PMID- 14634361
OWN - NLM
STAT- MEDLINE
DCOM- 20050127
LR  - 20220408
IS  - 0342-5282 (Print)
IS  - 0342-5282 (Linking)
VI  - 26
IP  - 4
DP  - 2003 Dec
TI  - Rehabilitation outcome of Turkish stroke patients: in a team approach setting.
PG  - 271-7
AB  - The aim of this study was to identify the efficacy of in-patient stroke 
      rehabilitation, to evaluate the relationship between clinical characteristics and 
      functional outcome, and to determine factors predicting functional outcome at 
      discharge in Turkish stroke patients with a team approach. Retrospective data 
      were collected from 102 of 116 patients with first stroke who were admitted to 
      our rehabilitation unit at Ankara University. Demographic data, length of 
      hospital stay (LOHS), onset to admission interval (OAI), type, side and location 
      of stroke lesion, and most common medical complications were recorded. Functional 
      Independence Measure (FIM) and Brunnstrom's motor recovery stages (BMRS) were 
      assessed on admission and at discharge. The mean age was 61.6 +/- 10.9 years and 
      the mean LOHS was 69.7 +/- 28.2 days. The mean FIM total scores were 69.2 +/- 
      27.4 and 83.2 +/- 25.7 on admission, and at discharge, respectively. The mean FIM 
      total score was significantly correlated to age, LOHS and motor recovery. The FIM 
      total scores of patients with aphasia and depression were found to be lower than 
      those of patients without aphasia and depression. In a stepwise multiple 
      regression analysis, FIM total score on admission, age and OAI were found to be 
      valid predictors of FIM total score at discharge. Functional Independence Measure 
      total score on admission was the strongest variable. Our results suggest that 
      knowledge of the poor prognostic factors effecting functional outcome on 
      admission can provide information to clinicians in identifying severity of 
      stroke. Admission FIM total score, can be used to predict the patients' 
      functional recovery. Advanced age, aphasia and post-stroke depression contribute 
      to lower FIM scores.
FAU - Tur, Birkan Sonel
AU  - Tur BS
AD  - Department of Physical Medicine and Rehabilitation, School of Medicine, Ankara 
      University, Turkey. sonelb@medicine.ankara.edu.tr
FAU - Gursel, Yesim Kurtais
AU  - Gursel YK
FAU - Yavuzer, Gunes
AU  - Yavuzer G
FAU - Kucukdeveci, Ayse
AU  - Kucukdeveci A
FAU - Arasil, Tansu
AU  - Arasil T
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Rehabil Res
JT  - International journal of rehabilitation research. Internationale Zeitschrift fur 
      Rehabilitationsforschung. Revue internationale de recherches de readaptation
JID - 7805421
SB  - IM
MH  - Age Factors
MH  - Aphasia/physiopathology
MH  - Depression/psychology
MH  - Disability Evaluation
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Motor Skills Disorders/physiopathology
MH  - *Outcome Assessment, Health Care
MH  - Patient Admission
MH  - *Patient Care Team
MH  - Prognosis
MH  - Recovery of Function/physiology
MH  - Regression Analysis
MH  - Retrospective Studies
MH  - Stroke/physiopathology/psychology
MH  - *Stroke Rehabilitation
MH  - Turkey
EDAT- 2003/11/25 05:00
MHDA- 2005/01/28 09:00
CRDT- 2003/11/25 05:00
PHST- 2003/11/25 05:00 [pubmed]
PHST- 2005/01/28 09:00 [medline]
PHST- 2003/11/25 05:00 [entrez]
AID - 10.1097/00004356-200312000-00004 [doi]
PST - ppublish
SO  - Int J Rehabil Res. 2003 Dec;26(4):271-7. doi: 10.1097/00004356-200312000-00004.