Determinants of Physical Activity at 90 Days After Acute Stroke or Transient Ischemic Attack in Patients With Home Discharge: A Pilot Study
Determinants of Physical Activity at 90 Days After Acute Stroke or Transient Ischemic Attack in Patients With Home Discharge: A Pilot Study
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DOI：
10.1123/japa.2021-0254
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发表时间：
2022-08-01
影响因子：
1.5
通讯作者：
Fujimoto，Yasuyuki
中科院分区：
文献类型：
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作者：
Yokota，Chiaki;Ohta，Sachiko;Fujimoto，Yasuyuki
本研究旨在确定急性小卒中或短暂性脑缺血发作后出院的患者实现病前体力活动的障碍。分析了五十六例患者（中位年龄72岁）。我们使用国际体力活动问卷评估了发病前和发病后90天的总体力活动。根据发病后90天的总体力活动变化将患者分为两组：活动减少组（n= 16）和活动未减少组（n= 40）。出院时检查结局指标。活动减少组进行定时起身和行动测试所需时间明显更长（中位数，7.19对6.52 s），并且包含更多的冷漠患者（44%对15%）。出院时的冷漠（相对危险度6.05，95%置信区间[1.33，27.6]）是体力活动减少的重要决定因素。冷漠是中风幸存者恢复病前体力活动的障碍。
The aim was to identify the barriers to achieving premorbid physical activity in patients with home discharge after acute minor stroke or transient ischemic attack. Fifty-six patients (median age, 72 years) were analyzed. We assessed total physical activity in the premorbid condition and at 90 days after onset using the International Physical Activity Questionnaire. The patients were divided into two groups according to changes in total physical activity until 90 days after onset: decreased activity (n= 16) and nondecreased activity (n= 40) groups. Outcome measures were examined at discharge. The decreased activity group took significantly longer to perform the timed up and go test (median, 7.19 vs. 6.52 s) and contained more apathetic patients (44% vs. 15%). Apathy at discharge (relative risk 6.05, 95% confidence interval [1.33, 27.6]) was a significant determinant of decreased physical activity. Apathy is a barrier to the restoration of premorbid physical activity in stroke survivors.