Rehabilitation outcome of elderly patients after a first stroke: Effect of cognitive status at admission on the functional outcome
Rehabilitation outcome of elderly patients after a first stroke: Effect of cognitive status at admission on the functional outcome
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DOI：
10.1053/apmr.2002.32739
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发表时间：
2002-06-01
影响因子：
4.3
通讯作者：
Adunsky, A
中科院分区：
文献类型：
--
作者：
Heruti, RJ;Lusky, A;Adunsky, A
目的：评估老年脑卒中患者的认知结果是否与整体功能结果相关，以及相关程度如何。设计：非同期前瞻性研究。设置：以色列一家大型、城市、学术性、独立医院的老年康复科。参与者：336例60岁及以上的患者在首次急性卒中后连续入院进行康复治疗，315例患者符合入选标准，他们被纳入最终分析。平均年龄为75.3岁。44.1%的患者发生右侧卒中。干预措施：不适用。主要结果测量：采用运动子量表（TM）评估功能状态。绝对功能性增益由双下肢运动增益决定。根据蒙特贝洛康复因子评分计算相对功能增益。认知状态进行了评估，与简易精神状态检查（MMSE）和认知子scale.Results：在康复过程中，主要是由于运动功能的改善，认知子量表评分显着增加。认知量表之间存在强相关性（r =.853，P
Objective: To assess whether, and to what extent, cognitive outcome relates to overall functional outcome among elderly stroke patients.Design: Nonconcurrent prospective study.Setting: Geriatric rehabilitation division at a large, urban, academic, freestanding hospital in Israel.Participants: Three hundred thirty-six patients aged 60 years and older admitted consecutively for rehabilitation after first acute stroke, Inclusion criteria were met by 315 patients, who were included in the final analysis. Average age was 75.3 years. The stroke was right sided in 44.1%.Interventions: Not applicable.Main Outcome Measures: The motor subscale of the FIM(TM) instrument assessed functional status. Absolute functional gain was determined by the FIM motor gain. Relative functional gain was calculated according to the Montebello Rehabilitation Factor Score. Cognitive status was assessed with the Mini-Mental State Examination (MMSE) and the FIM cognitive subscale.Results: FIM scores increased significantly during rehabilitation, mainly due to improvement in motor functioning. A strong association was found between the cognitive scales (r=.853, P