Long-term outcome of severe stroke patients : Is the ADL status at discharge from a stroke center indicative of the long-term outcome?

概要

論文の詳細を見る
The objective of this study was to examine the possibility of predicting the longtermoutcome of severe stroke patients from the ADL status at discharge. The design is aretrospective observational study in the stroke center at Tokushima University Hospital.Severe stroke patients at discharge with Barthel Index (BI) scores 40 (N=51) were dividedinto two subgroups retrospectively, improved and unimproved. The Functional IndependenceMeasure (FIM) and BI were analyzed at discharge, 3 and 6 months after onset. Correlationanalysis between BI and FIM showed good correlation, especially between BI andmotor FIM (mFIM). In conclusion, the ADL status at discharge from a stroke center is notdefinitely indicative of the long-term outcome, although good recovery of severe strokecases was observed in males and younger patients, and in patients with motor FIM score25. This result shows that the first 3 months after the attack should be regarded as an importanttime window for intensive rehabilitation.