体质量指数与伴吞咽障碍的亚急性脑卒中患者康复结局的关系

Relationship Between Body Mass Index and Rehabilitation Outcomes in Subacute Stroke With Dysphagia.

机构信息

From the Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Rome, Italy (GM, MI, LM, SP); and Complex Operative Unit in Physical Medicine and Rehabilitation, Azienda Policlinico Umberto I, Sapienza University of Rome, Rome, Italy (TP).

出版信息

Am J Phys Med Rehabil. 2019 Jul;98(7):608-612. doi: 10.1097/PHM.0000000000001159.

DOI:10.1097/PHM.0000000000001159

PMID:30768452

Abstract

OBJECTIVE

The aim of the study was to investigate the association between body mass index and rehabilitation outcome in hemiparetic patients with stroke in subacute phase.

DESIGN

This was a prospective study testing the correlation between body mass index and the effectiveness of rehabilitation, measured using Barthel Index scores. We enrolled patients with subacute stroke (n = 664; age, 68 ± 14 yrs; length of hospital stay, 84 ± 34 days). We assessed the body mass index and Barthel Index both at admission and discharge. The effectiveness of rehabilitation was computed as the percentage increment in Barthel Index score with respect to the maximum achievable improvement.

RESULTS

Effectiveness of rehabilitation was significantly correlated with the body mass index at discharge (R = 0.111, P = 0.004) and percentage change in body mass index (R = 0.253, P < 0.001), but not with body mass index at admission (R = 0.006, P = 0.869).

CONCLUSIONS

In addition to body mass index value, our findings suggest that rehabilitation outcomes can be influenced by the change in body mass index during rehabilitation.

摘要

目的

本研究旨在探讨亚急性期偏瘫脑卒中患者的体重指数与康复结局之间的关系。

设计

这是一项前瞻性研究，通过 Barthel 指数评分来检验体重指数与康复效果之间的相关性。共纳入 664 例亚急性脑卒中患者（年龄 68 ± 14 岁；住院时间 84 ± 34 天）。我们分别在入院时和出院时评估了体重指数和 Barthel 指数。康复效果以 Barthel 指数评分相对于最大可能改善程度的百分比增加来计算。