Factors affecting poor functional outcomes of intermediate care rehabilitation in post-stroke patients
Keywords:
Intermediate care, functional outcome, strokeAbstract
Objective: This study aims to evaluate factors affecting poor functional outcomes of stroke patients who participated in intermediate care (IMC) rehabilitation services.
Method: This study was a retrospective study in acute stroke patients who participated in IMC rehabilitation services in Chumphon province. The data were collected from medical records. The functional outcomes were recorded at baseline and 6-month follow-up by using Barthel index (BI). Patients were divided into good (ΔBI ≥ 2) and poor (ΔBI < 2) functional outcomes groups. The predictors of poor functional outcomes were determined with multiple logistic regression analyses.
Result: 124 patients were recruited, of which 35 (28.2%) were in the poor functional outcome group, 9.7% died during 6 months follow-up. The final model of analysis, with multiple logistic regression, demonstrated that the factors affecting poor functional outcomes were age ≥ 65 years old (ORadj=11.2; p-value=0.004), being dependent in ambulation before stroke (ORadj=13.1; p-value=0.007), high NIHSS score at admission (ORadj=1.1; p-value=0.008), impaired sitting balance (ORadj=6.8; p-value=0.008) and poor motivation for rehabilitation programs (ORadj=13.2; p-value=<0.001).
Conclusion: Poor functional outcomes of stroke patients who participated in intermediate care rehabilitation services were found to be associated with age, ambulation status before stroke, NIHSS score at admission, sitting balance and motivation for rehabilitation programs.
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