Burden of Ischemic Heart Disease And Stroke And Impact of Lipid Control And Modifiable Risk Factors In China

Abstract

To assess differences in ADL at admission and discharge for stroke patients with pre-onset modified rankin scale 0-1 (pre-mRS 0-1) depending on stroke onset time using Diagnosis Procedure Combination database in Japan. METHODS: Diagnosis Procedure Combination database by Japan Medical Data Center Co., Ltd. was used. We identified stroke patients with pre-mRS 0-1 who were admitted to the hospital from October 2016 to December 2017. We then assessed ADL scores (meal, transfer, grooming, toilet, bathing, walking, staircase, changing clothes, Bowel management, Urination management) at the time of admission and discharge by stroke onset time (Within 3 days from the onset, after 4 days from the onset). RESULTS: 5,350 patients were identified after excluding 321 death cases during the hospitalization. Mean age was 71.6 years and 58.7% were men. There were 4,037 patients within 3 days from the stroke onset, and 914 patients after 4 days from the stroke onset. Among 10 ADL scores, bathing, grooming and staircase were the top 3 of the highest proportion of patents who need a total assistance at admission. In the patients within 3 days from the stroke onset, the changes of these proportion from at admission to discharge were 69.8% to 44.2%, 60.6% to 32.9% and 59.2% to 30.9% respectively, while 61.7% to 43.0%, 46.4% to 29.0% and 46.1% to 26.4% respectively in the patients after 4 days from the stroke onset. CONCLUSIONS: Decreasing trend was observed in the proportion of patients who need to a total assistance for all ADL scores from at admission to discharge. This trend was same among stroke onset times, however these proportions at both admission and discharge were higher in the patients after 4 days from the onset.