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Inpatient rehabilitation services for patients after stroke in Thailand: A multi-centre study
Journal of Rehabilitation Medicine, 07/02/09

Kuptniratsaikul V et al. – A study reports the baseline for measuring the development of rehabilitation services for pts after stroke with a mean length of stay of 1 mo, and for estimating the reasonable costs.

Methods

Goal to set a baseline for measuring development of medical rehabilitation services and outcomes for pts after stroke and promoting rehabilitation medicine in Thailand
Multi-center, prospective study
Subjects: stable post-stroke pts in Thai Stroke Rehabilitation Registry (TSRR), age ≥18 yrs, able to follow 1-step command and sit for ≥ 30 min
Rehabilitation services recorded daily as units of treatment (1 unit=20 min)
Calculation of length of stay and treatment costs

Results

Of 327 enrolled pts, 285 (87.2%) completed treatment program
Mean length of stay: 29.4 (SD 17.9) days
Average number of total treatment units for stroke rehabilitation: 319.5 (range 27–1674 units)
Top 3 services provided: 205 units of nursing, 40 units of physical therapy and 34 units of occupational therapy
Mean total cost for all treatments during rehabilitation: 28,399 (SD 22,511) baht (approximately USD 789)
Ratio of costs not related to rehabilitation vs those related to rehabilitation: ~ 2:1

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