Granger C V, Hamilton B B, Gresham G E
Department of Rehabilitation Medicine, Buffalo General Hospital, NY 14203.
Arch Phys Med Rehabil. 1988 Jul;69(7):506-9.
Part I describes the background of the study, the characteristics of the patient population, and their functional status before onset of stroke, at rehabilitation admission, and at discharge, and the outcomes six months after discharge. Results showed that the average age was 69; 40% had right hemiparesis, 43% left, and 17% bilateral deficits. Medical complications during rehabilitation hospitalization were more common in patients who, at follow-up, were either living in a long-term care facility or had died. Average length of medical rehabilitation stay was 37 days, with mean admission and discharge Barthel Index scores of 37 and 66, respectively. Seventy percent of patients were discharged to the community and 68% were in the community six months after discharge. Patients with higher Barthel Index scores at discharge were more likely to be living in the community at follow-up. Patients living in the community at follow-up, with higher Barthel Index scores, were more likely to be satisfied with life in general, have more person-to-person contacts, and be more active in community affairs.
第一部分描述了研究背景、患者群体特征、中风发作前、康复入院时、出院时的功能状态以及出院后六个月的结果。结果显示，平均年龄为69岁；40%有右侧偏瘫，43%有左侧偏瘫，17%有双侧功能缺陷。康复住院期间的医疗并发症在随访时居住在长期护理机构或已死亡的患者中更为常见。医疗康复住院的平均时长为37天，入院和出院时巴氏指数评分的平均值分别为37分和66分。70%的患者出院后回到社区，出院后六个月时68%的患者仍在社区。出院时巴氏指数评分较高的患者在随访时更有可能居住在社区。随访时居住在社区且巴氏指数评分较高的患者更有可能总体上对生活感到满意、有更多人际接触并且更积极参与社区事务。
