Predictive Validity of the Scale for the Assessment and Rating of Ataxia for Medium-Term Functional Status in Acute Ataxic Stroke
| Autor: | Risa Hagiwara, Kota Yamauchi, Yasuhiro Koyanagi, Kei Goto, Sota Kuroyama, Eisei Harayama, Shota Tanaka, Yoshiko Uchida, Shuji Arakawa, Kenichi Kumagae |
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| Rok vydání: | 2020 |
| Předmět: |
Predictive validity
Male medicine.medical_specialty Ataxia Time Factors Scale (ratio) Motor Activity Medium term 03 medical and health sciences Disability Evaluation 0302 clinical medicine Interquartile range Modified Rankin Scale Predictive Value of Tests medicine Health Status Indicators Humans Stroke Physical Therapy Modalities Aged Retrospective Studies Aged 80 and over business.industry Rehabilitation Stroke Rehabilitation Reproducibility of Results Recovery of Function medicine.disease Functional Status Treatment Outcome Physical therapy Surgery Functional status Female Neurology (clinical) medicine.symptom Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 30(4) |
| ISSN: | 1532-8511 |
| Popis: | Objectives This study examines the prognostic validity of the Scale for the Assessment and Rating of Ataxia for patients with acute stroke. Materials and methods We enrolled 120 patients with posterior circulation stroke having ischemic or hemorrhagic lesions with ataxia who had physical therapy. We recorded the clinical stroke features and obtained the scale for the assessment and rating of ataxia and National Institutes of Health Stroke Scale scores 7 days after admission and at discharge. Predictive factors for a 3-month modified Rankin Scale score of Results During hospitalization, the Scale for the Assessment and Rating of Ataxia score decreased from 7.5 (interquartile range, 4.5–12.5) to 4.0 (interquartile range, 1.5–8.0) points, whereas the National Institutes of Health Stroke Scale score changed from 1 (interquartile range, 0–3) to 1 (interquartile range, 0–2) point. A significant correlation between functional outcome and the Scale for the Assessment and Rating of Ataxia scores 7 days after onset was observed. The cutoff value for the assessment and rating of ataxia for predicting favorable outcome (modified Rankin scale, 0–2) at 3 months post-onset was 14 points (0–40) at 7 days after onset. Conclusions The Scale for the Assessment and Rating of Ataxia scores showed good responsiveness to neurological changes in patients with acute ataxic stroke, could predict functional outcomes 3 months after onset on day 7, and could be a useful and reliable marker for patients with ataxic stroke. |
| Databáze: | OpenAIRE |
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