Irene Conradsen, Marius Henriksen, Hana Malá Rytter
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Early assessment of motor performance in patients with stroke-induced motor deficits may be able to function as a predictor of discharge destination but is less explored. <b>Objective:</b> The primary objective was to assess the predictive validity of the Motor Assessment Scale (MAS) on discharge destination both regarding total score and regarding subscores (transfer-mobility items and upper extremity items). <b>Design:</b> The study was designed as a prospective cohort study. <b>Subjects:</b> Thirty-seven consecutively recruited patients with stroke are the subjects of the study. <b>Methods:</b> Logistic regression model was used to calculate the odds of being discharged to own home upon hospital admittance. The predictive ability was examined with a receiving operator characteristic (ROC) curve, and cut-points from the curve were employed in Cox regression. <b>Results:</b> A one-unit higher score on the total MAS significantly increased the odds of being discharged home upon hospital admittance (odds ratio (OR) 1.14, 95% CI 1.04-1.25). The same pattern was observed with the summed items of 1-5 and 6-8. The total MAS showed sensitivity of 91.7% and specificity of 68.0%. Patients having a total MAS score ≥ 24 were 17 times more likely to be discharged home (HR 17.64, 95% CI 2.23-139.57) compared to patients with a lower score. <b>Conclusion:</b> Motor function measured by the MAS can be applied as a predictor of discharge destination upon hospital admission after stroke in Danish setting.</p>","PeriodicalId":45585,"journal":{"name":"Rehabilitation Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283334/pdf/","citationCount":"0","resultStr":"{\"title\":\"Predictive Validity of Motor Assessment Scale on Poststroke Discharge Destination.\",\"authors\":\"Irene Conradsen, Marius Henriksen, Hana Malá Rytter\",\"doi\":\"10.1155/2024/2914252\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background:</b> Stroke frequently leads to hospital admission and subsequent rehabilitation in order to overcome poststroke sequelae, such as motor impairments. Efficient planning of the steps following hospital admission includes early prediction of whether the patient can be discharged home or not. Early assessment of motor performance in patients with stroke-induced motor deficits may be able to function as a predictor of discharge destination but is less explored. <b>Objective:</b> The primary objective was to assess the predictive validity of the Motor Assessment Scale (MAS) on discharge destination both regarding total score and regarding subscores (transfer-mobility items and upper extremity items). <b>Design:</b> The study was designed as a prospective cohort study. <b>Subjects:</b> Thirty-seven consecutively recruited patients with stroke are the subjects of the study. <b>Methods:</b> Logistic regression model was used to calculate the odds of being discharged to own home upon hospital admittance. The predictive ability was examined with a receiving operator characteristic (ROC) curve, and cut-points from the curve were employed in Cox regression. <b>Results:</b> A one-unit higher score on the total MAS significantly increased the odds of being discharged home upon hospital admittance (odds ratio (OR) 1.14, 95% CI 1.04-1.25). The same pattern was observed with the summed items of 1-5 and 6-8. The total MAS showed sensitivity of 91.7% and specificity of 68.0%. 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引用次数: 0
摘要
背景:脑卒中通常会导致患者入院治疗,随后进行康复治疗,以克服脑卒中后遗症,如运动障碍。有效规划入院后的步骤包括及早预测患者是否可以出院回家。对脑卒中引起的运动障碍患者的运动表现进行早期评估,也许能起到预测出院去向的作用,但这方面的研究较少。目的:主要目的是评估运动能力评估量表(MAS)在总分和子分(转移-运动能力项目和上肢项目)方面对出院去向的预测有效性。设计:本研究为前瞻性队列研究。研究对象连续招募的 37 名脑卒中患者为研究对象。研究方法采用 Logistic 回归模型计算入院后出院回家的几率。用接收操作者特征曲线(ROC)检验预测能力,并在 Cox 回归中使用曲线上的切点。结果显示MAS 总分每增加一个单位,入院后出院回家的几率就会明显增加(几率比(OR)1.14,95% CI 1.04-1.25)。1-5 项和 6-8 项的总和也显示出相同的模式。MAS 总分的灵敏度为 91.7%,特异度为 68.0%。与得分较低的患者相比,MAS 总分≥ 24 分的患者出院回家的可能性要高出 17 倍(HR 17.64,95% CI 2.23-139.57)。结论通过 MAS 测量的运动功能可作为丹麦脑卒中患者入院后出院去向的预测指标。
Predictive Validity of Motor Assessment Scale on Poststroke Discharge Destination.
Background: Stroke frequently leads to hospital admission and subsequent rehabilitation in order to overcome poststroke sequelae, such as motor impairments. Efficient planning of the steps following hospital admission includes early prediction of whether the patient can be discharged home or not. Early assessment of motor performance in patients with stroke-induced motor deficits may be able to function as a predictor of discharge destination but is less explored. Objective: The primary objective was to assess the predictive validity of the Motor Assessment Scale (MAS) on discharge destination both regarding total score and regarding subscores (transfer-mobility items and upper extremity items). Design: The study was designed as a prospective cohort study. Subjects: Thirty-seven consecutively recruited patients with stroke are the subjects of the study. Methods: Logistic regression model was used to calculate the odds of being discharged to own home upon hospital admittance. The predictive ability was examined with a receiving operator characteristic (ROC) curve, and cut-points from the curve were employed in Cox regression. Results: A one-unit higher score on the total MAS significantly increased the odds of being discharged home upon hospital admittance (odds ratio (OR) 1.14, 95% CI 1.04-1.25). The same pattern was observed with the summed items of 1-5 and 6-8. The total MAS showed sensitivity of 91.7% and specificity of 68.0%. Patients having a total MAS score ≥ 24 were 17 times more likely to be discharged home (HR 17.64, 95% CI 2.23-139.57) compared to patients with a lower score. Conclusion: Motor function measured by the MAS can be applied as a predictor of discharge destination upon hospital admission after stroke in Danish setting.
期刊介绍:
Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.