Lin J H, Hsiao S F, Chang C M, Huang M H, Liu C K, Lin Y T
School of Rehabilitation Medicine, Kaohsiung Medical University, Taiwan.
Kaohsiung J Med Sci. 2000 Jul;16(7):351-9.
The purpose of this study was to identify predictive variables relevant to functional independence outcomes for stroke patients following rehabilitation therapy. We prospectively studied 150 stroke patients consecutively admitted to the inpatient rehabilitation department of a university hospital from January 1 to December 31, 1997. Functional ability was assessed with the Functional Independence Measure (FIM) instrument on admission, on discharge of inpatient rehabilitation program, and at the 6 months follow-up visit after discharge. Severity of stroke was determined by using the Canadian Neurological Scale (CNS) on admission. In addition, major medical and sociodemographic factors were documented during hospitalization as independent variables. Of the 142 subjects surveyed, 23 (16.2%) stroke patients achieved functional independence at home when re-visited. Univariate test and multiple logistic regression analyses indicated that the significant factors affecting functional independence included age of onset, occupation, prior heart problems, the presence of medical complications, bilateral hemiplegia, and the functional ability (FIM score) and the severity of stroke (CNS score) on admission. The results of this study suggest that the admission CNS and FIM scores are useful in the prediction of functional independence outcome for stroke survivors following rehabilitation therapy.
本研究的目的是确定与康复治疗后中风患者功能独立结局相关的预测变量。我们前瞻性地研究了1997年1月1日至12月31日连续入住某大学医院住院康复科的150例中风患者。在入院时、住院康复项目出院时以及出院后6个月随访时，使用功能独立性测量（FIM）工具评估功能能力。入院时使用加拿大神经功能量表（CNS）确定中风严重程度。此外，在住院期间记录主要医疗和社会人口统计学因素作为自变量。在接受调查的142名受试者中，23名（16.2%）中风患者在复诊时实现了在家中的功能独立。单因素检验和多因素逻辑回归分析表明，影响功能独立的显著因素包括发病年龄、职业、既往心脏问题、是否存在医疗并发症、双侧偏瘫、入院时的功能能力（FIM评分）和中风严重程度（CNS评分）。本研究结果表明，入院时的CNS和FIM评分有助于预测中风幸存者康复治疗后的功能独立结局。
