TY - JOUR
T1 - Stroke Rehabilitation in the Philippines
T2 - An Audit Study
AU - Gonzalez-Suarez, Consuelo
AU - Grimmer, Karen
AU - Alipio, Isaias
AU - Anota-Canencia, Elda Grace
AU - Santos-Carpio, Maria Luisa
AU - Dizon, Janine Margarita
AU - Liao, Lauren
AU - Cabrera, Jan Tyrone
AU - Martinez, Romil
AU - Beredo, Eulalia
AU - Valdecanas, Carolina
AU - Yu, Vania
PY - 2015/10/24
Y1 - 2015/10/24
N2 - 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 physiatrists. 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 haemorrhage. The median length of stay was 7 days; stay was lengthier for haemorrhagic 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 underutilised in the management of stroke.
AB - 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 physiatrists. 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 haemorrhage. The median length of stay was 7 days; stay was lengthier for haemorrhagic 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 underutilised in the management of stroke.
KW - Audit study
KW - Philippines
KW - Stroke rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=84946721803&partnerID=8YFLogxK
U2 - 10.5463/DCID.v26i3.446
DO - 10.5463/DCID.v26i3.446
M3 - Article
AN - SCOPUS:84946721803
SN - 2211-5242
VL - 26
SP - 44
EP - 67
JO - Disability, CBR and Inclusive Development
JF - Disability, CBR and Inclusive Development
IS - 3
ER -
