Factors Associated With Time to Achieve Physical Functional Recovery in Patients With Severe Stoke After Inpatient Rehabilitation: A Retrospective Nationwide Cohort Study in Japan.
Arch Rehabil Res Clin Transl
; 4(4): 100229, 2022 Dec.
Article
en En
| MEDLINE
| ID: mdl-36545532
ABSTRACT
Objective:
To describe characteristics of patient with severe stroke (FIM motor score [FIM motor] 20-49 at admission) and examine association between pre-specified factors (age, sex, modified Rankin Scale before stroke onset, body mass index, FIM motor, and FIM cognitive) and time to achieve FIM motor ≥70, that is, self-independent level.Design:
Retrospective cohort study using a large database in Japan.Setting:
Rehabilitation wards.Participants:
Patients with severe stroke (N=1422) who received inpatient rehabilitation were included (median age 76 years; interquartile range [IQR] 68.0-84.0). A total of 54.6% were men, and 65.8% were ischemic stroke.Interventions:
Not applicable. Main OutcomeMeasures:
Time to achieve FIM motor ≥70.Results:
After inpatient rehabilitation, 40.4% (N=575) achieved FIM motor ≥70 (admission FIM motor 20-29, 30-39 and 40-49 18.6%, 33.6%, and 47.8%, respectively). Patients who achieved FIM motor ≥70 stayed median 81.0 days [IQR, 51.0-120.0]) and received median 6.94 units per day [IQR, 5.48-7.78], 1 unit=20 minutes). Adjusted Fine-Gray regression revealed that shorter time to achieve FIM motor ≥70 was associated with higher admission FIM motor (hazard ratio [HR] 2.87 [95% confidence interval [CI] 2.27-3.62] 20-29 vs 40-49), higher admission FIM cognitive (HR 1.81 [95% CI 1.39-2.35] 5-14 vs 25-35), and younger (HR 3.20 [95% CI 2.32-4.42] ≥85 years vs 20-69 years).Conclusions:
Most patients with severe stroke did not achieve FIM motor ≥70 after inpatient rehabilitation. Older patients and patients with lower admission FIM motor require more attention. They should be prioritized for state-of-the-art rehabilitation therapy.
Texto completo:
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Bases de datos:
MEDLINE
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Arch Rehabil Res Clin Transl
Año:
2022
Tipo del documento:
Article
País de afiliación:
Japón