BERG BALANCE SCALE SCORE AT ADMISSION CAN PREDICT WALKING SUITABLE FOR COMMUNITY AMBULATION AT DISCHARGE FROM INPATIENT STROKE REHABILITATION
BERG BALANCE SCALE SCORE AT ADMISSION CAN PREDICT WALKING SUITABLE FOR COMMUNITY AMBULATION AT DISCHARGE FROM INPATIENT STROKE REHABILITATION
复制标题
DOI：
10.2340/16501977-2280
复制
发表时间：
2018-01-01
影响因子：
3.5
通讯作者：
Eng, Janice J.
中科院分区：
文献类型：
--
作者：
Louie, Dennis R.;Eng, Janice J.
目的：本回顾性队列研究确定了预测出院时行走能力的住院康复入院变量，并建立了Berg平衡量表截止评分来预测行走改善的程度。方法：对123名参与者在入院接受脑卒中康复治疗时的各种认知和身体状况进行评估。多因素logistic回归确定了入院预测因素，即4周后恢复社区活动（步速= 0.8 m/s）或无辅助活动（无身体辅助）。接受者工作特征曲线分析确定贝格平衡量表得分的截止录取。结果：迷你精神状态检查（优势比（OR） 1.60, 95%可信区间（95% CI） 1.19-2.14）与入院步行速度结合可显著预测恢复社区步行速度；当与Berg平衡量表（OR 1.14, 95% CI 1.09-1.20）结合使用时，卒中类型（出血性/缺血性）是一个显著的预测因子（OR = 0.19, 95% CI 0.05-0.77）。只有Berg平衡量表是恢复无辅助活动的显著预测因子（OR 1.11, 95% CI 1.05-1.17）。入院时Berg平衡量表得分为29分的临界值预测个体将继续达到社区步行速度（n = 123，曲线下面积(AUC) = 0.88, 95% CI 0.81-0.95）；截断值为12预示非行走者恢复无辅助行走（n = 84, AUC 0.73, 95% CI 0.62-0.84）。结论：Berg平衡量表可在康复入院时用于预测脑卒中患者行走改善程度。
Objective: This retrospective cohort study identified inpatient rehabilitation admission variables that predict walking ability at discharge and established Berg Balance Scale cut-off scores to predict the extent of improvement in walking.Methods: Participants (n = 123) were assessed for various cognitive and physical outcomes at admission to inpatient stroke rehabilitation. Multivariate logistic regression identified admission predictors of regaining community ambulation (gait speed = 0.8 m/s) or unassisted ambulation (no physical assistance) after 4 weeks. Receiver operating characteristic curve analysis identified cut-off admission Berg Balance Scale scores.Results: Mini-Mental State Examination (odds ratio (OR) 1.60, 95% confidence interval (95% CI) 1.19-2.14) was a significant predictor when coupled with admission walking speed for regaining community ambulation speed; stroke type (haemorrhagic/ischaemic) was a significant predictor (OR = 0.19, 95% CI 0.05-0.77) when coupled with Berg Balance Scale (OR 1.14, 95% CI 1.09-1.20). Only Berg Balance Scale was a significant predictor of regaining unassisted ambulation (OR 1.11, 95% CI 1.05-1.17). A cut-off Berg Balance Scale score of 29 on admission predicts that an individual will go on to achieve community walking speed (n = 123, area under the curve (AUC) = 0.88, 95% CI 0.81-0.95); a cut-off score of 12 predicts a non-ambulator to regain unassisted ambulation (n = 84, AUC 0.73, 95% CI 0.62-0.84).Conclusion: The Berg Balance Scale can be used at rehabilitation admission to predict the degree of improvement in walking for patients with stroke.