Prediction of discharge walking ability from initial assessment in a stroke inpatient rehabilitation facility population.
Prediction of discharge walking ability from initial assessment in a stroke inpatient rehabilitation facility population.
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DOI：
10.1016/j.apmr.2012.02.029
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发表时间：
2012-08
影响因子：
4.3
通讯作者：
Lang CE
中科院分区：
文献类型：
--
作者：
Bland MD;Sturmoski A;Whitson M;Connor LT;Fucetola R;Huskey T;Corbetta M;Lang CE
目的：（1）确定住院康复机构（IRF）入院时的哪些临床评估最能简单地预测出院时的步行能力，（2）确定临床决策规则，以区分IRF出院时的家庭与社区步行者。回顾性队列研究。公路联合会。两个样本的参与者（n = 110和159）承认中风。多元回归确定了入院时获得的变量（年龄、从卒中到评估的时间、运动指数、躯体感觉、改良Ashworth量表、BMI、贝格平衡量表、10米步行速度）可以最简单地预测出院时的步行能力（10米步行速度）。Logistic回归确定了参与者在出院时实现家庭（<0.4m/s）与社区（≥ 0.4 - 0.8m/s;> 0.8m/s）Ambrosion的可能性。第二个样本的参与者的结果的有效性进行了评估。以10米步行速度放电。入院贝格平衡量表和步行项目评分解释了出院步行速度的大部分差异。当贝格平衡量表评分≤ 20分且步行项目评分为1或2分时，样本1和样本2在出院时仅实现家庭监护的比值比分别为20（95%置信区间[CI]，6 - 63）和32（95% CI，10 - 96）。入院时贝格平衡量表评分≤ 20分且步行项目评分为1或2分表明卒中患者极有可能在出院时仅达到家庭步行速度。
To (1) determine which clinical assessments at admission to an inpatient rehabilitation facility (IRF) most simply predict discharge walking ability, and (2) identify a clinical decision rule to differentiate household versus community ambulators at discharge from an IRF. Retrospective cohort study. IRF. Two samples of participants (n=110 and 159) admitted with stroke. A multiple regression determined which variables obtained at admission (age, time from stroke to assessment, Motricity Index, somatosensation, Modified Ashworth Scale, FIM, Berg Balance Scale, 10-m walk speed) could most simply predict discharge walking ability (10-m walk speed). A logistic regression determined the likelihood of a participant achieving household (<0.4m/s) versus community (≥0.4 –0.8m/s; >0.8m/s) ambulation at the time of discharge. Validity of the results was evaluated on a second sample of participants. Discharge 10-m walk speed. Admission Berg Balance Scale and FIM walk item scores explained most of the variance in discharge walk speed. The odds ratio of achieving only household ambulation at discharge was 20 (95% confidence interval [CI], 6 – 63) for sample 1 and 32 (95% CI, 10 –96) for sample 2 when the combination of having a Berg Balance Scale score of ≤20 and a FIM walk item score of 1 or 2 was present. A Berg Balance Scale score of ≤20 and a FIM walk item score of 1 or 2 at admission indicates that a person with stroke is highly likely to only achieve household ambulation speeds at discharge from an IRF.
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DOI：
10.1016/s0003-9993(95)80038-7
发表时间：
1995-01-01
影响因子：
4.3
作者：
JORGENSEN, HS;NAKAYAMA, H;OLSEN, TS
通讯作者：
OLSEN, TS
影响因子：
4.3
作者：
Lang, Catherine E.;MacDonald, Jillian R.;Reisman, Darcy S.;Boyd, Lara;Kimberley, Teresa Jacobson;Schindler-Ivens, Sheila M.;Hornby, T. George;Ross, Sandy A.;Scheets, Patricia L.
通讯作者：
Scheets, Patricia L.
影响因子：
158.5
作者：
Dobkin, BH
通讯作者：
Dobkin, BH
影响因子：
3
作者：
Dean, CM;Richards, CL;Malouin, F
通讯作者：
Malouin, F
影响因子：
--
作者：
FORSTER, A;YOUNG, J
通讯作者：
YOUNG, J