Chang Eric Y, Chang Enoch H, Cragg Samantha, Cramer Steven C
Division of Pain Medicine Department of Anesthesiology & Perioperative Care Department of Physical Medicine & Rehabilitation Reeve-Irvine Research Center for Spinal Cord Injury University of California, Irvine
Department of Physical Medicine & Rehabilitation University of California, Irvine
Crit Rev Phys Rehabil Med. 2013;25(3-4):203-221. doi: 10.1615/CritRevPhysRehabilMed.2013008120.
Stroke remains a major cause of disability. The cost of stroke rehabilitation is substantial. Understanding the factors that predict response to inpatient stroke rehabilitation may be useful, for example, to best individualize the content of therapy, or to maximize the efficiency with which resources are directed. This review reviewed the literature and found that numerous variables were associated with outcome after inpatient stroke rehabilitation. The strongest evidence exists for factors such as age, stroke subtype, nutritional status, psychosocial factors such as living with family prior to stroke or presence of a caregiver. Functional status on admission, urinary incontinence, post-stroke infection, and aphasia each can also impact prognosis. Strengths and weaknesses of cited studies are considered in an attempt to inform design of future studies examining the factors that predict response to inpatient rehabilitation after stroke.
中风仍然是导致残疾的主要原因。中风康复的成本巨大。了解预测住院中风康复效果的因素可能会有所帮助,例如,使治疗内容达到最佳个体化,或最大限度地提高资源利用效率。这篇综述回顾了相关文献,发现众多变量与住院中风康复后的结果相关。年龄、中风亚型、营养状况、心理社会因素(如中风前与家人同住或有护理人员)等因素的证据最为充分。入院时的功能状态、尿失禁、中风后感染和失语症也都会影响预后。文中考虑了所引用研究的优缺点,以期为未来研究中风后住院康复效果预测因素的研究设计提供参考。