Predictors of functional level and quality of life at 6 months after a first-ever stroke: the KOSCO study

被引：56

作者：

Chang, Won Hyuk ^{[1
]}

Sohn, Min Kyun ^{[2
]}

Lee, Jongmin ^{[3
]}

Kim, Deog Young ^{[4
,5
]}

Lee, Sam-Gyu ^{[6
]}

Shin, Yong-Il ^{[7
]}

Oh, Gyung-Jae ^{[8
]}

Lee, Yang-Soo ^{[9
]}

Joo, Min Cheol ^{[10
]}

Han, Eun Young ^{[11
]}

Kang, Chung ^{[1
]}

Kim, Yun-Hee ^{[1
,12
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Phys & Rehabil Med,Ctr Prevent & Rehabil, 50 Ilwon Dong, Seoul, South Korea

[2] Chungnam Natl Univ, Sch Med, Dept Rehabil Med, Daejeon, South Korea

[3] Konkuk Univ, Dept Rehabil Med, Sch Med, Seoul, South Korea

[4] Yonsei Univ, Coll Med, Dept Rehabil Med, Seoul, South Korea

[5] Yonsei Univ, Coll Med, Res Inst Rehabil Med, Seoul, South Korea

[6] Chonnam Natl Univ, Sch Med, Dept Phys & Rehabil Med, Gwangju, South Korea

[7] Pusan Natl Univ, Yangsan Hosp, Sch Med, Dept Rehabil Med, Busan, South Korea

[8] Wonkwang Univ, Sch Med, Dept Prevent Med, Iksan, South Korea

[9] Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Rehabil Med, Daegu, South Korea

[10] Wonkwang Univ, Sch Med, Dept Rehabil Med, Iksan, South Korea

[11] Jeju Natl Univ, Sch Med, Jeju Natl Univ Hosp, Dept Rehabil Med, Jeju, South Korea

[12] Sungkyunkwan Univ, SAIHST, Dept Hlth Sci & Technol, Dept Med Device Management & Res, Seoul, South Korea

来源：

JOURNAL OF NEUROLOGY | 2016年 / 263卷 / 06期

基金：

新加坡国家研究基金会;

关键词：

Stroke; Function; Independence; Quality of life; Prognosis; Cohort; SOCIOECONOMIC-STATUS; ISCHEMIC-STROKE; OUTCOMES; RELIABILITY; RECOVERY; CARE; ASSOCIATION; DEPRIVATION; VALIDATION; PATIENT;

D O I：

10.1007/s00415-016-8119-y

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

Predicting functional outcome and quality of life (QOL) is critical to the treatment of patients with stroke. The purpose of this study was to analyze the factors influencing functional status and QOL of stroke patients 6 months after a first-ever stroke. This study was an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation Study, designed to include 10 years of follow-up for first-ever stroke patients. This study analyzed data from 2857 patients who completed face-to-face assessments with the functional independence measurement (FIM) and Euro Quality of Life-5D (EQ-5D) at 6 months after stroke onset. A multivariate regression analysis was used to analyze factors that potentially influenced FIM and EQ-5D results at 6 months after stroke. Of the patients in this study, 80.1 % suffered from ischemic stroke and 19.9 % experienced hemorrhagic stroke. The independent predictors of functional independency measured by FIM at 6 months after stroke were age, initial stroke severity, duration of hospitalization, and functional level at discharge in terms of motor, ambulation, and language. For QOL measured by EQ-5D at 6 months after stroke, age, duration of hospitalization, and motor function at discharge were significant predictors. In conclusion, proper treatment to achieve maximal functional gain at discharge may be an important factor in improving functional independency and QOL in chronic stage stroke survivors. These results provide useful information for establishing comprehensive and systematic care for stroke patients.

引用

页码：1166 / 1177

页数：12

共 46 条

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