title: In What Daily Activities Do Patients Achieve Independence after Stroke?
abstract: BACKGROUND
  The aim of the study is to determine the probability of achieving independence and the related prognostic factors with regard to single activities of daily living after 3 months of rehabilitation following stroke.
  
  
  METHODS
  This longitudinal observational study, conducted in a neurorehabilitation unit of a research and health care institute, involved 435 subjects who were affected by stroke (age, 68 ± 14 years, 230 men). Barthel index (BI) scores were recorded at admission and dismissal 3 months later.
  
  
  RESULTS
  The highest improvement after rehabilitation was observed for bowel and bladder function and transfer and mobility, whereas the lowest improvement was seen in bathing, grooming, dressing, and stair climbing.
  
  
  CONCLUSIONS
  Severity of stroke, presence of unilateral neglect, age, gender, and onset-to-admission interval (OAI) were significant prognostic factors for 6 of 10 activities, as assessed by BI subscores. Feeding was influenced only by neglect and OAI, whereas OAI did not affect bowel or bladder function recovery.
  
  
  CONCLUSIONS
  Patients and their relatives could be informed about the specific activities in which patients will be expected to be independent after rehabilitation and the specific needs that they might have on returning home.
  
  
  CONCLUSIONS
  Our results might help optimize the management of the rehabilitative process.
authors.affiliation: Clinical Laboratory of Experimental Neuorehabilitation, IRCCS Fondazione Santa Lucia, Rome, Italy. Electronic address: g.morone@hsantalucia.it.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Morone
authors.affiliation: Clinical Laboratory of Experimental Neuorehabilitation, IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Paolucci
authors.affiliation: Clinical Laboratory of Experimental Neuorehabilitation, IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Iosa
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D007839:Functional Laterality; D006801:Humans; D057187:Independent Living / Q000523:psychology*; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
keywords: Stroke; activity of daily living; outcomes; prognostic factors; rehabilitation