https://scholars.lib.ntu.edu.tw/handle/123456789/483945
標題: | Prediction of functional outcomes in stroke inpatients receiving rehabilitation | 作者: | Lin J.-H. CHING-LIN HSIEH Lo S.-K. Hsiao S.-F. Huang M.-H. |
關鍵字: | Acitivities of daily living; Cerebrovascular accident; Disability evaluation; Rehabilitation; Taiwan | 公開日期: | 2003 | 卷: | 102 | 期: | 10 | 起(迄)頁: | 695-700 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background and Purpose: Early identification of predictive factors relevant to functional outcomes for stroke patients is important to the establishement of an effective continuing care program. The objective of this study was to identify the predictive factors related to functional outcome at discharge after stroke rehabilitation therapy. Methods: 105 first-time stroke patients admitted to the inpatient rehabilitation department of a university-based medical center were recruited for this prospective study. The functional outcomes of the patients were assessed at admission and at discharge using the Functional Independence Measure (FIM). Severity of stroke determined using the Canadian Neurological Scale (CNS). Age, gender,side of hemiplegia (SIDE), type of stroke (TYPE), onset to admission interval (OAI), and length of rehabilitation stay (LORS) were also included as predictor variables. Results: The mean (±SD) FIM score at discharge (76.6±26.4) correlated stronly (r = 0.78, p<0.001) with the admission FIM score (56.3 ± 24.1), moderately (r = 0.46, p<0.001) with the admission CNS score (6.1 ± 2.2), negatively (r = -0.38, p<0.001) with age (63.2 ± 12.3 years), negatively (r = -0.26, p=0.009) with OAI (24.2 ± 16.0 days), and negatively (r = -0.29, p=0.002) with LORS (34.7±16.8 days). Stepwise regression analyses indicated that admission FIM score, age, and admission CNS score were the strongest predictors of functional outcome and accounted for 66% of the total variation in discharge FIM total score. The admission FIM score was the best predictor and accounted for 61% of the variation. Conclusions: The findings of this study imply that the admission FIM scores for inpatients receiving stroke rehabilitation can be used to predict functional outcomes at discharge from hospital. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-1342330861&partnerID=40&md5=a76c2af009385bf14ab600e6b3ddfccc https://scholars.lib.ntu.edu.tw/handle/123456789/483945 |
ISSN: | 0929-6646 | SDG/關鍵字: | adult; age; aged; article; cerebrovascular accident; controlled study; convalescence; correlation analysis; daily life activity; demography; disease severity; female; functional assessment; hemiplegia; hospital admission; hospital discharge; hospital patient; human; length of stay; major clinical study; male; patient; physiotherapy; prediction; prediction and forecasting; prospective study; rating scale; regression analysis; scoring system; stroke; Taiwan; treatment outcome; Activities of Daily Living; Age Factors; Aged; Cerebrovascular Accident; Female; Humans; Inpatients; Male; Middle Aged; Outcome Assessment (Health Care); Predictive Value of Tests; Prospective Studies; Recovery of Function; Taiwan |
顯示於: | 職能治療學系 |
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