[FUNCTIONAL INDEPENDENCE MEASURE SCALE SCORES IN SEVERELY DEPENDENT OLDER ADULTS UPON REHABILITATION COMPLETION FOLLOWING STROKE].

Harefuah Pub Date : 2024-06-01

Danielle Ann Peleg, Dan Justo

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Abstract

Introduction: : Functional Independence Measure (FIM) is a scale used to evaluate functional status during rehabilitation. The associations between FIM scale scores upon stroke rehabilitation completion and functional status of older adults according to the Israeli Ministry of Health (MOH) guidelines has never been studied until now.

Aims: To study the association between FIM scale scores upon stroke rehabilitation completion and functional status of older adults according to the Israeli MOH guidelines.

Methods: A retrospective cross-sectional study was conducted at the Geriatric Rehabilitation department in Sheba Medical Center. Medical charts of older adults (age ≥65 years) admitted for rehabilitation during 2018-2020 following stroke were studied. Age, gender, total FIM score upon rehabilitation completion, functional status upon rehabilitation completion according to the Israeli MOH guidelines and moving to a nursing-home were documented.

Results: The cohort included 119 older adults: 63 (52.9%) males; mean age was 80.5±7.6 years. Most older adults were severely dependent upon rehabilitation completion (n=97/119, 81.5%) and 16 (16.5%) of whom moved to a nursing-home. Median total FIM scores upon rehabilitation completion was 109 (IQR: 106-116) in mildly dependent older adults, 69 (IQR: 48-84) in severely dependent community-dwelling older adults, and 34 (IQR: 25-45) in severely dependent nursing-home residents (p<0.001). Total FIM score of 100 (or less) had the highest sensitivity (93.8%) and specificity (95.5%) in differentiating between mildly dependent and severely dependent older adults. Binary logistic regression showed a significant association between being severely dependent and total FIM scores upon stroke rehabilitation completion - adjusted for age and gender (OR 0.53, 95% CI 0.30-0.92, p=0.025).

Conclusions: These findings may assist Israeli geriatricians who use the FIM scale to define the functional status of older adults upon stroke rehabilitation completion.

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[中风后完成康复治疗时严重依赖性老年人的功能独立性量表评分]。

简介：：功能独立性量表（FIM）是用于评估康复期间功能状况的量表。目的：根据以色列卫生部（MOH）指南，研究中风康复完成后 FIM 量表得分与老年人功能状况之间的关系：方法：在谢巴医疗中心老年康复科进行了一项回顾性横断面研究。研究对象为 2018-2020 年期间因中风接受康复治疗的老年人（年龄≥65 岁）的病历。研究记录了年龄、性别、康复完成时的 FIM 总分、根据以色列卫生部指南康复完成时的功能状态以及搬入疗养院的情况：结果：研究对象包括 119 名老年人：男性 63 人（52.9%），平均年龄为 80.5±7.6 岁。大多数老年人在完成康复治疗后依赖程度严重（97/119，81.5%），其中 16 人（16.5%）搬到了疗养院。康复完成后，轻度依赖老年人的 FIM 总分中位数为 109（IQR：106-116）分，严重依赖社区老年人的 FIM 总分中位数为 69（IQR：48-84）分，严重依赖疗养院的老年人的 FIM 总分中位数为 34（IQR：25-45）分：这些发现可能有助于以色列老年病学家使用 FIM 量表来确定中风康复完成后老年人的功能状态。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Harefuah

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