title: Development and evaluation of a formula for predicting introduction of medication self-management in stroke patients in the Kaifukuki rehabilitation ward.
abstract: BACKGROUND
  Medication self-management in stroke patients is important to prevent further progression of disease and incidence of side effects. The purpose of this study was to create a formula for predicting medication self-management introduction in stroke patients using functional independence measure items and patient data, including medication-related information.
  
  
  METHODS
  This was a retrospective analysis of 104 patients (cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage) discharged from the Kaifukuki rehabilitation ward at Showa University Fujigaoka Rehabilitation Hospital from January to December 2012. Multivariate analysis was performed to develop a formula for predicting achievement of medication self-management.
  
  
  RESULTS
  Of the 104 patients, 39 (37.5%) achieved medication self-management. In the logistic regression analysis, number of drugs, age, walk/wheelchair mobility FIM, and memory FIM were extracted as significant factors independently contributing to achievement of medication self-management (p< 0.05). The prediction formula was [4.404 - 0.229 × number of drugs at admission + 0.470 × walk/wheelchair mobility FIM at admission + 0.416 × memory FIM at admission - 0.112 × age].
  
  
  CONCLUSIONS
  In the future, this formula may be used as an index to predict success of medication self-management in stroke patients.
authors.affiliation: Department of Pharmacy, Showa University Fujigaoka Rehabilitation Hospital, 2-1-1 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8518 Japan ; Department of Hospital Pharmaceutics, School of Pharmacy, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555 Japan.
authors.forename: Hisato
authors.initials: H
authors.lastname: Fujihara
authors.affiliation: Department of Hospital Pharmaceutics, School of Pharmacy, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555 Japan ; Department of Pharmacy, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501 Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Kogo
authors.affiliation: Department of Hospital Pharmaceutics, School of Pharmacy, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555 Japan.
authors.forename: Isao
authors.initials: I
authors.lastname: Saito
authors.affiliation: Department of Rehabilitation Medicine, School of Medicine, Showa University, 2-1-1 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501 Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Kawate
authors.affiliation: Department of Rehabilitation Medicine, School of Medicine, Showa University, 2-1-1 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501 Japan.
authors.forename: Masazumi
authors.initials: M
authors.lastname: Mizuma
authors.affiliation: Department of Pharmacy, Showa University Fujigaoka Rehabilitation Hospital, 2-1-1 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8518 Japan.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Department of Hospital Pharmaceutics, School of Pharmacy, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555 Japan ; Department of Pharmacy, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666 Japan.
authors.forename: Jun-Ichiro
authors.initials: JI
authors.lastname: Murayama
authors.affiliation: Department of Hospital Pharmaceutics, School of Pharmacy, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555 Japan ; Department of Pharmacy, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666 Japan.
authors.forename: Tadanori
authors.initials: T
authors.lastname: Sasaki
keywords: FIM; Medication self-management; Multivariate analysis; Predictive factor; Rehabilitation; Stroke patient