Inouye M, Kishi K, Ikeda Y, Takada M, Katoh J, Iwahashi M, Hayakawa M, Ishihara K, Sawamura S, Kazumi T
Department of Internal Medicine, Hyogo Rehabilitation Center Hospital, Kobe, Japan.
Am J Phys Med Rehabil. 2000 Nov-Dec;79(6):513-8. doi: 10.1097/00002060-200011000-00007.
The purpose of this study is to identify predictors of functional outcome after acute stroke inpatient rehabilitation using raw Functional Independence Measure (FIM) total scores.
Multivariate analysis was performed on data collected retrospectively from stroke rehabilitation patients. Six independent variables were obtained from patients' medical records.
The FIM total scores at the time of discharge from the hospital correlated strongly with FIM total scores at the time of admission to the hospital and correlated negatively with age and OAI using the Spearman's rank correlation method. The FIM total scores at the time of hospital admission were the best predictor of FIM total scores at the time of discharge from the hospital. However, the nature of the stroke, gender, and LOHS did not correlate with FIM total scores at the time of discharge from the hospital.
Because FIM total scores at the time of hospital admission and discharge are highly correlated, FIM total scores at the time of hospital admission can be used to establish a rehabilitation program, to inform the patient and family about the possibility of recovery, and to assess the amount and quality of care given in the home or discharge placement.
本研究旨在使用原始功能独立性测量（FIM）总分来确定急性中风住院康复后功能结局的预测因素。
对从中风康复患者中回顾性收集的数据进行多变量分析。从患者的病历中获取了六个自变量。
出院时的FIM总分与入院时的FIM总分密切相关，并且使用Spearman等级相关方法与年龄和OAI呈负相关。入院时的FIM总分是出院时FIM总分的最佳预测指标。然而，中风的性质、性别和住院时间与出院时的FIM总分无关。
由于入院时和出院时的FIM总分高度相关，入院时的FIM总分可用于制定康复计划，告知患者及其家属康复的可能性，并评估在家中或出院安置时给予的护理数量和质量。
