Diagnostic Accuracy of the Barthel Index for Measuring Activities of Daily Living Outcome After Ischemic Hemispheric Stroke

Kwakkel, Gert; Veerbeek, Janne M.; Wel, Barbara C. Harmeling-van der; Wegen, Erwin E. H. van; Kollen, Boudewijn J.

doi:10.1161/strokeaha.110.599035

Cited by 80 publications

(45 citation statements)

References 35 publications

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“…On day 7, in addition to the NIHSS, patients were evaluated using the Barthel Index (BI), and modified Rankin Scale (mRS). The BI runs from 0 to 100 and measures the degree of disability: the lower the score, the higher the disability [10,11]. The mRS also measures the degree of disability, but it runs from 0 (no disability) to 5 (maximum disability or death) [11].…”

Section: Methodsmentioning

confidence: 99%

Characteristics of Spinal Cord Stroke in Clinical Neurology

Romi¹,

Næss²

2011

Eur Neurol

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Spinal cord stroke accounts for about 0.3% of all strokes in our department. Thirty-two patients (15 males, 17 females; mean age 63.3 years) treated in the period 1995–2010 were included. Patients underwent thorough investigation including the use of different stroke scales (National Institute of Health Stroke Scale, Barthel Index and modified Rankin Scale). Twenty-eight patients had infarctions, 3 had hemorrhages, and 1 had arterio-venous fistula. Twenty-eight spinal cord strokes were spontaneous, 2 were secondary to aorta aneurysms, and 2 post surgery. Biphasic ictus was seen in 17% of all spontaneous infarctions. Younger age, male gender, hypertension, diabetes mellitus, and higher blood glucose on admission regardless of diabetes mellitus, were risk factors associated with more severe spinal cord stroke. Treatment and prevention of these risk factors should be essential in spinal cord stroke. We recommend a clinical classification into upper (cervical) and lower (thoracic or medullary conus) spinal cord strokes. Patients with upper strokes in this study had more severe strokes initially, but they had a better prognosis. Therefore it is important to identify this patient group.Acute sensory spinal cord deficit symptoms, common initial symptoms in biphasic spinal cord strokes, should be considered as possible spinal cord stroke, especially when preceded by radiating pain between the shoulders.

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Section: Methodsmentioning

confidence: 99%

Characteristics of Spinal Cord Stroke in Clinical Neurology

Romi¹,

Næss²

2011

Eur Neurol

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“…1 Improving the prediction of functional and cognitive outcomes after an ischemic stroke is highly desirable because it can help to rapidly inform patients and their relatives and optimize patient care and management, particularly with respect to discharge planning and home adjustments. 2,3 In clinical research, predictive models can further be used to identify homogenous patient populations and improve the statistical power of trials. 3,4 Although functional outcome can be moderately predicted at baseline, accurate prediction of cognitive outcome remains more elusive.…”

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confidence: 99%

Stroke Location Is an Independent Predictor of Cognitive Outcome

Munsch

Sagnier

Asselineau

et al. 2016

Stroke

112

103

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Background and Purpose-On top of functional outcome, accurate prediction of cognitive outcome for stroke patients is an unmet need with major implications for clinical management. We investigated whether stroke location may contribute independent prognostic value to multifactorial predictive models of functional and cognitive outcomes. Methods-Four hundred twenty-eight consecutive patients with ischemic stroke were prospectively assessed with magnetic resonance imaging at 24 to 72 hours and at 3 months for functional outcome using the modified Rankin Scale and cognitive outcome using the Montreal Cognitive Assessment (MoCA). Statistical maps of functional and cognitive eloquent regions were derived from the first 215 patients (development sample) using voxel-based lesion-symptom mapping. We used multivariate logistic regression models to study the influence of stroke location (number of eloquent voxels from voxel-based lesion-symptom mapping maps), age, initial National Institutes of Health Stroke Scale and stroke volume on modified Rankin Scale and MoCA. The second part of our cohort was used as an independent replication sample. Results-In univariate analyses, stroke location, age, initial National Institutes of Health Stroke Scale, and stroke volume were all predictive of poor modified Rankin Scale and MoCA. In multivariable analyses, stroke location remained the strongest independent predictor of MoCA and significantly improved the prediction compared with using only age, initial National Institutes of Health Stroke Scale, and stroke volume (area under the curve increased from 0.697-0.771; difference=0.073; 95% confidence interval, 0.008-0.155). In contrast, stroke location did not persist as independent predictor of modified Rankin Scale that was mainly driven by initial National Institutes of Health Stroke Scale (area under the curve going from 0.840 to 0.835). Similar results were obtained in the replication sample. Conclusions-Stroke location is an independent predictor of cognitive outcome (MoCA) at 3 months post stroke.

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“…b) The Lawton Index: Assesses the degree of dependence or independence of the elderly subject when carrying out the instrumental activities of everyday life (IAEL). The global range varies between 0 (complete dependence) and 100 (complete independence) (20)(21)(22) . b.…”

Section: Methodsmentioning

confidence: 99%

The influence of institutionalization on the perception of autonomy and quality of life in old people

Sarabia‐Cobo

2014

Rev. esc. enferm. USP

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RESUMENObjetivo: Evaluar la influencia de la institucionalización en la autonomía y la calidad de vida percibida entre ancianos institucionalizados. Método: Estudio casiexperimental (serie temporal interrumpida) y longitudinal. La muestra estuvo compuesta de 104 añosos de tres centros residenciales de Santander, España. A fin de evaluar la calidad de vida y la dependencia fueron utilizadas dos escalas: el Índice de Barthel y el Índice de Lawton. Resultados: Se observó una relación significativa entre la autonomía y la independencia y su declinio en virtud de la institucionalización, como los aspectos físicos y sociales. Conclusión: La dependencia de las personas mayores es un fenómeno complejo, que demanda distintos tipos de intervención, incluyéndose las acciones de apoyo común, que tienden a cubrir la ausencia de autonomía en la vida cuotidiana, sin recurrir a la institucionalización. Observou-se uma relação significativa entre autonomia e independência e seu declínio devido à institucionalização, como os aspectos físicos e sociais. Conclusão: A dependência dos idosos é um fenômeno complexo, que demanda vários tipos de intervenção, incluindo as ações de apoio comum, que tendem a cobrir a ausência de autonomia na vida cotidiana, sem recorrer a institucionalização. DESCRIPTORES

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Diagnostic Accuracy of the Barthel Index for Measuring Activities of Daily Living Outcome After Ischemic Hemispheric Stroke

Cited by 80 publications

References 35 publications

Characteristics of Spinal Cord Stroke in Clinical Neurology

Characteristics of Spinal Cord Stroke in Clinical Neurology

Stroke Location Is an Independent Predictor of Cognitive Outcome

The influence of institutionalization on the perception of autonomy and quality of life in old people

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