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Titolo:
Predictive model of functional independence in stroke patients admitted toa rehabilitation programme
Autore:
Sanchez-Blanco, I; Ochoa-Sangrador, C; Lopez-Munain, L; Izquierdo-Sanchez, M; Fermoso-Garcia, J;
Indirizzi:
Hosp Virgen Concha, Phys Med & Rehabil Serv, Zamora 49022, Spain Hosp Virgen Concha Zamora Spain 49022 Rehabil Serv, Zamora 49022, Spain Hosp Virgen Concha, Responsible Res Unit, Zamora 49022, Spain Hosp Virgen Concha Zamora Spain 49022 ible Res Unit, Zamora 49022, Spain Marques de Valdecilla Hosp, Phys Med & Rehabil Serv, Santander, Spain Marques de Valdecilla Hosp Santander Spain habil Serv, Santander, Spain Univ Salamanca, Neurol Serv, E-37008 Salamanca, Spain Univ Salamanca Salamanca Spain E-37008 ol Serv, E-37008 Salamanca, Spain
Titolo Testata:
CLINICAL REHABILITATION
fascicolo: 6, volume: 13, anno: 1999,
pagine: 464 - 475
SICI:
0269-2155(199912)13:6<464:PMOFII>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
CEREBRAL INFARCTION; NATURAL-HISTORY; PROGNOSIS; OUTCOMES; CLASSIFICATION; RELIABILITY; HEMIPLEGIA; HEMIANOPIA; LIFE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Sanchez-Blanco, I Hosp Virgen Concha, Serv Rehabil, Avda Requejo 31-33, Zamora 49022, Spain Hosp Virgen Concha Avda Requejo 31-33 Zamora Spain 49022
Citazione:
I. Sanchez-Blanco et al., "Predictive model of functional independence in stroke patients admitted toa rehabilitation programme", CLIN REHAB, 13(6), 1999, pp. 464-475

Abstract

Objective: To develop a prognostic model to estimate the probability of patients being independent in ambulation and in activities of daily living (ADL) after six months of stroke. Design: Cohort analytical study. Setting: Rehabilitation departments of two district general hospitals. Subjects: Ninety-two consecutive stroke patients admitted to a rehabilitation programme. Main outcome measures: independent ambulation was defined as a Functional Ambulation Classification (FAC) greater than or equal to 4, and the independence in ADL as a Barthel Index (BI) greater than or equal to 85. All patients were assessed on admission to rehabilitation, and in the first, second,third, fourth and six months after stroke. Results: Prognostic factors were identified by means of a multivariate survival analysis using Cox regression. Three variables were predictors for a FAC greater than or equal to 4: (1) The patients in the motor (M), motor-sensitive (MS) and motor-sensitive with hemianopsia (MSH) groups (relative risk (RR) 5.43 of M with respect to MSH, and 2.41 of MS to MSH). (2) A Motricity index >25 (RR 3.19). (3) An age <70 years old (RR 1.99). For a BI greater than or equal to 85 three predictors were selected: (1) The classification M-MS-MSH (RR 6.02 M to MSH, and 1.52 MS to MSH). (2) An initial Bi >20 (RR 3.45); the highest contribution in the achievement of an initial BI >20 was bowel and bladder continence. (3) The antecedent of previous independence (RR 2.68). The predictive models, constructed by means of multiple logistic regression correctly classified 77% and 79% of the patients who obtained FAC greater than or equal to 4 and a BI greater than or equal to 85 respectively. Conclusions: The syndromic classification M, MS and MSH, together with other routinely available data, such as the Motricity Index, BI, the age and the previous functionality, can be used to obtain a patient prognosis level with regard to ambulation and ADL independence.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 15:21:41