ID 82890
Author
Kashihara, Michiharu Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School
Nakao, Shigetaka Division of Rehabilitation, Tokushima University Hospital
Kawasaki, Jun Division of Rehabilitation, Tokushima University Hospital
Takata, Shinjiro Division of Rehabilitation, Tokushima University Hospital
Nagahiro, Shinji Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kaji, Ryuji Department of Neurology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yasui, Natsuo Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
stroke
outcome
barthel index
functional independence measure
long term
Content Type
Journal Article
Description
The objective of this study was to examine the possibility of predicting the longterm
outcome of severe stroke patients from the ADL status at discharge. The design is a
retrospective observational study in the stroke center at Tokushima University Hospital.
Severe stroke patients at discharge with Barthel Index (BI) scores 40 (N=51) were divided
into two subgroups retrospectively, improved and unimproved. The Functional Independence
Measure (FIM) and BI were analyzed at discharge, 3 and 6 months after onset. Correlation
analysis between BI and FIM showed good correlation, especially between BI and
motor FIM (mFIM). In conclusion, the ADL status at discharge from a stroke center is not
definitely indicative of the long-term outcome, although good recovery of severe stroke
cases was observed in males and younger patients, and in patients with motor FIM score
25. This result shows that the first 3 months after the attack should be regarded as an important
time window for intensive rehabilitation.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
58
Issue
3-4
Start Page
227
End Page
234
Sort Key
227
Published Date
2011-08
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
departments
University Hospital
Medical Sciences