Prediction of social activity 1 year poststroke.
OBJECTIVE
To develop an easy-to-use prediction rule for social activity 1 year poststroke that can identify patients at risk for social inactivity.


METHODS
Inception cohort.


METHODS
Rehabilitation center.


METHODS
Patients with a first-ever supratentorial stroke were selected in 4 Dutch rehabilitation centers. Data of 250 patients were available for analysis. Potential prognostic factors measured at admission were sex, age, marital status, prestroke employment status, educational level, type of stroke, hemisphere, motor impairment, trunk control, communication, and activities of daily living (ADL) dependency.


METHODS
Not applicable.


METHODS
Social activity measured by the Frenchay Activities Index (FAI) at 1 year poststroke.


RESULTS
Multivariate backward linear regression analysis identified sex, age, marital status, motor impairment, communication, and ADL dependency as important predictors of the FAI score 1 year poststroke. An easy-to-use score chart was constructed that could identify patients at risk for social inactivity. The score chart proved to be well able to discriminate poor social functioning from moderate to good social functioning (area under the curve = .85).


CONCLUSIONS
Identifying patients at risk enables health care professionals to focus on the social activity of this patient subgroup at an early stage in the care process.
Center of Excellence for Rehabilitation Medicine Utrecht, Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands. V.Schepers@dehoogstraat.nl
Vera P
VP
Schepers
Anne M
AM
Visser-Meily
Marjolijn
M
Ketelaar
Eline
E
Lindeman
D000203:Activities of Daily Living; D000367:Age Factors; D015331:Cohort Studies; D003144:Communication Barriers; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D019957:Motor Skills Disorders / Q000453:epidemiology; D015999:Multivariate Analysis; D009426:Netherlands / Q000453:epidemiology; D012307:Risk Factors; D012737:Sex Factors; D012917:Social Adjustment; D020521:Stroke / Q000453:epidemiology*; D013997:Time Factors