Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Functional Independence: A Comparison of the Changes During Neurorehabilitation Between Patients With Nontraumatic Subarachnoid Hemorrhage and Patients With Intracerebral Hemorrhage or Acute Ischemic Stroke (2017) |
Auteurs : | Henriette Holm Stabel ; Asger Roer Pedersen ; Soren Paaske Johnsen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/4, 2017) |
Article en page(s) : | pp. 759-765 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Évaluation de résultat (soins) ; Rééducation et réadaptation |
Mots-clés: | Activities of daily living ; Outcome Assessment (Health Care) ; Stroke ; Subarachnoid hemorrhage ; Hémorragie meningée |
Résumé : |
Objective To compare the changes in functional independence measured by the FIM after specialized neurorehabilitation between patients with nontraumatic subarachnoid hemorrhage (SAH) and patients with intracerebral hemorrhage (ICH) or acute ischemic stroke (AIS). Design Historical cohort study comparing changes in functional independence between patients with nontraumatic SAH and those with ICH/AIS, using FIM scores from a local database and clinical information from the Danish National Patient Registry. Setting Postacute specialized inpatient neurorehabilitation. Participants Participants (N=660) comprised patients with a first-time nontraumatic SAH (n=212) and age-matched patients with a first-time ICH/AIS (n=448). Interventions Not applicable. Main Outcome Measures Crude and adjusted comparisons of FIM (total and item by item) measured at baseline and at discharge. Results Patients with nontraumatic SAH were admitted with a lower functional level compared with patients with ICH/AIS (median total FIM score, 25 [interquartile range (IQR), 1881] vs 78.5 [IQR, 47107]), and discharged with a lower functional level (median total FIM score, 98 [IQR, 40116] vs 110 [IQR, 82.5119]), although they made more progress during neurorehabilitation (median change in total FIM score, 27 [IQR, 460] vs 17 [IQR, 735]). Statistically, patients with nontraumatic SAH had significantly better odds for obtaining functional independence than did patients with ICH/AIS in 6 of the 18 FIM items: eating (odds ratio [OR]=3.2; 95% confidence interval [CI], 1.75.8); dressingupper body (OR=2.0; 95% CI, 1.13.5); transfer tub/shower (OR=2.0; 95% CI, 1.13.6); stair walking (OR=2.2; 95% CI, 1.33.7); comprehension (OR=2.3; 95% CI, 1.33.9); and expression (OR=3.6; 95% CI, 2.06.5). Conclusions Patients with nontraumatic SAH made significantly more progress during neurorehabilitation, although they were discharged with a lower level of functional independence compared with patients with ICH/AIS. However, both patients with nontraumatic SAH and those with ICH/AIS improved their functional outcome significantly. Also, patients with nontraumatic SAH admitted with severe functional outcome were shown to be capable of recovering to a moderate level of functional independence. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316313041 |