PMID- 21272722 OWN - NLM STAT- MEDLINE DCOM- 20110317 LR - 20161125 IS - 1532-821X (Electronic) IS - 0003-9993 (Linking) VI - 92 IP - 2 DP - 2011 Feb TI - Revisiting length of stay in stroke rehabilitation in Turkey. PG - 257-64 LID - 10.1016/j.apmr.2010.08.017 [doi] AB - OBJECTIVE: To investigate the parameters influencing length of stay (LOS) in stroke rehabilitation in Turkey. DESIGN: Retrospective study. SETTING: Rehabilitation ward in a university hospital, a referral center in the capital of Turkey. PARTICIPANTS: Consecutive inpatient stroke survivors (N=142) after ischemic or hemorrhagic cerebrovascular events rehabilitated in a university rehabilitation center between January 2005 and October 2009. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: The primary study outcome measurement is LOS on the rehabilitation ward. RESULTS: LOS was best predicted by Brunnstrom's motor recovery stages (BMRS) lower extremity on admission, BMRS hand on admission, and the presence of infections (LOS in days = 70.6 - 5 x BMRS lower extremity - 3.2 x BMRS hand + 10.3 x presence of infections [infection; present=2, absent=1]; R(2)=.37). CONCLUSIONS: Motor impairments and infections were the parameters that most affected LOS in stroke rehabilitation. Prevention strategies for infections should be pursued more aggressively. The prevention of infections, which is an essential component of a patient's general well-being, also shortened LOS in stroke rehabilitation. High medical costs urge LOS to shorten in the developing countries hereafter. A national rehabilitation policy should be implemented to reach the same functional outcome with shorter LOS in stroke patients. CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. FAU - Ozyemisci-Taskiran, Ozden AU - Ozyemisci-Taskiran O AD - Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey. ozdenozyemisci@yahoo.com FAU - Gunendi, Zafer AU - Gunendi Z FAU - Aknar, Ozlem AU - Aknar O FAU - Karatas, Gulcin K AU - Karatas GK FAU - Sepici, Vesile AU - Sepici V LA - eng PT - Journal Article PL - United States TA - Arch Phys Med Rehabil JT - Archives of physical medicine and rehabilitation JID - 2985158R SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Female MH - Hospitals, University MH - Humans MH - Inpatients/statistics & numerical data MH - Length of Stay/*statistics & numerical data MH - Linear Models MH - Male MH - Middle Aged MH - Recovery of Function MH - Retrospective Studies MH - *Stroke Rehabilitation MH - Turkey EDAT- 2011/01/29 06:00 MHDA- 2011/03/18 06:00 CRDT- 2011/01/29 06:00 PHST- 2010/06/17 00:00 [received] PHST- 2010/08/18 00:00 [revised] PHST- 2010/08/23 00:00 [accepted] PHST- 2011/01/29 06:00 [entrez] PHST- 2011/01/29 06:00 [pubmed] PHST- 2011/03/18 06:00 [medline] AID - S0003-9993(10)00736-7 [pii] AID - 10.1016/j.apmr.2010.08.017 [doi] PST - ppublish SO - Arch Phys Med Rehabil. 2011 Feb;92(2):257-64. doi: 10.1016/j.apmr.2010.08.017.