Novack T A, Satterfield W T, Lyons K, Kolski G, Hackmeyer L, Connor M
Arch Phys Med Rehabil. 1984 Jun;65(6):316-9.
Increasing time between stroke onset and initiation of rehabilitation has been associated with poorer outcome in published reports. However, this conclusion is difficult to generalize because of variations in study sample size and selection. The present study examines rehabilitation outcomes for 687 patients admitted to a private rehabilitation center. Outcome variables include measures of ambulation, transfers, upper extremity function, and self-care in dressing, feeding, hygiene, communication, and household and homemaking activities. The association of outcome with fourteen variables, including time since onset, is explored using a multiple regression approach. Results suggest that time since stroke onset before admission to a rehabilitation facility has a minor effect on outcome when adjustments for other variables are taken into account. Its effects appear to be limited to treatment received in physical therapy, such as transfers and ambulation training. Other variables such as patient age, judgment, attention to task, and skill carryover are consistently associated with outcome measures and should be considered when assessing rehabilitation potential.
在已发表的报告中，中风发作与开始康复之间的时间间隔增加与较差的预后相关。然而，由于研究样本量和选择的差异，这一结论难以推广。本研究调查了一家私立康复中心收治的687例患者的康复结局。结局变量包括步行、转移、上肢功能以及穿衣、进食、卫生、沟通、家务和家庭活动等方面的自我护理指标。使用多元回归方法探讨结局与14个变量（包括发病时间）之间的关联。结果表明，在对其他变量进行调整后，入院前中风发作后的时间对结局影响较小。其影响似乎仅限于物理治疗中接受的治疗，如转移和步行训练。其他变量，如患者年龄、判断力、对任务的注意力和技能迁移，始终与结局指标相关，在评估康复潜力时应予以考虑。
