Yumei Lv1, Qiuxue Sun1, Juan Li2, Wenyue Zhang3, Yudi He1, Yuqiu Zhou1. 1. School of Nursing, Harbin Medical University (Daqing), Daqing, Heilongjiang Province, People's Republic of China. 2. Department of Pneumology, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shangdong Province, People's Republic of China. 3. Department of Rehabilitation, People's Hospital of Daqing, Daqing, Heilongjiang Province, People's Republic of China.
Abstract
PURPOSE: To explore the rate of post-stroke disability and its associated factors in the third year following discharge from inpatient rehabilitation in Northeast China. DESIGN: A prospective cohort study. METHODS: A total of 522 persons who were hospitalized with a diagnosis of stroke were recruited consecutively between April 2015 and December 2015 and followed for 3 years. The primary outcome was disability, which was assessed using the Modified Barthel Index (MBI), a cutoff score of ≤95 indicates disability. Plausible risk factors of disability were selected from available variables to perform multivariate logistic regression analysis. FINDINGS: The proportion of post-stroke patients with disability decreased from 63.8% to 46.7% at 3-year follow-up. The factors associated with post-stroke disability were age, neurological deficits, cognitive function, depression, and social support. CONCLUSIONS/CLINICAL RELEVANCE: Disability continues to be a significant issue for individuals after a stroke, and community health workers should perform targeted assessments and interventions to decrease disability, and pay special attention to individuals who are at greatest risk of post-stroke disability.
PURPOSE: To explore the rate of post-stroke disability and its associated factors in the third year following discharge from inpatient rehabilitation in Northeast China. DESIGN: A prospective cohort study. METHODS: A total of 522 persons who were hospitalized with a diagnosis of stroke were recruited consecutively between April 2015 and December 2015 and followed for 3 years. The primary outcome was disability, which was assessed using the Modified Barthel Index (MBI), a cutoff score of ≤95 indicates disability. Plausible risk factors of disability were selected from available variables to perform multivariate logistic regression analysis. FINDINGS: The proportion of post-stroke patients with disability decreased from 63.8% to 46.7% at 3-year follow-up. The factors associated with post-stroke disability were age, neurological deficits, cognitive function, depression, and social support. CONCLUSIONS/CLINICAL RELEVANCE: Disability continues to be a significant issue for individuals after a stroke, and community health workers should perform targeted assessments and interventions to decrease disability, and pay special attention to individuals who are at greatest risk of post-stroke disability.
Authors: Norberto L Cabral; Vivian Nagel; Adriana B Conforto; Claudio H Amaral; Vanessa G Venancio; Juliana Safanelli; Felipe Ibiapina; Alexandre L Longo; Viviane de Hiroki F Zetola Journal: Int J Stroke Date: 2018-03-07 Impact factor: 5.266