https://scholars.lib.ntu.edu.tw/handle/123456789/590522
標題: | Effect of functional status on survival in patients with stroke: Is independent ambulation a key determinant? | 作者: | Chiu H.-T. Wang Y.-H. JIANN-SHING JENG BANG-BIN CHEN SHIN-LIANG PAN |
公開日期: | 2012 | 卷: | 93 | 期: | 3 | 起(迄)頁: | 527-531 | 來源出版物: | Archives of Physical Medicine and Rehabilitation | 摘要: | Objective: To investigate the effect of functional status, measured using the Modified Rankin Scale (MRS), at 3 months after stroke on survival in patients with stroke. Design: Cohort study. Setting: Referral medical center. Participants: Patients with stroke (N=1032). Interventions: Not applicable. Main Outcome Measure: Survival after stroke. Results: The Kaplan-Meier survival curves stratified by the 3-month MRS score showed 2 clear groups of patients with 3-month MRS scores of 0 to 3 (able to walk without assistance) and 4 or 5 (unable to walk without assistance). Accordingly, we grouped the patients into a high function (HF) group (3-month MRS?3) and a low function (LF) group (3-month MRS?4). Multiple Cox regression analysis showed that the LF group had significantly poorer survival (adjusted hazard ratio=4.69; 95% confidence interval [CI], 2.89 -7.60; P<.001) than the HF group. Other significant risk factors of higher mortality were older age, history of diabetes mellitus, and heart disease. Conclusions: This study showed a significant influence of the 3-month MRS score on stroke survival. Moreover, independent ambulation may be a major determinant of a favorable survival prognosis. This finding suggests a potential role of rehabilitation in promoting stroke survival by maximizing ambulation function. ? 2012 by the American Congress of Rehabilitation Medicine. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860015330&doi=10.1016%2fj.apmr.2011.10.018&partnerID=40&md5=c3ce2ad3e9f9977c1ae2fa3154cebb58 https://scholars.lib.ntu.edu.tw/handle/123456789/590522 |
ISSN: | 39993 | DOI: | 10.1016/j.apmr.2011.10.018 | SDG/關鍵字: | adult; aged; article; cohort analysis; confidence interval; controlled study; diabetes mellitus; female; functional status; hazard ratio; heart disease; human; Kaplan Meier method; major clinical study; male; medical history; mobilization; mortality; prognosis; proportional hazards model; Rankin scale; risk factor; senescence; statistical significance; stroke; stroke patient; survival rate; age; comorbidity; convalescence; daily life activity; middle aged; motor activity; prospective study; psychological aspect; socioeconomics; stroke; survival; Activities of Daily Living; Adult; Age Factors; Aged; Aged, 80 and over; Comorbidity; Female; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Motor Activity; Prognosis; Prospective Studies; Recovery of Function; Risk Factors; Socioeconomic Factors; Stroke; Survival |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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