Clinical Characteristics and Rehabilitation Outcomes of Patients With Posterior Cerebral Artery Stroke

Ng, Yee Sien; Stein, Joel; Salles, Sara; Black-Schaffer, Randie M.

doi:10.1016/j.apmr.2005.07.289

Cited by 57 publications

(80 citation statements)

References 31 publications

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“…22,30,31 Functional status was assessed by FIM, which has the highest reliability and validity among ADL evaluation methods and is widely used in rehabilitation settings. 16,22,[32][33][34][35] Absolute FIM gain (the difference between the value at the time of discharge and hospitalization) is often used to quantify the outcome, but this index has a ceiling effect (when FIM at hospitalization is high, FIM at discharge is high with small gain). Therefore, we also used MRFS, which is the relative FIM gain at discharge, to determine the efficacy of rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…stroke units specializing in acute stroke patients or convalescent rehabilitation wards specializing in rehabilitation of patients after the acute phase). 9,[13][14][15][16][17]19,[21][22][23][24][25] Few studies have been conducted on the efficacy of long-term inpatient stroke rehabilitation in the convalescent rehabilitation ward setting in Japan. [11][12][13] This study evaluated the rehabilitation outcomes, functional recovery, and discharge destination in stroke patients in a convalescent rehabilitation ward.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with functional recovery and home discharge in stroke patients admitted to a convalescent rehabilitation ward

Mutai

Furukawa

Araki

et al. 2011

Geriatrics Gerontology Int

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Aims: This study aimed to determine the predictive factors for functional recovery and home discharge in stroke patients receiving in-hospital rehabilitation.Methods: This study included a consecutive series of 174 stroke patients (average age 73.0 ± 10.8) admitted to the convalescent rehabilitation ward at Azumino Red Cross Hospital in Japan after acute rehabilitation. The main outcome measures were functional recovery (functional independence measure [FIM] at discharge and Montebello rehabilitation factor score [MRFS]) and home discharge.Results: Total FIM improved from 72.6 ± 27.6 to 87.7 ± 29.9 during the hospital stay (P < 0.001). The average MRFS was 0.34 ± 0.31. Of the 174 patients, 151 were discharged home (87%). Age, stroke type, premorbid independence, motor FIM, and cognitive FIM at admission showed a significant association with FIM at discharge, while age, premorbid independence, motor FIM at admission, and cognitive FIM at admission were statistically significant predictors of MRFS. Female sex, not living with family, premorbid independence, and neglect were negatively associated with home discharge.Conclusions: Premorbid disability and cognitive dysfunction at admission were both negatively associated with functional recovery and home discharge in patients undergoing inpatient stroke rehabilitation. Geriatr Gerontol Int 2012; 12: 215-222.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with functional recovery and home discharge in stroke patients admitted to a convalescent rehabilitation ward

Mutai

Furukawa

Araki

et al. 2011

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…1 Nevertheless, the large clinical trials investigating acute therapy with rtPA in acute ischemic stroke focused on anterior circulation stroke or even excluded patients with posterior circulation stroke from participation. [2][3][4] The same holds true for clinical trials examining MR imagingϪguided thrombolysis based on the PWI-DWI mismatch concept.…”

mentioning

confidence: 99%

MR Imaging-Guided Intravenous Thrombolysis in Posterior Cerebral Artery Stroke

Förster¹,

Gass²,

Kern³

et al. 2010

AJNR Am J Neuroradiol

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“…The selection of variables was hypothesis-driven based on clinical plausibility and literature review of rehabilitation referral decision-making and the determinants of functional recovery [19][20][21][22][23][24][25][26][27], mortality [27][28][29][30][31][32], and home discharge following hospitalization [33][34][35][36][37][38][39][40]. It is generally recommended that propensity analysis be treated as the main analysis over traditional covariate adjustment analysis [41].…”

Section: Analysesmentioning

confidence: 99%

Comprehensive versus consultative rehabilitation services postacute stroke: Outcomes differ

et al. 2014

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Abstract-Comprehensive rehabilitation services after acute stroke have been shown efficacious in European trials; however, their effectiveness in everyday practices in the United States is unknown. We compared outcomes of veteran patients provided with comprehensive rehabilitation with those provided with consultative rehabilitation services after acute stroke using propensity scores. Outcomes included change in patients' physical and cognitive independence after rehabilitation, discharge to home as opposed to other settings, and 1-yr after hospital discharge survival. Of the 2,963 patients in the study, 683 (23.1%) received comprehensive rehabilitation while the remaining patients received consultative services. We found, after propensity adjustment, that those who received comprehensive rehabilitation compared with consultative gained on average 12.8 (95% confidence interval [CI]: 9.1 to 16.5) more points of physical independence on a 78-point scale and gained 1.5 (95% CI: 0.8 to 2.2) more points of cognitive independence on a 30-point scale. The likelihoods of discharge to home from the hospital (odds ratio [OR] = 1.61, 95% CI: 1.07 to 2.44) and 1 yr posthospital discharge survival (OR = 1.79, 95% CI: 1.25 to 2.56) were significantly higher among those who received comprehensive rehabilitation. Among patients hospitalized for acute stroke, comprehensive rehabilitation services are associated with greater recovery of physical and cognitive independence, improved home discharge likelihood, and improved 1 yr survival.

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Clinical Characteristics and Rehabilitation Outcomes of Patients With Posterior Cerebral Artery Stroke

Cited by 57 publications

References 31 publications

Factors associated with functional recovery and home discharge in stroke patients admitted to a convalescent rehabilitation ward

Factors associated with functional recovery and home discharge in stroke patients admitted to a convalescent rehabilitation ward

MR Imaging-Guided Intravenous Thrombolysis in Posterior Cerebral Artery Stroke

Comprehensive versus consultative rehabilitation services postacute stroke: Outcomes differ

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