Gender and the functional outcome of elderly ischemic stroke patients

Mizrahi, Eliyahu H.; Waitzman, A.; Arad, Marina; Adunsky, Abraham

doi:10.1016/j.archger.2011.11.002

Cited by 14 publications

(12 citation statements)

References 29 publications

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“…This finding corresponds with results of [27,34]. However, study of [25,33] concluded that the male patients with stroke were associated with better functional outcomes after rehabilitation.…”

Section: Discussionsupporting

confidence: 90%

Predictors of functional outcome in Saudi Arabian patients with stroke after inpatient rehabilitation

Abdul-Sattar

Godab

2013

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PURPOSE: To identify the possible factors influencing functional outcome of stroke patients after inpatient rehabilitation. METHODS: One hundred and eighty patients with stroke consecutively admitted for inpatient stroke rehabilitation was studied. Demographic and stroke characteristics, impairment (National Institutes of Health Stroke Scale), disability level (Functional Independence Measure [FIM]), psycho-emotional state (Geriatric Depression Scale-15 [GDS-15]), cognitive function (Mini Mental State Evaluation [MMSE]), and preexisting medical conditions were recorded at admission. The main measure of functional outcome was the discharge FIM score. The univariate and multiple linear regression analyses were performed. RESULT:The Mean admission total FIM score was 64.8 ± 22.4 and the mean discharge total FIM score was 84.0 ± 23.0, with this gain being highly significant (P < 0.001). Univariate analyses indicated that the significant factors influencing functional outcome of stroke patients at discharge from rehabilitation included age, total FIM score at admission, severity of stroke, recurrent stroke, cognitive impairment, and depression. However, in multiple linear regression analyses, age was not significant predictor. CONCLUSION: Age predicts the function outcome to lesser extent than other covariate. The admission total FIM score, cognitive condition, depression, and stroke severity are predictors of functional outcome of stroke patients after inpatient rehabilitation.

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Section: Discussionsupporting

confidence: 90%

Predictors of functional outcome in Saudi Arabian patients with stroke after inpatient rehabilitation

Abdul-Sattar

Godab

2013

NRE

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“… 3 Obesity is also known to be a good predictor of functional outcomes in patients with ischaemic stroke, 4 especially elderly patients. 5 Furthermore, post-stroke mortality is inversely related to BMI: overweight and obese patients with stroke had a lower post-stroke mortality rate than normal-weight and underweight patients in a study from Denmark. 6 …”

Section: Introductionmentioning

confidence: 98%

Effect of obesity on functional outcomes at 6 months post-stroke among elderly Koreans: a prospective multicentre study

et al. 2015

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ObjectivesWe examined whether obesity based on body mass index (BMI) was a predictor of functional independence measure (FIM) at 6 months after ischaemic stroke onset while adjusting for stroke risk factors and covariates and stratifying by age group.DesignThis is an interim report of the Korean Stroke Cohort for Functioning and Rehabilitation that was designed as a nested case study within a nationwide hospital-based cohort.SettingWe identified all patients who were admitted to nine representative hospitals in Korea from 2012 until 2014 under a diagnosis of acute first-ever ischaemic stroke. The hospitals were selected from the metropolitan district, mid-sized cities and a small-sized city.ParticipantsThe sample included 2057 patients with acute ischaemic stroke who were at least 18 years old.Primary and secondary outcome measuresWe divided participants into two age levels (<65 and ≥65 years). Participants were classified into five groups according to their baseline BMI at admission: underweight (BMI<18.5), normal (18.5≤BMI<23), overweight (23≤BMI<25), obese (25≤BMI<30) and extremely obese (30≤BMI).ResultsThe proportion of patients who were aged ≥65 years was 55.0%. The proportions of underweight, normal, overweight, obese and extremely obese patients were 2.6%, 24.3%, 29.6%, 37.2% and 6.3%, respectively, in the <65 years group and 5.5%, 34.5%, 27.9%, 28.8% and 3.3%, respectively, in the ≥65 years group. In a multiple linear regression, the 6-month FIM after stroke in the elderly group was significantly associated with being extremely obese (7.95, p<0.05) after adjusting for confounding variables. In the <65 years group, the 6-month FIM was not associated with any weight category.ConclusionsThis nationwide hospital-based cohort study showed that extreme obesity is a predictor of a good 6-month FIM, especially in patients with ischaemic stroke who are at least 65 years of age.

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“…[ 1 2 ] Although a lot of research has been undertaken on this subject, authors still disagree on the effect of different factors on rehabilitation outcome. [ 3 4 5 ] Therefore, the purpose of this study was to evaluate the impact of age, gender, cognitive status, depression, subtype of ischemic stroke based on the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) classification,[ 6 ] and co-morbidity on rehabilitation outcome of stroke patients.…”

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confidence: 99%