Long-Term Effects of Integrated Rehabilitation in Patients with Stroke: A Nonrandomized Comparative Feasibility Study
Long-Term Effects of Integrated Rehabilitation in Patients with Stroke: A Nonrandomized Comparative Feasibility Study
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DOI：
10.1089/acm.2009.0097
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发表时间：
2010-04-01
影响因子：
2.6
通讯作者：
Nyboe, Joergen
中科院分区：
文献类型：
--
作者：
Magnusson, Gisli;Ballegaard, Soeren;Nyboe, Joergen
背景和目的：综合康复（IR）在中风患者的死亡率和可行性，开始作为一个降低死亡率，观察心绞痛患者接受IR.Design：病例对照研究包括73例连续缺血性中风患者。死亡率进行了比较与一般丹麦人口匹配的年龄，性别和观察期，以及数据从社区为基础的哥本哈根中风Study.Interventions：IR进行了门诊诊所，由专业人士以及由病人：前者作为一种特定的针灸治疗，后者作为一种全面的生物反馈指导的压力管理计划，包括饮食，结果：41/2年的累积死亡风险为11.6%，其中11/2年的累积死亡风险为11.6%（95个置信限：3.2%-20.0%）的73例接受IR治疗的卒中患者，相比之下，18.4%的一般丹麦人口匹配的性别，年龄和时间段。接受常规卒中治疗的患者的相应数字为43.2%（95个置信限：39.7%-46.7%），在性别、年龄和时间段匹配的一般丹麦人群中为20.0%。结论：IR被认为是可行的中风患者作为一种补充治疗，以传统的中风治疗，并没有增加死亡的风险相比，丹麦中风患者接受传统的药物治疗。这一结果需要在随机试验中进行进一步的测试。
Background and purpose: Integrated rehabilitation (IR) in patients with stroke with respect to death rate and feasibility, initiated as a reduced death rate, was observed in patients with angina pectoris receiving IR.Design: A case-control study included 73 consecutive patients with ischemic stroke. Death rates were compared with those of the general Danish population matched for age, gender, and observation period, as well as data from the community-based Copenhagen Stroke Study.Interventions: IR was conducted in an outpatient clinic, by professionals as well as by the patient: the former as a specific acupuncture treatment, the latter as a comprehensive biofeedback guided stress management program including diets, physical-and relaxation exercise, Chinese health philosophy, cognitive and mindfulness-related exercises, and specific biofeedback guided acupressure.Results: The 41/2-year accumulated risk of death was 11.6% (95 confidence limits: 3.2%-20.0%) for the 73 patients with stroke treated with IR, compared to 18.4% for the general Danish population matched for sex, age, and time period. The corresponding figures for patients receiving conventional stroke treatment were 43.2% (95 confidence limits: 39.7%-46.7%), and 20.0% for the general Danish population matched for sex, age, and time period. Conclusions: IR was found to be feasible for patients with stroke as a complementary treatment to conventional stroke treatment, and added no risk of dying when compared to Danish stroke patients receiving conventional medical treatment. The results invite further testing in a randomized trial.