Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: a matched comparison.
OBJECTIVE
The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results.


METHODS
This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms of stroke origin, infarction versus hemorrhage. We compared the groups' length of stay, efficiency and effectiveness of treatment, and percentage of low and high responder patients. Odds ratios of dropouts and of low and high therapeutic response were also quantified.


RESULTS
Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel Index, and Rivermead Mobility Index; and a higher percentage of high responders on the Barthel Index. Hemorrhagic patients showed a probability of a high therapeutic response on the Barthel Index that was approximately 2.5 times greater than that of ischemic patients (odds ratio, 2.48; 95% confidence interval, 1.19 to 5.20; accuracy on prediction, 87.06%).


CONCLUSIONS
The results of this study provide further evidence of better functional prognosis in stroke survivors with hemorrhagic stroke.
Paolucci
Stefano
S
Fondazione I.R.C.C.S. Santa Lucia, Rome, Italy. s.paolucci@hsantalucia.it
Antonucci
Gabriella
G
Grasso
Maria Grazia
MG
Bragoni
Maura
M
Coiro
Paola
P
De Angelis
Domenico
D
Fusco
Francesca Romana
FR
Morelli
Daniela
D
Venturiero
Vincenzo
V
Troisi
Elio
E
Pratesi
Luca
L
D000368:Aged; D002545:Brain Ischemia / Q000175:diagnosis / Q000534:rehabilitation*; D016022:Case-Control Studies; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000534:rehabilitation*; D018450:Disease Progression; D005260:Female; D006801:Humans; D007558:Italy; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009460:Neurologic Examination / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D011379:Prognosis; D020127:Recovery of Function; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D020521:Stroke / Q000175:diagnosis; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome