Impact of intracerebral hemorrhage and cerebral infarction on ADL and outcome in stroke patients: A retrospective cohort study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-01 DOI:10.3233/NRE-240182

Kenji Kawakami, Shigeo Tanabe, Sayaka Omatsu, Daiki Kinoshita, Yoshihiro Hamaji, Ken Tomida, Hiroo Koshisaki, Kenta Fujimura, Yoshikiyo Kanada, Hiroaki Sakurai

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引用次数: 0

Abstract

Background: The impact of different stroke types on specific activities of daily living (ADL) is unclear.

Objective: To investigate how differences between intracerebral hemorrhage (ICH) and cerebral infarction (CI) affect improvement of ADL in patients with stroke within a hospital by focusing on the sub-items of the Functional Independence Measure (FIM).

Methods: Patients with first-stroke hemiplegia (n = 212) were divided into two groups: ICH (86 patients) and CI (126 patients). Primary assessments included 13 motor and 5 cognitive sub-items of the FIM assessed at admission and discharge. Between-group comparisons and multiple regression analyses were performed.

Results: Upon admission, the ICH group exhibited significantly lower FIM scores than those of the CI group across various activities, including grooming, dressing (upper body and lower body), toileting, bed/chair transfer, toilet transfer, walking/wheelchair, and stairs. Age and FIM motor scores at admission influenced both groups' total FIM motor scores at discharge, whereas the duration from onset affected only the CI group.

Conclusion: Several individual FIM motor items were more adversely affected by ICH than by CI. Factors related to ADL at discharge may differ depending on stroke type. Recognizing these differences is vital for efficient rehabilitation practices and outcome prediction.

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脑出血和脑梗塞对中风患者日常活动能力和预后的影响：回顾性队列研究

背景：不同类型的中风对特定日常生活活动（ADL）的影响尚不清楚：不同类型的中风对特定日常生活活动（ADL）的影响尚不清楚：方法：将首次中风偏瘫患者（n = 212）分为两组，一组为脑出血患者，另一组为脑梗塞患者：方法：将首次中风偏瘫患者（n = 212）分为两组：ICH组（86例）和CI组（126例）。主要评估包括入院和出院时评估的 FIM 的 13 个运动和 5 个认知分项。进行了组间比较和多元回归分析：入院时，ICH 组患者在梳洗、穿衣（上半身和下半身）、如厕、床/椅转移、厕所转移、行走/轮椅和爬楼梯等各种活动中的 FIM 评分均明显低于 CI 组患者。入院时的年龄和 FIM 运动评分会影响两组患者出院时的 FIM 运动总评分，而发病持续时间只影响 CI 组：结论：与 CI 相比，ICH 对多个 FIM 运动项目的不利影响更大。与出院时日常活动能力相关的因素可能因中风类型而异。认识到这些差异对于有效的康复实践和结果预测至关重要。

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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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.