Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
Int J Stroke. 2013 Jun;8(4):240-4. doi: 10.1111/j.1747-4949.2012.00835.x. Epub 2012 May 28.
There is no information regarding the proportion of stroke patients who drive or ride after a stroke from developing countries.
We aimed to study the predictors of poststroke driving or riding and its impact on social life in Indian patients.
This study was done in the stroke and neurology clinics of Christian Medical College, Ludhiana, from May 1, 2008 to May 31, 2010. Patients were recruited if they had completed ≥1-year follow-up. Subjects were interviewed using a structured questionnaire. Stroke outcome was assessed by using the modified Rankin scale. Outcome was classified as good (modified Rankin scale ≤2) and poor (modified Rankin scale >2).
Two hundred and one patients were interviewed. Mean age was 58·0 ± 13·4 years (median 59 years, range 17-85 years), 139 (69·2%) were men. The mean duration of follow-up was 37·4 ± 29·2 months (range 19-210 months). Out of 201 patients, 132 (65·7%) drove or rode before stroke and among them only 54 (40·9%) returned to driving or riding after stroke [men 53 (98·1%)]. Among the 78 who did not return to driving or riding, 51 (65·4%) had an impact on social life. In the multivariate logistic regression analysis, the predictors of inability to drive were lower education (odds ratio 0·32, confidence interval 0·12-0·89, P = 0·03), unemployment (odds ratio 4·59, confidence interval 1·67-12·6, P = 0·003), and poor outcome (odds ratio 3·97, confidence interval 1·06-14·8, P = 0·04).
Only 40·9% of the patients returned to driving or riding. Lower education, unemployment, and poor recovery were the predictors of inability to drive or ride. Inability to drive had a major impact in their social life.
发展中国家尚无关于卒中后患者驾驶或骑车比例的信息。
我们旨在研究印度患者卒中后驾驶或骑车的预测因素及其对社会生活的影响。
本研究于 2008 年 5 月 1 日至 2010 年 5 月 31 日在卢迪亚纳基督教医学院的卒中与神经科诊所进行。如果患者完成了≥1 年的随访，我们将其招募入组。使用结构化问卷对受试者进行访谈。使用改良 Rankin 量表评估卒中结局。结局分为良好（改良 Rankin 量表≤2 分）和不良（改良 Rankin 量表>2 分）。
共对 201 例患者进行了访谈。平均年龄为 58.0±13.4 岁（中位数 59 岁，范围 17-85 岁），139 例（69.2%）为男性。201 例患者的平均随访时间为 37.4±29.2 个月（范围 19-210 个月）。201 例患者中有 132 例（65.7%）在卒中前驾驶或骑车，其中仅 54 例（40.9%）在卒中后恢复驾驶或骑车[男性 53 例（98.1%）]。在 78 例未恢复驾驶或骑车的患者中，51 例（65.4%）的社会生活受到影响。在多变量逻辑回归分析中，不能驾驶的预测因素为受教育程度较低（比值比 0.32，95%置信区间 0.12-0.89，P=0.03）、失业（比值比 4.59，95%置信区间 1.67-12.6，P=0.003）和不良结局（比值比 3.97，95%置信区间 1.06-14.8，P=0.04）。
仅有 40.9%的患者恢复了驾驶或骑车。受教育程度较低、失业和恢复不良是不能驾驶或骑车的预测因素。不能驾驶对他们的社会生活有重大影响。
