Rehabilitation in acute stroke patients in German-speaking Switzerland. 2007

Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
City of Zurich, Department of Heath and the Enviroment, City of Zurich Nursing Centres, Zurich, Switzerland. geschwindner@bluewin.ch

BACKGROUND The aim of this study was to obtain an overview of stroke-specialised rehabilitation facilities in German-speaking Switzerland, as well as the numbers of stroke patients treated. It also focused on the mode of goal-setting and evaluation, and the use of instruments to assess the patient's state and progress. METHODS Out of 28 stroke rehabilitation facilities, 21 participated in a structured telephone interview. Of these, 18 institutions provided full data. RESULTS The results show that the facilities (n = 18) vary considerably in numbers of patients treated per year (Ø 124, range 7-500) and length of stay (Ø 40 +/- 17.23). Goal-setting and evaluation, including the setting of short term and long term goals, is a common feature. They differ, however, in terms of patient involvement, processes and professions participating in goal-setting and evaluation. A variety of instruments are used for patient assessment at admission and during rehabilitation. Admission to rehabilitation does not rely on standardised patient health status assessment. CONCLUSIONS Stroke rehabilitation in German-speaking Switzerland embraces a heterogeneous landscape with respect to use of instruments, goal-setting and evaluation process and patient involvement. To facilitate comparison, the same core instruments for assessment and evaluation should be selected and consistently applied. Also, the admission criterion "potential for rehabilitation" should be transformed into a universally and scientifically valid term. The effect of patient involvement in goal-setting on rehabilitation outcome has not yet been investigated. Thus no recommendations can be made for the moment.

UI MeSH Term Description Entries
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D010343 Patient Admission The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution. Voluntary Admission,Admission, Patient,Admission, Voluntary,Admissions, Patient,Admissions, Voluntary,Patient Admissions,Voluntary Admissions
D012047 Rehabilitation Centers Facilities which provide programs for rehabilitating the mentally or physically disabled individuals. Centers, Rehabilitation,Center, Rehabilitation,Rehabilitation Center
D004185 Disability Evaluation Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits. Disability Evaluations,Evaluation, Disability,Evaluations, Disability
D006040 Goals The end-result or objective, which may be specified or required in advance. Goal
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000071939 Stroke Rehabilitation Restoration of functions to the maximum degree possible in a person or persons suffering from a stroke. Rehabilitation, Stroke
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute
D013557 Switzerland A country in Europe. It is bordered by Austria, France, Italy, Liechtenstein, and Germany. The capital is Bern.

Related Publications

Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
January 1979, Pharmaceutica acta Helvetiae,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
January 1981, Revue medicale de la Suisse romande,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
January 1981, Revue medicale de la Suisse romande,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
January 2023, Notfall & rettungsmedizin,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
October 2015, Revue medicale suisse,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
January 2005, Swiss medical weekly,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
November 2014, Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
January 1977, Sozial- und Praventivmedizin,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
July 2021, Journal of clinical medicine,
Heike M Geschwindner, and Horst Rettke, and Wim J A van den Heuvel, and Ruud J G Halfens, and Theo Dassen
May 2021, Journal of clinical medicine,
Copied contents to your clipboard!