Clinical value of hemoglobin in the assessment of long-term prognosis of stroke after rehabilitation treatment / 中国基层医药

ABSTRACT

Objective:To investigate the clinical value of hemoglobin in the assessment of long-term prognosis of stroke after rehabilitation treatment.Methods:A total of 168 patients with stroke who received treatment in Ruian People's Hospital, China between January 2018 and January 2019 were included in this study. All of them received rehabilitation treatment. They were divided into Hb < 120 g/L group ( n = 36 and Hb ≥ 120 g/L group ( n = 132) according to Hb level before rehabilitation treatment. All patients were followed up for 12 months. General data, and simplified Fugl-Meyer Assessment (FMA) score and modified Barthel Index (MBI) before and after treatment were compared between the two groups. Pearson correlation was used to analyze the correlation between Hb level and simplified FMA score and MBI. The area under the receiver operating characteristic (ROC) curve was used to evaluate the efficacy of Hb level in predicting stroke recurrence. Results:There were no significant differences in gender, age and body mass index between the two groups (all P > 0.05). After treatment, simplified FMA score and MBI in the Hb ≥ 120 g/L group were (85.39 ± 8.27) points and (87.14 ± 8.85) points, respectively, which were significantly higher than those in the Hb < 120 g/L group [(79.82 ± 6.18) points, (80.06 ± 6.97) points, t = 5.625, 6.012, both P < 0.05). Pearson correlation results revealed that Hb level before rehabilitation was positively correlated with FMA score and MBI ( r = 0.425, 0.362, both P < 0.05). During the follow-up period, stroke recurred in 27 (16.07%) out of 168 patients. The area under the ROC curve for Hb level before treatment as a predictor of stroke recurrence was 0.915, which was significantly greater than the National Institutes of Health Stroke Scale score 0.630 ( Z = 2.652, P < 0.05). Conclusion:The long-term prognosis of stroke patients with low Hb level before rehabilitation treatment is poor, and monitoring Hb level is highly effective for predicting stroke recurrence. This study is greatly innovative and scientific. Findings from this study deserve further investigation.