کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5627069 1579664 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Development of a prognostic scale for severely hemiplegic stroke patients in a rehabilitation hospital
ترجمه فارسی عنوان
توسعه یک مقیاس پیش آگهی برای بیماران شدید همودیالوگ سکته مغزی در یک بیمارستان توانبخشی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


- To predict severely hemiplegic stroke patient's walking ability, ADL and destination is important.
- Development of a prognostic scale for severely hemiplegic stroke patients.
- We made a new scale to predict all these prognostic variables with one prediction formula.

ObjectivesFor patients with severe hemiplegia in a rehabilitation hospital, early prediction of the functional prognosis and outcomes is challenging. The purpose of this study was to create and verify a prognostic scale in severely hemiplegic stroke patients and allowing for prediction of (1) the ability to walk at the time of hospital discharge, (2) the ability to carry out activities of daily living (ADL), and (3) feasibility of home discharge.Patients and methodsThe study was conducted on 80 severely hemiplegic stroke patients. A prognostic scale was created as an analysis method using the following items: mini-mental state examination (MMSE) at the time of admission, modified NIH stroke scale (m-NIHSS); trunk control test (TCT); and the ratio of the knee extensor strength on the non-paralyzed side to the body weight (KES/BW-US). We verified the reliability and validity of this scale.ResultsWe established a prognostic scale using the MMSE, m-NIHSS, TCT, and KES/BW-US. A score of 56.8 or higher on the prognostic scale suggested that the patient would be able to walk and that assistance with ADL would be unnecessary at the time of hospital discharge. In addition, a score of 41.3 points indicated that the patient's return home was feasible. The reliability and the results were in good agreement. These findings showed that the ability or inability to walk was predictable in 85%, the need of assistance with ADL in 82.5%, and the feasibility of home return in 76.3% of cases.ConclusionAt the time of admission, four evaluation items permitted the prediction of three outcomes at time of discharge. Our formula predicts three outcomes with an accuracy of more than 76%.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 158, July 2017, Pages 108-113
نویسندگان
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