Functional recovery and instrumental activities of daily living:: follow-up 1-year after treatment in a stroke unit

Functional recovery and instrumental activities of daily living:: follow-up 1-year after treatment in a stroke unit
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DOI:
10.1080/02699050110103337
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发表时间:
2002-03-01
期刊:
影响因子:
1.9
通讯作者:
De Seijas, EV
De Seijas, EV
中科院分区:
医学4区
文献类型:
--
作者:
Carod-Artal, FJ;González-Gutiérrez, JL;De Seijas, EV

文献摘要

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本研究的目的是评估弗伦谢活动指数(FAI)与Barthel指数(BI)和斯堪的纳维亚卒中量表(SSS)等其他指标相比,在测量卒中患者工具性日常生活活动(IADL)和功能恢复方面的效用。采用横断面描述性分析设计。从San卡洛斯医院(马德里)卒中单元出院的90名卒中幸存者(41名女性,49名男性;平均年龄68岁)在出院时通过BI和卒中后1年通过BI和FAI进行评估。出院时,40%的患者完全或重度残疾(BI 60),1年时为11.1%。FAI(平均值36 ± 11)与卒中后1年Barthel指数、步行能力、上肢力量和总SSS相关(p < 0.0001)。52%的中风患者在第一年的ADL中变得独立。BI是FAI社交活动类别中独立性的最强预测因子。
The objective of the study was to assess the utility of the Frenchay Activities Index (FAI) to measure instrumental activities of daily living (IADL) and functional recovery in stroke patients compared to other measures such as Barthel Index (BI) and Scandinavian Stroke Scale (SSS). A cross-sectional descriptive analysis design was done. Ninety stroke survivors (41 women, 49 men; mean age 68 years) discharged from the Stroke Unit at San Carlos Hospital, Madrid, were assessed by BI at discharge and by BI and FAI 1-year after stroke. At discharge, 40% had total or severe disability (BI 60) and at 1-year 11.1%. FAI (mean value 36 11) correlated with Barthel index, capacity for walking, strength in upper limb and total SSS 1-year after stroke (p < 0.0001). Fifty-two per cent of stroke patients became independent in their ADL during the first year. BI was the strongest predictor of independence in FAI Social activities-category.