title: Long-term outcome of severe stroke patients: is the ADL status at discharge from a stroke center indicative of the long-term outcome?
abstract: The objective of this study was to examine the possibility of predicting the long-term outcome of severe stroke patients from the ADL status at discharge. The design is a retrospective observational study in the stroke center at Tokushima University Hospital. Severe stroke patients at discharge with Barthel Index (BI) scores ≤ 40 (N=51) were divided into two subgroups retrospectively, improved and unimproved. The Functional Independence Measure (FIM) and BI were analyzed at discharge, 3 and 6 months after onset. Correlation analysis between BI and FIM showed good correlation, especially between BI and motor FIM (mFIM). In conclusion, the ADL status at discharge from a stroke center is not definitely indicative of the long-term outcome, although good recovery of severe stroke cases was observed in males and younger patients, and in patients with motor FIM score>25. This result shows that the first 3 months after the attack should be regarded as an important time window for intensive rehabilitation.
authors.affiliation: Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan.
authors.forename: Michiharu
authors.initials: M
authors.lastname: Kashihara
authors.forename: Shigetaka
authors.initials: S
authors.lastname: Nakao
authors.forename: Jun
authors.initials: J
authors.lastname: Kawasaki
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Takata
authors.forename: Shinji
authors.initials: S
authors.lastname: Nagahiro
authors.forename: Ryuji
authors.initials: R
authors.lastname: Kaji
authors.forename: Natsuo
authors.initials: N
authors.lastname: Yasui
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D012189:Retrospective Studies; D020521:Stroke / Q000503:physiopathology*; D000071939:Stroke Rehabilitation