Predicting mobility outcome one year after stroke: a prospective cohort study
To develop a prognostic model to predict mobility outcome one year post-stroke. Prospective cohort study in patients with a first-ever stroke admitted for inpatient rehabilitation. A total of 217 patients with stroke (mean age 58 years) following inpatient rehabilitation in 4 rehabilitation centres...
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Veröffentlicht in: | Journal of rehabilitation medicine 2006-07, Vol.38 (4), p.218-223 |
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creator | van de Port, Ingrid G L Kwakkel, Gert Schepers, Vera P M Lindeman, Eline |
description | To develop a prognostic model to predict mobility outcome one year post-stroke.
Prospective cohort study in patients with a first-ever stroke admitted for inpatient rehabilitation.
A total of 217 patients with stroke (mean age 58 years) following inpatient rehabilitation in 4 rehabilitation centres across the Netherlands.
Mobility was measured using the Rivermead Mobility Index at one year poststroke. Included independent variables were: patient and stroke characteristics, functional status, urinary incontinence, sitting balance, motor and cognitive function. Univariate and multivariate linear regression analyses were performed in a model-developing set (n=174) and the model was validated in cross-validation set (n=43).
Total Rivermead Mobility Index score at one year post-stroke was predicted by functional status, sitting balance, time between stroke onset and measurement, and age. The derived model predicted 48% of the variance, while validation in the cross-validation set resulted in an adjusted R(2) of 0.47.
The present prospective study shows that outcome of mobility one year after stroke can be predicted validly by including functional status, sitting balance, moment of admission to the rehabilitation centre after stroke onset and age. |
doi_str_mv | 10.1080/16501970600582930 |
format | Article |
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Prospective cohort study in patients with a first-ever stroke admitted for inpatient rehabilitation.
A total of 217 patients with stroke (mean age 58 years) following inpatient rehabilitation in 4 rehabilitation centres across the Netherlands.
Mobility was measured using the Rivermead Mobility Index at one year poststroke. Included independent variables were: patient and stroke characteristics, functional status, urinary incontinence, sitting balance, motor and cognitive function. Univariate and multivariate linear regression analyses were performed in a model-developing set (n=174) and the model was validated in cross-validation set (n=43).
Total Rivermead Mobility Index score at one year post-stroke was predicted by functional status, sitting balance, time between stroke onset and measurement, and age. The derived model predicted 48% of the variance, while validation in the cross-validation set resulted in an adjusted R(2) of 0.47.
The present prospective study shows that outcome of mobility one year after stroke can be predicted validly by including functional status, sitting balance, moment of admission to the rehabilitation centre after stroke onset and age.</description><identifier>ISSN: 1650-1977</identifier><identifier>DOI: 10.1080/16501970600582930</identifier><identifier>PMID: 16801203</identifier><language>eng</language><publisher>Sweden</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Cognition ; Cohort Studies ; Disability Evaluation ; Female ; Humans ; Male ; Middle Aged ; Mobility ; Motor Activity - physiology ; Postural Balance - physiology ; Predictive validity ; Prognosis ; Prospective Studies ; Recovery of Function - physiology ; Rehabilitation ; Stroke - physiopathology ; Stroke - psychology ; Stroke Rehabilitation ; Strokes ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Journal of rehabilitation medicine, 2006-07, Vol.38 (4), p.218-223</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30979</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16801203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van de Port, Ingrid G L</creatorcontrib><creatorcontrib>Kwakkel, Gert</creatorcontrib><creatorcontrib>Schepers, Vera P M</creatorcontrib><creatorcontrib>Lindeman, Eline</creatorcontrib><title>Predicting mobility outcome one year after stroke: a prospective cohort study</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>To develop a prognostic model to predict mobility outcome one year post-stroke.
Prospective cohort study in patients with a first-ever stroke admitted for inpatient rehabilitation.
A total of 217 patients with stroke (mean age 58 years) following inpatient rehabilitation in 4 rehabilitation centres across the Netherlands.
Mobility was measured using the Rivermead Mobility Index at one year poststroke. Included independent variables were: patient and stroke characteristics, functional status, urinary incontinence, sitting balance, motor and cognitive function. Univariate and multivariate linear regression analyses were performed in a model-developing set (n=174) and the model was validated in cross-validation set (n=43).
Total Rivermead Mobility Index score at one year post-stroke was predicted by functional status, sitting balance, time between stroke onset and measurement, and age. The derived model predicted 48% of the variance, while validation in the cross-validation set resulted in an adjusted R(2) of 0.47.
The present prospective study shows that outcome of mobility one year after stroke can be predicted validly by including functional status, sitting balance, moment of admission to the rehabilitation centre after stroke onset and age.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Cognition</subject><subject>Cohort Studies</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mobility</subject><subject>Motor Activity - physiology</subject><subject>Postural Balance - physiology</subject><subject>Predictive validity</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Recovery of Function - physiology</subject><subject>Rehabilitation</subject><subject>Stroke - physiopathology</subject><subject>Stroke - psychology</subject><subject>Stroke Rehabilitation</subject><subject>Strokes</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>1650-1977</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkLtOxDAQRV2A2GXhA2iQK7rAOI5fdGjFS1oEBdSR40wgkKyD7SDl7wliqamudO6Z0WgIOWFwzkDDBZMCmFEgAYTODYc9svxh2QzVghzG-A7AlODqgCyY1MBy4Evy8BSwbl1qt6-091XbtWmifkzO90j9FumENlDbJAw0puA_8JJaOgQfB5ynvpA6_-ZDmsuxno7IfmO7iMe7XJGXm-vn9V22eby9X19tsiGXPGWMg9XGggVTF1grI42zigNUKkeQBXMi57mokVWNE6aSUJmGuUY13CnNOF-Rs9-98yGfI8ZU9m102HV2i36MpdRCM1DFv6JQUDAAPYunO3GseqzLIbS9DVP59yn-De-vaPo</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>van de Port, Ingrid G L</creator><creator>Kwakkel, Gert</creator><creator>Schepers, Vera P M</creator><creator>Lindeman, Eline</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Predicting mobility outcome one year after stroke: a prospective cohort study</title><author>van de Port, Ingrid G L ; Kwakkel, Gert ; Schepers, Vera P M ; Lindeman, Eline</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p263t-130a89a0a09d4ed7969ca7300b72e0641c52325de1bfc59b60b9f1cf7f3c78133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Cognition</topic><topic>Cohort Studies</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mobility</topic><topic>Motor Activity - physiology</topic><topic>Postural Balance - physiology</topic><topic>Predictive validity</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Recovery of Function - physiology</topic><topic>Rehabilitation</topic><topic>Stroke - physiopathology</topic><topic>Stroke - psychology</topic><topic>Stroke Rehabilitation</topic><topic>Strokes</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van de Port, Ingrid G L</creatorcontrib><creatorcontrib>Kwakkel, Gert</creatorcontrib><creatorcontrib>Schepers, Vera P M</creatorcontrib><creatorcontrib>Lindeman, Eline</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van de Port, Ingrid G L</au><au>Kwakkel, Gert</au><au>Schepers, Vera P M</au><au>Lindeman, Eline</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting mobility outcome one year after stroke: a prospective cohort study</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>38</volume><issue>4</issue><spage>218</spage><epage>223</epage><pages>218-223</pages><issn>1650-1977</issn><abstract>To develop a prognostic model to predict mobility outcome one year post-stroke.
Prospective cohort study in patients with a first-ever stroke admitted for inpatient rehabilitation.
A total of 217 patients with stroke (mean age 58 years) following inpatient rehabilitation in 4 rehabilitation centres across the Netherlands.
Mobility was measured using the Rivermead Mobility Index at one year poststroke. Included independent variables were: patient and stroke characteristics, functional status, urinary incontinence, sitting balance, motor and cognitive function. Univariate and multivariate linear regression analyses were performed in a model-developing set (n=174) and the model was validated in cross-validation set (n=43).
Total Rivermead Mobility Index score at one year post-stroke was predicted by functional status, sitting balance, time between stroke onset and measurement, and age. The derived model predicted 48% of the variance, while validation in the cross-validation set resulted in an adjusted R(2) of 0.47.
The present prospective study shows that outcome of mobility one year after stroke can be predicted validly by including functional status, sitting balance, moment of admission to the rehabilitation centre after stroke onset and age.</abstract><cop>Sweden</cop><pmid>16801203</pmid><doi>10.1080/16501970600582930</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
subjects | Activities of Daily Living Adult Aged Cognition Cohort Studies Disability Evaluation Female Humans Male Middle Aged Mobility Motor Activity - physiology Postural Balance - physiology Predictive validity Prognosis Prospective Studies Recovery of Function - physiology Rehabilitation Stroke - physiopathology Stroke - psychology Stroke Rehabilitation Strokes Surveys and Questionnaires Treatment Outcome |
title | Predicting mobility outcome one year after stroke: a prospective cohort study |
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