Predicting the grade of disability 1 year after stroke following rehabilitation

Lin, Jau-Hong, Tsai, Athena Yi-Jung, Lo, Sing Kai, Chang, Jyh-Jong and Huang, Mao-Hsiung 2005, Predicting the grade of disability 1 year after stroke following rehabilitation, Kaohsiung journal of medical sciences, vol. 21, no. 5, pp. 212-219.

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Title Predicting the grade of disability 1 year after stroke following rehabilitation
Author(s) Lin, Jau-Hong
Tsai, Athena Yi-Jung
Lo, Sing Kai
Chang, Jyh-Jong
Huang, Mao-Hsiung
Journal name Kaohsiung journal of medical sciences
Volume number 21
Issue number 5
Start page 212
End page 219
Publisher Kaohsiung Medical College
Place of publication Taiwan, Republic of China
Publication date 2005-05
ISSN 1607-551X
Keyword(s) caregiver
diabetes mellitus
functional assessment
hemiplegia
outpatient care
cerebrovascular accident
Summary The purpose of this study was to identify predictors of grades of disability at least 1 year after stroke rehabilitation therapy. We recruited stroke patients from the inpatient rehabilitation department of a university hospital. The degree of disability was graded using the disability evaluation at least 1 year after stroke onset. Functional ability was evaluated using the Functional Independence Measure instrument on admission, on discharge from the inpatient rehabilitation program, and at the 6-month follow-up visit after discharge. Major sociodemographic, medical, and rehabilitative factors were also collected during the hospitalization period. Of the 109 patients surveyed, 64 (58.7%) had severe or very severe grades of disability. The correlates of severe or very severe disability in logistic regression analyses were bilaterally affected (odds ratio, OR, 10.8), impaired orientation (OR, 3.6), and poorer functional ability at discharge (OR, 7.6). Based on the significant predictors identified, the logistic regression model correctly classified severe or very severe disability in 68.0% of subjects. The higher frequency of severe or very severe disability in this study may have been due to the relatively more severely affected stroke patient population in the inpatient rehabilitation service and the use of unique disability evaluation criteria. These results may provide information useful in planning continuous rehabilitation care and setting relevant socio-welfare policies for stroke victims.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2005, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009340

Document type: Journal Article
Collection: School of Health and Social Development
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