| Objective: To investigate the effect of rehabilitation on functional recovery of patients with stroke at the acute stage in tertiary hospital and make relevant clinical economic evaluation. Methods: Fifty stroke patients with hemiplegia at the Department of Neurology were randomly divided into a rehabilitation group and a control group. All patients were given symptomatic treatment drugs. The rehabilitation group received rehabilitation treatment additionally. Each patient was assessed using the Barthel Index (BI), Berg balance scale (BBS), U. S. National Institutes of Health Stroke Scale (NIHSS) before and after the treatment. Hospital costs were compared between the two groups for the cost-effectiveness analysis. Results: As compared with the control group, BI, BBS, and NIHSS scores in the rehabilitation group were significantly improved (P<0.05). The average expense of rehabilitation was greater than in the control group (P<0.05). The cost-effectiveness analysis revealed that elevating one point in BI and BBBS score or decreasing one point in NIHSS score cost an average of 1200.95 RMB, 1136.04 RMB and 7005.57RMB in rehabilitation group respectively, while that in the control group cost an average of 1753.04, 1800.42 and 12336.21 RMB respectively (P<0.05). Conclusion: The early rehabilitation carried out by tertiary hospital promoted the comprehensive functional recovery of acute post-stroke patients and it has better cost-effectiveness. |
