Prediction of functional oucomes in stroke inpatients receiving rehabilitation

Lin, Jau-Hong, Hsieh, Ching-Lin, Lo, Sing Kai, Hsiao, Shih-Fen and Huang, Mao-Hsiung 2003, Prediction of functional oucomes in stroke inpatients receiving rehabilitation, Journal of the Formosan Medical Association, vol. 102, no. 10, pp. 695-700.

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Title Prediction of functional oucomes in stroke inpatients receiving rehabilitation
Author(s) Lin, Jau-Hong
Hsieh, Ching-Lin
Lo, Sing Kai
Hsiao, Shih-Fen
Huang, Mao-Hsiung
Journal name Journal of the Formosan Medical Association
Volume number 102
Issue number 10
Start page 695
End page 700
Publisher Elsevier
Place of publication Singapore, Hong Kong
Publication date 2003
ISSN 0929-6646
Summary Background and Purpose: Early identification of predictive factors relevant to functional outcomes for stroke patients is important to the establishment of an effective continuing care program. The objective of this studywas 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 was 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 strongly (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 ays). Stepwise regression analyses indicated that admission FIM score, age, and admission CNS score were the stronge 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.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2003
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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