Model to: predictthe recovery of the patients with stroke
Keywords:
stroke, self-care, Barthel Index, prognosis, gait.Abstract
Introduction: stroke is the leading cause of disability in adults. Body function ·and tasks scales are not frequently used in common practice to establish recovery and prognosis.
Objective: to construct a model for predicting motor and functional recovery in stroke patients using disability scales.
Materials and Methods: a longitudinal study of a sample of consecutive stroke patients was conducted. In every patient, an initial assessment using a structured questionnaire and a final assessment eight months later with Barthel Index was performed. Finally, a logistic regression was constructed to define the most significative variables related to recovery.
Results: seventy-one patients were assessed. Twdnty patients· (28.2%) were alive and indepedent 8 months after stroke. Forty patients hactl a Barthel Index score of Jess than 85 (26\patients) or had died (14 patients). Eleven patients could not be followed. Logistic regression analysis established that for every 10 points of increment in Barthel Index in the first
20 days post-stroke, the probability of remaining alive and independent 8 months after stroke was increased with an Odds Ratio of 1.64 (CI: 1.2 - 2.1, p=O.OOO).
Conclusion: Barthel Index's initial score is the most useful single variable for predicting survival and motor recovery 8 months after stroke.
References
Gresham GE, Phillips TF, Wolf PA, McNamara PM, Kannel WB, Dawber- TR. Epidemiologic profile of long-term stroke disability: the Framingham study. Arch Phys Med Rehabil. 1979;60:487-91.
Gresham GE, Granger CV, Linn RT, Kulas MA. Status of functional outcomes for stroke survivors. Phys Med Rehabil Clin N Am. 1999;10:957-66.
Kotila M, Waltimo 0, Niemi ML, Laaksonen R, Lempinen M. The profile of recovery from stroke and factors influencing outcome. Stroke. 1984;15:1 039-44.
Mayo NE, Wood-Dauphinee S, Cote R, Durcan L, Carlton J. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002;83:1035-42.
Duncan PW, Goldstein LB, Matchar D, Divine GW, Feussner J. Measurement of motor recovery after stroke. Outcome assessment and sample size requirements. Stroke. 1992;23: 1084-89.
Duncan PW, Goldstein LB, Horner RD, Landsman PB, Samsa GP, Matchar DB. Similar motor recovery of upper and lower extremities after stroke. Stroke. 1994;25:1181-88.
Hatano S. Experience from a multicentre stroke register: a preliminary report. Bull World Health Organ. 1976;54:541-53.
van der Putten JJ, Hobart JC, Freeman JA, Thompson AJ. Measuring change in disability after inpatien rehabilitation: comparison of the responsiveness of the Barthel index and the Functional Independence Measure. J Neurol Neurosurg Psychiatry. 1999;66:480-484.
Sumer MM, Ozdemir I, Tascilar N. Predictors of outcome after acute ischemic stroke. Acta Neurol Scand. 2003; 107:276-80.
Anderson CS, Carter KN, Brownlee WJ, Hackett ML, Broad JB, Bonita R. Very long-term outcome after stroke in Auckland, New Zealand. Stroke. 2004;35: 1920-1924.
Jorgensen HS, Nakayama H, Raaschou HO, Vive-Larsen J, Stoier M, Olsen TS. Outcome and time course of recovery in stroke. Part II: Time course of recovery. The Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995;76:406-12.
Anderson CS, Jamrozik KD, Stewart-Wynne EG. Predicting survival after stroke: experience from the Perth Community Stroke Study. Clin Exp Neurol. 1992;29: 117-28.
Skilbeck CE, Wade DT, Hewer RL, Wood VA. Recovery after stroke. J Neurol Neurosurg Psychiatry. 1983;46:5-8.
Baer G, Smith M. The recovery of walking ability and subclassification of stroke. Physiother Res Int. 2001 ;6:135-44.
Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995;76:27-32.
Wade DT. Wood VA, Heller A, Maggs J, Langton HR. Walking after stroke. Measurement and recovery over the first 3 months. Scand J Rehabil Med. 1987; 19:25-30.
Bonita R, Beaglehole R. Recovery of motor function after stroke. Stroke. 1988; 19:1497-500.
Wandel A, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Prediction of walking function in stroke patients with initial lower extremity paralysis: the Copenhagen Stroke Study. Arch Phys Med Rehabil. 2000;81 :736-38.
Friedman PJ. Gait recovery after hemiplegic stroke. lnt Disabi1Stud.1990;12:119-22.
How to Cite
Downloads
Downloads
Issue
Section
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
