title: Predictors of functional outcome after right hemisphere stroke in patients with or without thrombolytic treatment.
abstract: The purpose of this study was to assess the predictors of functional outcome after right hemisphere stroke at 6-month follow up in patients with or without thrombolytic treatment. Thrombolysis did not predict functional outcome in instrumental activities of daily living (IADL). Lower acute phase basic activities of daily living (ADL) measured by the Barthel Index was a statistically significant predictor of IADL when adjusted for age and education (p = .015) and had borderline significance (p = .076) as a predictor of functional outcome when adjusted for severity of stroke at admission. When stroke severity was taken into account also higher age became a statistically significant (p = .039) predictor of functional outcome. The acute phase neuropsychological symptoms predicted the functional outcome in unadjusted analyses but when adjusted for age, education, and severity of stroke no independent association was found.
authors.affiliation: Department of Neurosciences and Rehabilitation, Tampere University Hospital, PO Box 2000, FI-33521 Tampere, Finland. heidi.losoi@pshp.fi
authors.forename: H
authors.initials: H
authors.lastname: Losoi
authors.forename: J E
authors.initials: JE
authors.lastname: Kettunen
authors.forename: M
authors.initials: M
authors.lastname: Laihosalo
authors.forename: E-I
authors.initials: EI
authors.lastname: Ruuskanen
authors.forename: P
authors.initials: P
authors.lastname: Dastidar
authors.forename: A-M
authors.initials: AM
authors.lastname: Koivisto
authors.forename: M
authors.initials: M
authors.lastname: Jehkonen
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000367:Age Factors; D000368:Aged; D002545:Brain Ischemia / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010468:Perceptual Disorders / Q000209:etiology / Q000523:psychology*; D011237:Predictive Value of Tests; D020127:Recovery of Function / Q000502:physiology*; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D015912:Thrombolytic Therapy; D016896:Treatment Outcome