open access

Vol 45, No 3 (2011)
ARTYKUŁ ORYGINALNY
Submitted: 2010-10-16
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Development of early comprehensive stroke inpatient rehabilitation in Poland – current status and future requirements

Iwona Sarzyńska-Długosz, Maciej Krawczyk, Anna Członkowska
DOI: 10.1016/S0028-3843(14)60077-3
·
Neurol Neurochir Pol 2011;45(3):245-251.

open access

Vol 45, No 3 (2011)
ARTYKUŁ ORYGINALNY
Submitted: 2010-10-16

Abstract

Background and purpose

Every stroke patient should undergo early rehabilitation. We aimed to evaluate accessibility, development and needs in early stroke inpatient rehabilitation in Poland.

Material and methods

A questionnaire evaluating rehabilitation departments was prepared and sent (in 2004 and 2008) to rehabilitation wards in Poland, where stroke patients are treated and undergo early rehabilitation. We divided departments into classes: class A – having comprehensive rehabilitation (physiotherapy minimum 60 minutes/day, speech therapy minimum 30 minutes/5 days/week, rehabilitation of other cognitive impairments minimum 30 minutes/5 days/week, group physiotherapy); B – having the possibility of all types of therapy, but done less frequently; C – physiotherapy and speech therapy; D – physiotherapy and cognitive rehabilitation; E – only physiotherapy.

Results

In 2004, we obtained responses from 115 of 172 (66.9%) rehabilitation departments. According to prespecified criteria there were 11 class A, 31 class B, 28 class C, 4 class D, and 41 class E wards. In 2008, we received response from 89 of 149 (59.7%) rehabilitation departments. According to prespecified criteria there were 17 class A, 40 class B, 22 class C, 0 class D, and 10 class E wards. In 2004, 159 beds and in 2008, 294 beds in class A departments were available for stroke patients. The minimal number of needed but lacking beds was 604 in 2004 and 469 in 2008.

Conclusions

Development of departments providing early comprehensive stroke rehabilitation from 2004 to 2008 is marked, but still insufficient. In 2008, 19% of rehabilitation departments could provide comprehensive stroke rehabilitation and this was 38.5% of beds actually needed.

Abstract

Background and purpose

Every stroke patient should undergo early rehabilitation. We aimed to evaluate accessibility, development and needs in early stroke inpatient rehabilitation in Poland.

Material and methods

A questionnaire evaluating rehabilitation departments was prepared and sent (in 2004 and 2008) to rehabilitation wards in Poland, where stroke patients are treated and undergo early rehabilitation. We divided departments into classes: class A – having comprehensive rehabilitation (physiotherapy minimum 60 minutes/day, speech therapy minimum 30 minutes/5 days/week, rehabilitation of other cognitive impairments minimum 30 minutes/5 days/week, group physiotherapy); B – having the possibility of all types of therapy, but done less frequently; C – physiotherapy and speech therapy; D – physiotherapy and cognitive rehabilitation; E – only physiotherapy.

Results

In 2004, we obtained responses from 115 of 172 (66.9%) rehabilitation departments. According to prespecified criteria there were 11 class A, 31 class B, 28 class C, 4 class D, and 41 class E wards. In 2008, we received response from 89 of 149 (59.7%) rehabilitation departments. According to prespecified criteria there were 17 class A, 40 class B, 22 class C, 0 class D, and 10 class E wards. In 2004, 159 beds and in 2008, 294 beds in class A departments were available for stroke patients. The minimal number of needed but lacking beds was 604 in 2004 and 469 in 2008.

Conclusions

Development of departments providing early comprehensive stroke rehabilitation from 2004 to 2008 is marked, but still insufficient. In 2008, 19% of rehabilitation departments could provide comprehensive stroke rehabilitation and this was 38.5% of beds actually needed.

Get Citation

Keywords

stroke, comprehensive rehabilitation, classification, needs

About this article
Title

Development of early comprehensive stroke inpatient rehabilitation in Poland – current status and future requirements

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 45, No 3 (2011)

Pages

245-251

DOI

10.1016/S0028-3843(14)60077-3

Bibliographic record

Neurol Neurochir Pol 2011;45(3):245-251.

Keywords

stroke
comprehensive rehabilitation
classification
needs

Authors

Iwona Sarzyńska-Długosz
Maciej Krawczyk
Anna Członkowska

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