Vogel J
Medizinisch-Geriatrische Klinik, Albertinen-Haus, Hamburg.
Rehabilitation (Stuttg). 1994 Aug;33(3):155-7.
A total of 289 stroke patients over age 65 were followed-up 5 years post-discharge from in-patient rehabilitation. Predictors of the course following discharge are investigated and geriatric rehabilitation assessed based on data gathered during in-patient rehabilitation as well as follow-up findings. 40% of the patients were alive 5 years post-discharge; the average annual death rate of 14.6% had been three times higher than among a control group. 67% are living in their own home, 21% in a nursing facility, and 12% in a residence for the elderly; only 3 of the surviving patients had to move to a nursing home post discharge. The patients' independence had reduced by an average 5 points on the Barthel index. Negative predictors for survival had been the presence of cardiac disease, Diabetes mellitus, psycho-organic syndrome and depression at discharge. However, as is the case for age as such, these conditions do not affect survivors' functional outcomes. Two thirds of the patients consider their state of health as constant or improved; only one fifth were rated as having a poor quality of life. The data gathered for the follow-up patients show that geriatric stroke rehabilitation is worthwhile.
共有289名65岁以上的中风患者在住院康复出院后接受了5年的随访。基于住院康复期间收集的数据以及随访结果，对出院后的病程预测因素进行了调查，并对老年康复进行了评估。40%的患者在出院后5年存活；14.6%的年均死亡率比对照组高出三倍。67%的患者住在自己家中，21%住在护理机构，12%住在养老院；只有3名存活患者在出院后不得不搬到养老院。患者的独立性在Barthel指数上平均下降了5分。出院时存在心脏病、糖尿病、精神器质性综合征和抑郁症是生存的负面预测因素。然而，就年龄本身而言，这些情况并不影响幸存者的功能结局。三分之二的患者认为自己的健康状况保持不变或有所改善；只有五分之一的患者被评为生活质量较差。随访患者收集的数据表明，老年中风康复是值得的。
