the acute hospital setting under a rehabilitation program. Material and methodsCross-sectional study of patients admitted to the Neurology department, from January to June 2019, with acute stroke. The variation in functionality was assessed using the Barthel index. Statistical analysis used Student's t-test and Spearman's correlation coefficient, with a p-value≤0.05 as significant. Results106 patients with mean age of 63.7±14.2 years and a male predominance (60.4%) were included. Patients started rehabilitation program at 1.37±1.19 days after admission. A gain in functionality between admission and discharge was identified (50.18±32.37 versus 68.73±28.94, p<0.001). A significantly greater increase was observed in patients diagnosed under code stroke protocol (CSP) (p=0.021) and undergoing some type of acute phase treatment (p=0.017). From 90.5% of the patients that pursued rehabilitation after discharge, 40.6% were referred to an inpatient unit on average 12.7±7.0 days after admission. DiscussionIn this study, Physical and Rehabilitation Medicine (PRM) provided early rehabilitation care to stroke patients. According to international evidence this is associated with greater functional gains. The variation in functionality verified during hospitalization demonstrates the importance of PRM in the acute hospital, assessing the rehabilitation needs after hospital discharge and maximizing outpatient rehabilitation. Diagnosis under CSP and undergoing acute treatment were determinants of greater functional improvement. ConclusionPRM plays a central role in the early management of functional impairment resulting from stroke and in the post-discharge guidance of patients. ER -