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自发性脑出血后功能和运动恢复的预测因素。

Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage.

作者信息

Yang Shu-Mei, Lin Yen-Heng, Lai Ting-Ju, Lu You-Lin, Chen Hsing-Yu, Tsai Hsiao-Ting, Wu Chueh-Hung, Wang Kuo-Chuan, Lin Meng Ting

机构信息

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan.

Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.

出版信息

J Rehabil Med. 2025 Mar 6;57:jrm42159. doi: 10.2340/jrm.v57.42159.


DOI:10.2340/jrm.v57.42159
PMID:40047308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11898305/
Abstract

OBJECTIVE: Intracerebral haemorrhage significantly impacts patients' functional and motor recovery. Identifying predictive factors is crucial for enhancing post-intracerebral haemorrhage rehabilitation strategies. This study explores the predictors of functional improvement and motor recovery in intracerebral haemorrhage survivors. DESIGN: This retrospective cohort study was conducted at a tertiary referral hospital, encompassing patients diagnosed with acute spontaneous intracerebral haemorrhage from 1 June 2019, to 30 June 2023. METHODS: Data on clinical characteristics, activity-based indicators like the initial ability to sit independently without physical assistance and the ability to sit independently for 2 minutes, and haematoma location were analysed to determine their association with functional and motor recovery outcomes, assessed by the modified Rankin Scale, Barthel Index, and Brunnstrom stages. RESULTS: Among 310 patients, significant predictors for functional outcomes included hypertension, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, length of hospitalization, and initial National Institute of Health Stroke Scale (NIHSS). For motor recovery, the initial ability to sit independently with-out physical assistance, the initial ability to sit independently for 2 min, 24-h NIHSS, and length of hospitalization were identified as strong predictors for Brunnstrom stage recovery of upper and lower limbs. CONCLUSION: Predictive factors including hypertension, early NIHSS, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, and length of hospitalization play a crucial role in predicting functional and motor recovery after intracerebral haemorrhage.

摘要

目的:脑出血对患者的功能和运动恢复有显著影响。识别预测因素对于加强脑出血后的康复策略至关重要。本研究探讨脑出血幸存者功能改善和运动恢复的预测因素。 设计:本回顾性队列研究在一家三级转诊医院进行,纳入了2019年6月1日至2023年6月30日期间被诊断为急性自发性脑出血的患者。 方法:分析临床特征数据、基于活动的指标,如最初无需身体协助独立坐立的能力和独立坐立2分钟的能力,以及血肿位置,以确定它们与功能和运动恢复结果的关联,功能和运动恢复结果通过改良Rankin量表、Barthel指数和Brunnstrom分期进行评估。 结果:在310例患者中,功能结局的显著预测因素包括高血压、最初无需身体协助独立坐立的能力、最初独立坐立2分钟的能力、住院时间和初始美国国立卫生研究院卒中量表(NIHSS)评分。对于运动恢复,最初无需身体协助独立坐立的能力、最初独立坐立2分钟的能力、24小时NIHSS评分和住院时间被确定为上下肢Brunnstrom分期恢复的有力预测因素。 结论:包括高血压、早期NIHSS评分、最初无需身体协助独立坐立的能力、最初独立坐立2分钟的能力和住院时间在内的预测因素在预测脑出血后的功能和运动恢复方面起着关键作用。

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Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage.

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[7]
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[8]
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[9]
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本文引用的文献

[1]
Intracranial Hemorrhage-Is Very Early Rehabilitation Safe? A Narrative Review.

J Clin Med. 2024-6-27

[2]
Location-Specific Hematoma Volume Cutoff and Clinical Outcomes in Intracerebral Hemorrhage.

Stroke. 2023-6

[3]
Empowering Stroke Survivors: Understanding The Role of Multidisciplinary Rehabilitation.

Arch Phys Med Rehabil. 2023-10

[4]
Therapeutic dilemmas with benzodiazepines and Z-drugs: insomnia and anxiety disorders versus increased fall risk: a clinical review.

Eur Geriatr Med. 2023-8

[5]
Association of clinical factors to functional outcomes in patients with stroke with large-vessel occlusion after endovascular thrombectomy.

J Formos Med Assoc. 2023-4

[6]
Spontaneous Intracerebral Hemorrhage.

N Engl J Med. 2022-10-27

[7]
One-Year Outcome Trajectories and Factors Associated with Functional Recovery Among Survivors of Intracerebral and Intraventricular Hemorrhage With Initial Severe Disability.

JAMA Neurol. 2022-9-1

[8]
2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association.

Stroke. 2022-7

[9]
National Institutes of Health Stroke Scale Correlates Well with Initial Intracerebral Hemorrhage Volume.

J Stroke Cerebrovasc Dis. 2022-4

[10]
Benzodiazepines: Uses, Dangers, and Clinical Considerations.

Neurol Int. 2021-11-10

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