論文

国際誌
2021年9月26日

ADL Outcome of Stroke by Stroke Type and Time from Onset to Admission to a Comprehensive Inpatient Rehabilitation Ward.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
  • Masanori Matsubara
  • ,
  • Shigeru Sonoda
  • ,
  • Makoto Watanabe
  • ,
  • Yuko Okuyama
  • ,
  • Hideto Okazaki
  • ,
  • Sayaka Okamoto
  • ,
  • Shiho Mizuno

30
12
開始ページ
106110
終了ページ
106110
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jstrokecerebrovasdis.2021.106110

OBJECTIVE: To examine the effect of onset to admission interval (OAI) and stroke type on activities of daily living (ADL) outcome. MATERIALS AND METHODS: Stroke patients (n=3112) admitted to and discharged from comprehensive inpatient rehabilitation wards at Nanakuri Memorial Hospital were classified into 8 OAI segments and by stroke type [intracerebral hemorrhage (ICH) and cerebral infarction (CI)]. Motor subscore of the Functional Independence Measure (FIM-M) on admission, FIM-M at discharge, FIM-M gain, length of stay (LOS), and FIM-M efficiency in the ICH and CI group matched by OAI segment were compared using the Wilcoxon test. Multiple comparisons using the Steel-Dwass test of FIM-M on admission, FIM-M at discharge, FIM-M gain, LOS, and FIM-M efficiency by OAI segments were performed. RESULTS: FIM-M on admission was lower in the ICH group than the CI group in matched OAI segments. However, FIM-M improvement was greater in the ICH group than the CI group, resulting in no difference in FIM-M between groups at discharge. In both groups, the longer the OAI, the lower the FIM-M on admission and at discharge. The distribution pattern of significant differences among OAI segments differed between the groups. LOS tended to be longer and FIM-M efficiency tended to be higher in the ICH group than in the CI group. CONCLUSIONS: The brain mass effect at the time of admission was larger and took longer to decrease in the ICH group than in the CI group. These results may improve prediction of outcomes in comprehensive inpatient rehabilitation wards.

リンク情報
DOI
https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106110
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34587577
ID情報
  • DOI : 10.1016/j.jstrokecerebrovasdis.2021.106110
  • PubMed ID : 34587577

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