Clinical characteristics and functional outcome of stroke patients 75 years old and older
Clinical characteristics and functional outcome of stroke patients 75 years old and older
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DOI：
10.1016/s0003-9993(98)90415-4
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发表时间：
1998-12-01
影响因子：
4.3
通讯作者：
Tow, AP
中科院分区：
文献类型：
--
作者：
Kong, KH;Chua, KSG;Tow, AP
目的：研究75岁及以上脑卒中患者入院接受康复治疗的人口统计学和临床特征，研究康复期间发生的内科并发症，记录功能结局和影响结局的可能因素。患者由康复医生选择进入康复计划。结果的措施包括改良的Barthel指数（MBI）和患者的出院disposition.Results：该队列的平均年龄为80.4 +/- 3.2岁，平均住院时间在急性和康复设施分别为15.2和37.4天。12名患者患有三种或三种以上的内科疾病;高血压和糖尿病是最常见的。45.1%、33.9%和11.9%的患者分别存在认知障碍、尿失禁和吞咽困难，需要管饲。19名患者（32.2%）发生了内科并发症，尿路感染是最常见的。康复后，功能状态、运动能力、吞咽困难和吞咽困难均有改善。53名患者（89.8%）成功出院回家，其中28.8%雇用女佣作为照顾者。出院MBI评分的入院MBI和认知scores.Conclusion预测：尽管他们的年龄，显着的功能改善记录在这个队列的老年中风患者，大多数出院回家。入院MBI和认知评分强烈预测功能结果。(C)1998年由美国康复医学大会和美国物理医学和康复学会。
Objective: To examine the demographic and clinical characteristics of stroke patients 75 years old and older admitted for rehabilitation, to study medical complications that occurred during rehabilitation, and to document functional outcome and possible factors influencing outcome.Design and Setting: A case series of 59 consecutive inpatients admitted to a rehabilitation facility with confirmed strokes over a 2-year period.Measures: patients were selected by rehabilitation physicians for admission into the rehabilitation program. Measures for outcome include the Modified Barthel Index (MBI) and the patient's discharge disposition.Results: The mean age of this cohort was 80.4 +/- 3.2 years, and mean lengths of stay in the acute and rehabilitation facilities were 15.2 and 37.4 days. Twelve patients had three or more medical illnesses; hypertension and diabetes were the most common. Cognitive impairment, urinary incontinence, and dysphagia requiring tube feeding were present in 45.1%, 33.9%, and 11.9% of patients, respectively. Nineteen patients (32.2%) developed medical complications, and urinary tract infection was the most common. Improvements in functional status, motor power, continence, and dysphagia were noted after rehabilitation. Fifty-three patients (89.8%) were successfully discharged home, 28.8% of whom employed domestic maids as caregivers. The discharge MBI score was strongly predicted by the admission MBI and cognition scores.Conclusion: Despite their age, significant functional improvements were documented in this cohort of aged stroke patients, and the majority were discharged home. Admission MBI and cognition scores strongly predicted functional outcome. (C) 1998 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.