Background. Rehabilitation is meaningful for improving mobility, performance in daily-living and activities in community, therefore we need to consider the effectiveness and efficiency of individual and health care organization strategies and content of rehabilitation services.
Aim. To determine the effectiveness and efficiency of inpatient post-stroke rehabilitation in Latvia.
Method. A retrospective cohort study design - medical records of stroke patients were studied according to research protocol. Patients, who were admitted in subacute rehabilitation center from 01.01.2018.-31.12.2018. and with diagnosis ICD-10 I63.3 and I61.1, were included in study. The study was approved by the Ethics committee. Analyzed outcome measures: Functional Independence Measurement (FIM) efficacy – (admission-to-discharge FIM change), rehabilitation effectiveness (achieved percentage of potential gain), rehabilitation efficiency (FIM efficacy divided by length of stay).
Results: 296 patients were included in the study, aged from 27-90 years, median age 66 years. The average time from stroke diagnosis till subacute rehabilitation admission was 12,11 weeks and average length of stay in Rehabilitation center was 13,11 days.
Overall rehabilitation efficiency median 0,46, effectiveness 23,81% and FIM efficacy 6,00. Patients who waited longer from stroke diagnosis till admission in Rehabilitation center tended to have lower rehabilitation effectiveness at the end of the rehabilitation (p<0,01). Patients with longer rehabilitation, had better rehabilitation efficacy (p<0,01).
Conclusion. Inpatient rehabilitation is regarded as relevant part for improving stroke patients’ functional abilities. This is the first study about stroke rehabilitation effectiveness in Latvia and it is essentially to continue studies in this field to improve better outcome in multidisciplinary care.