Explanatory variables to use in a multiple regression analysis to predict stroke patients' motor FIM score at discharge from convalescent rehabilitation wards: an investigation of patients with a motor FIM score of less than 40 points at admission

Tokunaga, Makoto; Sannomiya, Katsuhiko

doi:10.11336/jjcrs.11.102

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…On the other hand, m-FIM score and c-FIM score on admission were also reported to be predictors of the FIM score at discharge related to the performance index score (Tokunaga & Sannomiya, 2020), however in the present study, the effects of m-FIM score and c-FIM score on admission were lower, suggesting that the results of this study may differ from those of this report. In addition to the fact that the FIM score at discharge was not validated as the dependent variable in this study, there may have been a difference in the inclusion of critically ill patients.…”

Section: M-fim Score and C-fim Score On Admissioncontrasting

confidence: 99%

“…In the four types of cerebrovascular disorders used in this study, the majority of patients were System 1 or 2. Various measures of cognition have been cited as important variables reflected in the FIM at discharge (Hiragami et al, 2019, Maruyama & Hitomi, 2019, Tokunaga & Sannomiya, 2020. The reason cerebrovascular disease was not listed as a significant independent variable in this study may be due to the small number of System 3 patients with higher brain dysfunction.…”

Section: Cerebrovascular Diseasementioning

confidence: 76%

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当院回復期リハビリテーション病棟における重症患者の除外基準に関する指標及びカットオフ値の検討

Hitomi,

Furutani,

Ikeda

et al. 2023

Ningen kankyougaku kenkyuu

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Section: M-fim Score and C-fim Score On Admissioncontrasting

confidence: 99%

Section: Cerebrovascular Diseasementioning

confidence: 76%

当院回復期リハビリテーション病棟における重症患者の除外基準に関する指標及びカットオフ値の検討

Hitomi,

Furutani,

Ikeda

et al. 2023

Ningen kankyougaku kenkyuu

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A Scoping Review of Prognosis Prediction Studies Focusing on Activity and Participation Among Patients with Stroke in Japan

Kobayashi,

Maruyama,

Hirose

et al. 2024

Asian J OT

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Objective: A comprehensive overview of prognosis prediction studies on activity and participation among stroke survivors in Japan is currently lacking. This scoping review aimed to identify outcome measures, study characteristics, gaps, and issues in prognosis prediction studies focusing on activity and participation among patients with stroke in Japan. The study sought to provide guidance for future research. Methods: The PubMed and Ichushi-web databases were searched. Two reviewers independently selected studies according to set inclusion and exclusion criteria. After study selection, author names, publication year, aims, study type, study design, study scale, setting, sample size, outcomes, main analysis methods, and main findings were extracted, categorized, and summarized. Results: Eighty-three articles were finally included. The most frequently covered outcomes were activity of daily living (ADL) scores, such as the Functional Independence Measure (34 studies, 39.5%), followed by walking (26 studies, 30.2%). On the other hand, only few studies covered outcomes related to instrumental ADL and social activities, such as return to work and driving resumption. Although the number of studies has been increasing in recent years, 85.5% of the studies were conducted at single centers. Furthermore, only approximately 15% of the studies examined the validity of prediction models and indicators using a validation group. Conclusions: In the future, prognosis prediction studies focusing on multiple aspects of activity and participation, such as instrumental ADL and social activities are required in Japan. Equally important is the generation of high-quality evidence, a goal achievable by promoting multicenter studies and validating existing predictive models and indicators.

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Performance of a prediction method for activities of daily living scores using influence coefficients in patients with stroke

Kobayashi,

Kobayashi

2024

Front. Neurol.

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IntroductionRecently, a method was developed to predict the motor Functional Independence Measure (FIM) score at discharge in patients with stroke by stratifying the effects of factors such as age and cognitive function and multiplying those by the influence coefficients of these factors. However, an evaluation of the predictive performance of the method is required for clinical application. The present study aimed to evaluate the predictive performance of this prediction method.MethodsPatients with stroke discharged from a rehabilitation ward between April 2021 and September 2022 were included. Predicted values of the motor FIM score at discharge were calculated after data collection from the hospital’s patient database. The concordance between predicted and actual values was evaluated using the interclass correlation coefficient; moreover, the residual values were calculated.ResultsIn total, 207 patients were included in the analysis. The median age was 79 (69–85) years, and 112 (54.1%) patients were male. The interclass correlation coefficient between predicted and actual values was 0.84 (95% confidence interval 0.75–0.89) for the motor FIM score at discharge. Meanwhile, the median residual value was 5.3 (−2.0–10.3) for the motor FIM score at discharge.DiscussionThe prediction method was validated with good performance. However, the residual values indicated that some cases deviated from the prediction. In future studies, it will be necessary to improve the predictive performance of the method by clarifying the characteristics of cases that deviate from the prediction.

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Explanatory variables to use in a multiple regression analysis to predict stroke patients' motor FIM score at discharge from convalescent rehabilitation wards: an investigation of patients with a motor FIM score of less than 40 points at admission

Abstract: Tokunaga M, Sannomiya K. Explanatory variables to use in a multiple regression analysis to predict stroke patients' motor FIM score at discharge from convalescent rehabilitation wards: an investigation of patients with a motor FIM score of less than 40 points at admission. Jpn

Cited by 3 publications

References 13 publications

当院回復期リハビリテーション病棟における重症患者の除外基準に関する指標及びカットオフ値の検討

当院回復期リハビリテーション病棟における重症患者の除外基準に関する指標及びカットオフ値の検討

A Scoping Review of Prognosis Prediction Studies Focusing on Activity and Participation Among Patients with Stroke in Japan

Performance of a prediction method for activities of daily living scores using influence coefficients in patients with stroke

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