Predicting response to rehabilitation in elderly patients with stroke using the Orpington Prognostic Scale and selected clinical variables.
OBJECTIVE
Prediction of outcome and response to rehabilitation in patients with stroke can be difficult, especially in the elderly. The purpose of this study was to determine the ability of the Orpington Prognostic Scale (OPS) to predict outcome and response to subacute rehabilitation in older patients with stroke.


METHODS
Twenty-two subjects in the subacute care setting diagnosed with acute stroke were prospectively studied. The OPS was scored within 2 weeks of stroke, and the Functional Independence Measure (FIM) motor subscale was scored at admission and discharge.


RESULTS
Strong Spearman correlations with OPS scores were found for improvement in FIM score [rs = -.74, 95% CI: (-.88, -.45), p = .0007] and discharge FIM score [rs = -.81, 95% CI: (-.92, -.58), p = .0002].


CONCLUSIONS
The OPS scores were strong predictors of response to subacute rehabilitation and discharge FIM motor subscale scores. The OPS may warrant a broader application as a prognostic indicator for patients with stroke.
Shoemaker
Michael J
MJ
Rehabiliation and Sports Medicine Services, Spectrum Health, Grand Rapids, MI, USA. michael.shoemaker@spectrum-health.org
Mullins-MacRitchie
Marianne
M
Bennett
Jolene
J
Vryhof
Kerri
K
Boettcher
Iris
I
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D020521:Stroke / Q000150:complications / Q000175:diagnosis; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome