Yavuzer G, Küçükdeveci A, Arasil T, Elhan A
Department of Physical Medicine, Ankara University Medical School, Turkey.
Am J Phys Med Rehabil. 2001 Apr;80(4):250-5. doi: 10.1097/00002060-200104000-00003.
To describe the nature of functional recovery of 67 Turkish survivors of first-episode stroke who were referred for inpatient rehabilitation and to identify the variables that best predict discharge functional status of these patients.
A retrospective, descriptive study of the demographic and clinical profile and the functional status of patients with first-episode stroke.
The mean age was 60 (11.8, SD) yr, and 35.8% were men. The mean onset-admission interval and length of stay were 62.9 and 97.1 days, respectively. The mean functional status score, as measured by the FIM instrument, at the time of admission was 75 compared with 86.7 at the time of discharge, showing a mean improvement of 11.7. Although rehabilitation gains were similar for the right- and left-side involved groups, patients with right-side paresis had lower FIM scores at the time of admission than did the left-side involved group. Significant predictors of functional status at the time of discharge were admission functional status score and onset-admission interval.
Knowledge of these predictors can contribute to more appropriate treatment and discharge planning.
描述67名因首次中风发作而接受住院康复治疗的土耳其幸存者的功能恢复情况，并确定能最佳预测这些患者出院时功能状态的变量。
一项对首次中风发作患者的人口统计学和临床特征以及功能状态进行的回顾性描述性研究。
平均年龄为60（标准差11.8）岁，男性占35.8%。平均发病至入院间隔时间和住院时间分别为62.9天和97.1天。入院时通过FIM工具测量的平均功能状态评分为75分，出院时为86.7分，平均改善了11.7分。尽管右侧和左侧受累组的康复进展相似，但右侧轻瘫患者入院时的FIM评分低于左侧受累组。出院时功能状态的显著预测因素是入院时的功能状态评分和发病至入院间隔时间。
了解这些预测因素有助于制定更合适的治疗和出院计划。
