The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke.
The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke.
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DOI：
10.3390/medicina57060556
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发表时间：
2021-05-31
期刊：
影响因子：
--
通讯作者：
Tsai SW
中科院分区：
文献类型：
--
作者：
Liao WL;Chang CW;Sung PY;Hsu WN;Lai MW;Tsai SW
背景和目的：恢复社区生活能力是脑卒中患者的一个有意义的目标。最近的研究建议，在6分钟步行测试中完成的距离（6MWT中≥205 m）是定义社区步行的最合适的距离。到目前为止，很少有研究使用更新的定义来研究相关的预测因素。本研究的目的是调查入院时的临床参数和出院时由6MWT测量的社区活动之间的关系。另一个目的是找到入院贝格平衡量表（BBS）的截断分数，以区分家庭或社区的救护车。材料和方法：本研究收集了进入急性期后护理脑血管疾病项目的患者资料。多变量逻辑回归用于识别入院时测量的与社区援助相关的显著预测因素，并采用接受者操作特征来计算入院状态的截止值。共纳入120例患者，其中25%（n = 30）的患者出院时恢复了社区生活能力。入院时的BBS被认为是社区援助的唯一重要预测因素（优势比1.06）。结果如下：入院时BBS评分的最佳截止值为29分，出院时区分家庭和社区步行者时入院时BBS评分的曲线下面积为0.74。结论：入院BBS评分可用于预测脑卒中患者出院时的家庭和社区步行者。本研究结果可帮助临床医师及早设定适当的出院目标。
Background and Objectives: To regain the ability of community ambulation is a meaningful goal for stroke patients. Recent research recommended that the distance accomplished during the six-minute walk test (≥205 m in 6MWT) is the fittest for defining community ambulation. Until now, there are few studies that have used the updated definition to investigate the related predictors. The aim of this study was to investigate the association between the admission clinical parameters and community ambulation measured by the 6MWT at discharge. The other aim was to find the admission Berg Balance Scale (BBS) cut-off score to discriminate between household or community ambulators. Materials and Methods: This cohort study collected the data of patients who entered the post-acute Care Cerebrovascular Diseases program. Multivariate logistic regression was used to identify significant predictors measured at admission that are associated with community ambulation, and a receiver operating characteristic was adopted to calculate the cut-off value for admission status. There were 120 participants included in this study, and 25% (n = 30) of them regained the ability of community ambulation at discharge. The BBS on admission was identified as the only significant predictor for community ambulation (odds ratio 1.06). Results: The optimal cut-off score for the BBS at admission was 29, and the area under the curve for BBS scores on admission when discriminating between household and community ambulators at discharge was 0.74. Conclusions: The admission BBS scores could be used to predict household and community ambulators at discharge in stroke patients. The results of this study could help clinical physicians set appropriate discharge goals early.
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