Use of nursing home after stroke and dependence on stroke severity - A population-based analysis
Use of nursing home after stroke and dependence on stroke severity - A population-based analysis
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DOI：
10.1161/01.str.30.5.924
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发表时间：
1999-05-01
期刊：
影响因子：
8.3
通讯作者：
Leibson, CL
中科院分区：
文献类型：
--
作者：
Brown, RD;Ransom, J;Leibson, CL
背景和目的：关于卒中后使用疗养院的人群数据很少。本研究阐明了使用的疗养院中风后，以及其依赖于中风的严重程度，在一个定义population. Methods-所有的居民之间的第一次中风事件的罗切斯特，明尼苏达州，在1987-1989年被确定，分型，并分配兰金残疾评分（RS）的事件发生前，在最大赤字，并在特定的时间间隔中风后。在完整的基于社区的医疗记录和明尼苏达州病例组合审查程序数据磁带中，从中风事件发生之日起至死亡、从罗切斯特移民或1994年12月31日，对患者进行随访，以确定中风前、中风后90天和1年的疗养院居住情况，疗养院生存天数的比例，结果：1987-1989年间，罗切斯特居民中首次脑梗死251例，脑内出血24例，蛛网膜下腔出血15例。脑梗死患者中最大缺损RS为1或2者62例（25%），RS 3者72例（29%），RS 4或5者117例（47%）。在脑梗死后存活至90天或1年的患者中，分别有25%的患者在90天和22%的患者在1年时住在疗养院。在这些最大缺陷RS类别中，脑梗死后第一年在疗养院度过的随访时间百分比如下：RS 1至2，4%; RS 3，10%; RS 4至5，54%。多因素Logistic回归分析显示，年龄的增加和最大缺陷时RS 4 ~ 5是独立的预测因素（P
Background and Purpose-There are few population-based data available regarding nursing home use after stroke. This study clarifies the use of a nursing home after stroke, as well as its dependence on stroke severity, in a defined population.Methods-All first stroke events among residents of Rochester, Minn, during 1987-1989 were ascertained, subtyped, and assigned Rankin disability scores (RS) before the event, at maximal deficit, and at specified intervals after stroke. Persons were followed from the date of stroke event to death, emigration from Rochester, or December 31, 1994, in complete community-based medical records and Minnesota Case Mix Review Program data tapes to determine nursing home residency before stroke and at 90 days and 1 year after stroke, proportion of survival days in a nursing home, and cumulative risk of admission to a nursing home.Results-Then were 251 cases of first cerebral infarction, 24 intracerebral hemorrhages, and 15 subarachnoid hemorrhages among residents of Rochester during 1987-1989. The maximal deficit RS was 1 or 2 for 62 (25%), RS 3 for 72 (29%), and RS 4 or 5 for 117 (47%) of the cerebral infarct patients. Among patients surviving to 90 days or 1 year after cerebral infarction, 25% were in nursing home at 90 days and 22% at 1 year, respectively. Within these maximal deficit RS categories, the percentages of follow-up time spent in a nursing home during the first post-cerebral infarction year are as follows: RS 1 to 2, 4%; RS 3, 10%; and RS 4 to 5, 54%. Multivariate logistic regression revealed that increasing age and RS 4 to 5 at maximal deficit were independent predictors (P