Abstract P54: Predicting Functional Outcome of Stroke Inpatient Rehabilitation

Autor: Berbke T van Ginneken, Peter J van Bragt, Majanka H Heijenbrok, Gerard M Ribbers
Rok vydání: 2011
Předmět:
Zdroj: Circulation: Cardiovascular Quality and Outcomes. 4
ISSN: 1941-7705
1941-7713
DOI: 10.1161/circoutcomes.4.suppl_1.ap54
Popis: Stroke is a major cause of disability in western societies. Besides insight in the effectiveness of stroke inpatient rehabilitation, there is a need for studies evaluating the efficiency of rehabilitation after stroke. We aimed to study the effectiveness of inpatient stroke rehabilitation and evaluated the relative importance of demographic and clinical characteristics to predict (un)successful functional outcome of stroke inpatient rehabilitation. A total of 293 stroke patients were enrolled in this study. We assessed functional ability and quality of life (QoL) before and after inpatient stroke rehabilitation. Functional ability was assessed using the Barthel Index (BI) and the Academic Medical Center Linear Disability Score (ALDS). QoL was measured using the COOPWONCA and the Nottingham Health Profile (NHP). We used multivariable linear regression analysis to develop a model predicting functional outcome as assessed by the ALDS at discharge. We used ROC curve analysis to study the discriminatory power of the regression model for a (un)successful functional outcome. A successful outcome was defined as an ALDS discharge score of 1 or higher, i.e. able to perform difficult functional activities. An unsuccessful outcome was defined as an ALDS discharge score of -1 or lower, i.e. only able to perform simple functional activities. Results show significant improvements on both the functional ability measures (both BI score and ALDS score improved with 52% (p
Databáze: OpenAIRE