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| (The clinical economic evaluation of the early rehabilitation treatment for the stroke patients) [Chinese - simplified characters] |
| Xiao W-Z, Fan D-S, Fu G-M, Li J, Zhang X-Y, Sui W |
| Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2004 Apr 5;8(10):1811-1813 |
| clinical trial |
| 6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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AIM: To make the clinical economic evaluation on the early rehabilitation in the stroke patients. METHODS: There was no significant difference between the two groups in base-line data (p > 0.05). The scores on NDS were 7.2 +/- 0.5 for the comprehensive rehabilitation group and 12.3 +/- 0.8 for the conventional rehabilitation group, while the scores on ADL were 73.4 +/- 2.1 and 66.4 +/- 2.5 for the two groups, respectively. The patients were allocated randomly into comprehensive rehabilitation group and conventional rehabilitation group. By observation of the neurological deficits scores (NDS) and activities of daily living (ADL) of the stroke patients after rehabilitation, the clinical economic evaluation was made by using cost-effectiveness analysis (CEA). RESULTS: The mean costs on comprehensive rehabilitation were 1203.2 Yen and 402.6 Yen fewer for one point lowered in the NDS and increased in the ADL respectively, while the cost on conventional rehabilitation were 1715.9 Yen and 427.6 Yen respectively. The mean costs on the comprehensive rehabilitation were 170.9 Yen and 184.6 Yen fewer than those on the conventional rehabilitation for one point lowered in the NDS and increased in the ADL. CONCLUSION: Early comprehensive rehabilitation treatment is more effective in reducing the NDS and improving the ADL scores in comparison with the general rehabilitation, and it is more economical in improving the motor function of the stroke patients.
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