Objective: To
document any effect of clinical
rehabilitation pathway management on
intubation time , dysfunction and medical
expenditure associated with
tracheotomy after a
stroke .
Methods: A total of 154
stroke survivors undergoing
tracheotomy were randomly divided into an
observation group and a
control group , each of 77. Both groups were given routine
rehabilitation , while the
observation group was additionally provided with clinical
rehabilitation pathway management during the
rehabilitation intervention.
Kaplan-Meier analysis was performed before the experiment and after 2, 4 and 6 weeks of
treatment . Clinical pulmonary
infection scores (CPISs), scores on the Chelsea Physical Function Assessment Scale (CPAx) and
hospitalization cost were compared between the two groups.
Results: The median extubation
time of the
observation group (2d) was significantly shorter than that of the
control group (10d). After 2, 4 and 6 weeks of
treatment , the average CPIS scores of the
observation group were in each case significantly lower than those before
treatment and the
control group ′s averages at the same
time points, even though after 4 and 6 weeks of
treatment the
control group ′s average CPIS scores had improved significantly. After 2, 4 and 6 weeks of
treatment , the average CPAx scores of the
observation group were significantly higher than those before
treatment and better than the
control group ′s averages, even though the
control group too had improved significantly compared with before the
treatment .
Hospitalization days, total
hospitalization cost ,
antibiotic cost and
laboratory examination
cost of the
observation group were, on average, significantly lower than those of the
control group .
Conclusion: Rehabilitation path management can shorten the period of
intubation , prevent pulmonary
infections , relieve dysfunction, and reduce medical expenses for
stroke survivors after a
tracheotomy . It is worthy of clinical promotion.