Thommessen B, Bautz-Holter E, Laake K
Geriatric Department, Ullevaal Hospital, Oslo, Norway.
Clin Rehabil. 1999 Apr;13(2):123-8. doi: 10.1191/026921599666507386.
To identify predictors of outcome after 12 months in elderly stroke patients rehabilitated in a geriatric ward.
Prospective with evaluation in the subacute phase and after 12 months.
Geriatric ward and outpatient clinic.
All stroke patients admitted from the acute unit to a geriatric ward for rehabilitation during a 16-month period (n = 171).
Place of living, mortality and social functioning (Frenchay Activities Index) 12 months following stroke.
Age, urinary incontinence and cognitive function were significantly associated with place of living (home versus nursing home) 12 months post stroke in bivariate analyses. However, using multivariate logistic regression analyses, only age (p = 0.005) and urinary incontinence at baseline (p = 0.028) remained independent predictors of place of living. Mortality during the first year was significantly predicted by urinary incontinence and gender (men doing worse), whereas the Barthel Activities of Daily Living (ADL) Index sumscore was the only significant independent predictor of social activities.
Urinary incontinence at baseline seems to be a most important predictor of outcome 12 months post stroke in geriatric patients. However, with regard to social activities (Frenchay Activities Index), functional impairment in the initial phase as reflected by the Barthel ADL Index supersedes other predictors.
确定在老年病房接受康复治疗的老年中风患者12个月后的预后预测因素。
在亚急性期和12个月后进行前瞻性评估。
老年病房和门诊诊所。
在16个月期间从急性病单元转入老年病房进行康复治疗的所有中风患者（n = 171）。
中风后12个月的居住地点、死亡率和社会功能（Frenchay活动指数）。
在双变量分析中，年龄、尿失禁和认知功能与中风后12个月的居住地点（家中与养老院）显著相关。然而，使用多变量逻辑回归分析，只有年龄（p = 0.005）和基线时的尿失禁（p = 0.028）仍然是居住地点的独立预测因素。尿失禁和性别（男性情况更差）显著预测了第一年的死亡率，而Barthel日常生活活动（ADL）指数总分是社会活动的唯一显著独立预测因素。
基线时的尿失禁似乎是老年患者中风后12个月预后的最重要预测因素。然而，关于社会活动（Frenchay活动指数），Barthel ADL指数所反映的初始阶段的功能损害比其他预测因素更重要。
