PMID- 21921424
OWN - NLM
STAT- MEDLINE
DCOM- 20120123
LR  - 20191112
IS  - 1349-6867 (Electronic)
IS  - 1343-1420 (Linking)
VI  - 58
IP  - 3-4
DP  - 2011 Aug
TI  - Long-term outcome of severe stroke patients: is the ADL status at discharge from 
      a stroke center indicative of the long-term outcome?
PG  - 227-34
AB  - The objective of this study was to examine the possibility of predicting the 
      long-term outcome of severe stroke patients from the ADL status at discharge. The 
      design is a retrospective observational study in the stroke center at Tokushima 
      University Hospital. Severe stroke patients at discharge with Barthel Index (BI) 
      scores </= 40 (N=51) were divided into two subgroups retrospectively, improved and 
      unimproved. The Functional Independence Measure (FIM) and BI were analyzed at 
      discharge, 3 and 6 months after onset. Correlation analysis between BI and FIM 
      showed good correlation, especially between BI and motor FIM (mFIM). In 
      conclusion, the ADL status at discharge from a stroke center is not definitely 
      indicative of the long-term outcome, although good recovery of severe stroke 
      cases was observed in males and younger patients, and in patients with motor FIM 
      score>25. This result shows that the first 3 months after the attack should be 
      regarded as an important time window for intensive rehabilitation.
FAU - Kashihara, Michiharu
AU  - Kashihara M
AD  - Department of Orthopedics, Institute of Health Biosciences, University of 
      Tokushima Graduate School, Tokushima, Japan.
FAU - Nakao, Shigetaka
AU  - Nakao S
FAU - Kawasaki, Jun
AU  - Kawasaki J
FAU - Takata, Shinjiro
AU  - Takata S
FAU - Nagahiro, Shinji
AU  - Nagahiro S
FAU - Kaji, Ryuji
AU  - Kaji R
FAU - Yasui, Natsuo
AU  - Yasui N
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - J Med Invest
JT  - The journal of medical investigation : JMI
JID - 9716841
SB  - IM
MH  - *Activities of Daily Living
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Discharge
MH  - Retrospective Studies
MH  - Stroke/*physiopathology
MH  - Stroke Rehabilitation
EDAT- 2011/09/17 06:00
MHDA- 2012/01/24 06:00
CRDT- 2011/09/17 06:00
PHST- 2011/09/17 06:00 [entrez]
PHST- 2011/09/17 06:00 [pubmed]
PHST- 2012/01/24 06:00 [medline]
AID - JST.JSTAGE/jmi/58.227 [pii]
AID - 10.2152/jmi.58.227 [doi]
PST - ppublish
SO  - J Med Invest. 2011 Aug;58(3-4):227-34. doi: 10.2152/jmi.58.227.