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
Hauptverfasser: van de Port, Ingrid G L, Kwakkel, Gert, Schepers, Vera P M, Lindeman, Eline
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container_end_page 223
container_issue 4
container_start_page 218
container_title Journal of rehabilitation medicine
container_volume 38
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
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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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