María A. Velasco-Orozco, División de Terapia en Comunicación Humana, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Ciudad de México, México
Rosaura Atrisco-Olivos, Subdirección de Calidad Educativa Secretaría Académica, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
Emilio Arch-Tirado, Centro Neurológico, Centro Médico ABC Sede Santa Fe, Ciudad de México, México
Ana L. Lino-González, Subdirección de Investigación Biomédica, Área de Neurociencias Clínica, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Ciudad de México, México
Objective: To evaluate the care process in the rehabilitation of patients with sequelae of language, speech and swallowing, secondary to cerebrovascular disease, in a third-level hospital in Mexico. Methods: Retrospective and descriptive study. Sociodemographic and clinical characteristics were obtained from 233 records of patients with sequelae of language, speech and swallowing, secondary to cerebrovascular disease, who received therapy. A descriptive analysis was performed; χ2 and Wilcoxon tests were used to assess differences before and after therapy. Three indicators were created to evaluate and identify the factors that participated in the rehabilitation process of the patients. Results: A significant difference was found in the affected structure and level of disability in function, activity and participation categories between the initial and final evaluation. The quality indicators showed the beginning of rehabilitation at 8.9 months, elaboration of the work program in the first two weeks in 90.1% of cases and revaluation by the medical area at 6 effective months of therapy in 81.1%. Conclusions: The care process shows opportunities for improvement. The most important corresponds to the time that passes for the patient to start rehabilitation. Therapeutic intervention decreases the degree of disability.
Keywords: Cerebrovascular disorders. Therapeutics. Language and speech disorder rehabilitation. Complications.