Feigenson J S, McDowell F H, Meese P, McCarthy M L, Greenberg S D
Stroke. 1977 Nov-Dec;8(6):651-6. doi: 10.1161/01.str.8.6.651.
A retrospective analysis of 248 patients with stroke (average age 67, range 17-98) admitted to a stroke rehabilitation unit over a sixteen month period showed that 80% of these patients were able to return home after an average length of stay (LOS) of 43 days. At discharge 85% of the group were ambulatory and 56% required no help in daily living activities. Severity of weakness on admission, long onset-admission intervals, the presence of severe perceptual or cognitive dysfunction or a homonymous hemianopsia in addition to a motor deficit were related to unfavorable outcome and increased LOS. The age of the patient, dysphasia or a hemisensory deficit in addition to weakness, or diabetes, hypertension, or ASHD were unrelated to the patients' functional status on discharge, discharge disposition, or LOS. Many patients with "unfavorable prognostic signs" made significant improvement after admission and were subsequently discharges. Thus, while the above findings may predict which patients can make maximal gains in a short term treatment facility, they also show that most patients, even those with "poor prognostic signs," can make enough functional improvement to be managed at home after a relatively short hospitalization.
对在16个月期间入住一家中风康复单元的248例中风患者（平均年龄67岁，范围17 - 98岁）进行的回顾性分析显示，这些患者中有80%在平均住院时长（LOS）43天后能够回家。出院时，该组85%的患者能够行走，56%的患者在日常生活活动中无需帮助。入院时的虚弱严重程度、发病至入院间隔时间长、除运动功能缺损外还存在严重的感知或认知功能障碍或同向性偏盲与不良预后及住院时长增加有关。患者的年龄、除虚弱外的言语障碍或偏身感觉障碍，或糖尿病、高血压或动脉粥样硬化性心脏病与患者出院时的功能状态、出院去向或住院时长无关。许多有“不良预后体征”的患者在入院后有显著改善，随后出院。因此，虽然上述发现可能预测哪些患者能在短期治疗机构中取得最大程度的改善，但它们也表明，大多数患者，即使是那些有“不良预后体征”的患者，在相对较短的住院治疗后，也能在功能上有足够的改善以便在家中接受护理。
