Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison
The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results. This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), s...
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| Veröffentlicht in: | Stroke (1970) 2003-12, Vol.34 (12), p.2861-2865 |
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| container_title | Stroke (1970) |
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| creator | PAOLUCCI, Stefano ANTONUCCI, Gabriella PRATESI, Luca GRAZIA GRASSO, Maria BRAGONI, Maura COIRO, Paola DE ANGELIS, Domenico FUSCO, Francesca Romana MORELLI, Daniela VENTURIERO, Vincenzo TROISI, Elio |
| description | The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results.
This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms of stroke origin, infarction versus hemorrhage. We compared the groups' length of stay, efficiency and effectiveness of treatment, and percentage of low and high responder patients. Odds ratios of dropouts and of low and high therapeutic response were also quantified.
Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel Index, and Rivermead Mobility Index; and a higher percentage of high responders on the Barthel Index. Hemorrhagic patients showed a probability of a high therapeutic response on the Barthel Index that was approximately 2.5 times greater than that of ischemic patients (odds ratio, 2.48; 95% confidence interval, 1.19 to 5.20; accuracy on prediction, 87.06%).
The results of this study provide further evidence of better functional prognosis in stroke survivors with hemorrhagic stroke. |
| doi_str_mv | 10.1161/01.STR.0000102902.39759.D3 |
| format | Article |
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This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms of stroke origin, infarction versus hemorrhage. We compared the groups' length of stay, efficiency and effectiveness of treatment, and percentage of low and high responder patients. Odds ratios of dropouts and of low and high therapeutic response were also quantified.
Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel Index, and Rivermead Mobility Index; and a higher percentage of high responders on the Barthel Index. Hemorrhagic patients showed a probability of a high therapeutic response on the Barthel Index that was approximately 2.5 times greater than that of ischemic patients (odds ratio, 2.48; 95% confidence interval, 1.19 to 5.20; accuracy on prediction, 87.06%).
The results of this study provide further evidence of better functional prognosis in stroke survivors with hemorrhagic stroke.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000102902.39759.D3</identifier><identifier>PMID: 14615613</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Aged ; Biological and medical sciences ; Brain Ischemia - diagnosis ; Brain Ischemia - rehabilitation ; Case-Control Studies ; Cerebral Hemorrhage - diagnosis ; Cerebral Hemorrhage - rehabilitation ; Disease Progression ; Female ; Humans ; Italy ; Length of Stay - statistics & numerical data ; Male ; Medical sciences ; Neurologic Examination - statistics & numerical data ; Neurology ; Outcome and Process Assessment (Health Care) - statistics & numerical data ; Prognosis ; Recovery of Function ; Rehabilitation Centers - statistics & numerical data ; Rehabilitation Centers - utilization ; Severity of Illness Index ; Stroke - diagnosis ; Stroke Rehabilitation ; Treatment Outcome ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Stroke (1970), 2003-12, Vol.34 (12), p.2861-2865</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c325t-7605236c5948e214683d8fe932520190bb408540e5197ff18eca9f416e51e7ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15342833$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14615613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PAOLUCCI, Stefano</creatorcontrib><creatorcontrib>ANTONUCCI, Gabriella</creatorcontrib><creatorcontrib>PRATESI, Luca</creatorcontrib><creatorcontrib>GRAZIA GRASSO, Maria</creatorcontrib><creatorcontrib>BRAGONI, Maura</creatorcontrib><creatorcontrib>COIRO, Paola</creatorcontrib><creatorcontrib>DE ANGELIS, Domenico</creatorcontrib><creatorcontrib>FUSCO, Francesca Romana</creatorcontrib><creatorcontrib>MORELLI, Daniela</creatorcontrib><creatorcontrib>VENTURIERO, Vincenzo</creatorcontrib><creatorcontrib>TROISI, Elio</creatorcontrib><title>Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results.
This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms of stroke origin, infarction versus hemorrhage. We compared the groups' length of stay, efficiency and effectiveness of treatment, and percentage of low and high responder patients. Odds ratios of dropouts and of low and high therapeutic response were also quantified.
Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel Index, and Rivermead Mobility Index; and a higher percentage of high responders on the Barthel Index. Hemorrhagic patients showed a probability of a high therapeutic response on the Barthel Index that was approximately 2.5 times greater than that of ischemic patients (odds ratio, 2.48; 95% confidence interval, 1.19 to 5.20; accuracy on prediction, 87.06%).
The results of this study provide further evidence of better functional prognosis in stroke survivors with hemorrhagic stroke.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Brain Ischemia - diagnosis</subject><subject>Brain Ischemia - rehabilitation</subject><subject>Case-Control Studies</subject><subject>Cerebral Hemorrhage - diagnosis</subject><subject>Cerebral Hemorrhage - rehabilitation</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Italy</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurologic Examination - statistics & numerical data</subject><subject>Neurology</subject><subject>Outcome and Process Assessment (Health Care) - statistics & numerical data</subject><subject>Prognosis</subject><subject>Recovery of Function</subject><subject>Rehabilitation Centers - statistics & numerical data</subject><subject>Rehabilitation Centers - utilization</subject><subject>Severity of Illness Index</subject><subject>Stroke - diagnosis</subject><subject>Stroke Rehabilitation</subject><subject>Treatment Outcome</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE9v3CAQxVHVqNmm_QoVqtTe7DL8sU1uUdIklSJFStIzmmWhS2ubLeBDvn1JY2m5DAy_9xgeIZ-BtQAdfGPQPj49tKwuYFwz3grdK91eiTdkA4rLRnZ8eEs2jAndcKn1KXmf8-_KczGod-QUZAeqA7Eh-XqZbQlxxpHGpdg4ORo9Ddnu3RQsxXlH6y6mtMdf9ZxLin8cPWAJbi6Zoi8u0TCvDZrcHrdhDAVfTM_pBZ2wVK8drdYHTCHH-QM58Thm93GtZ-Tn9feny9vm7v7mx-XFXWMFV6XpO6a46KzScnC8jjyI3eCdrpecgWbbrWSDkswp0L33MDiL2kvoasP1aMUZ-frqe0jx7-JyMVP9lxtHnF1csulBSlG1FTx_BW2KOSfnzSGFCdOzAWZeIjcMTI3cHCM3_yM3V6KKP62vLNvJ7Y7SNeMKfFkBzBZHn3C2IR85JSQfhBD_AK0vi20</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>PAOLUCCI, Stefano</creator><creator>ANTONUCCI, Gabriella</creator><creator>PRATESI, Luca</creator><creator>GRAZIA GRASSO, Maria</creator><creator>BRAGONI, Maura</creator><creator>COIRO, Paola</creator><creator>DE ANGELIS, Domenico</creator><creator>FUSCO, Francesca Romana</creator><creator>MORELLI, Daniela</creator><creator>VENTURIERO, Vincenzo</creator><creator>TROISI, Elio</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison</title><author>PAOLUCCI, Stefano ; ANTONUCCI, Gabriella ; PRATESI, Luca ; GRAZIA GRASSO, Maria ; BRAGONI, Maura ; COIRO, Paola ; DE ANGELIS, Domenico ; FUSCO, Francesca Romana ; MORELLI, Daniela ; VENTURIERO, Vincenzo ; TROISI, Elio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c325t-7605236c5948e214683d8fe932520190bb408540e5197ff18eca9f416e51e7ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Brain Ischemia - diagnosis</topic><topic>Brain Ischemia - rehabilitation</topic><topic>Case-Control Studies</topic><topic>Cerebral Hemorrhage - diagnosis</topic><topic>Cerebral Hemorrhage - rehabilitation</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Italy</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurologic Examination - statistics & numerical data</topic><topic>Neurology</topic><topic>Outcome and Process Assessment (Health Care) - statistics & numerical data</topic><topic>Prognosis</topic><topic>Recovery of Function</topic><topic>Rehabilitation Centers - statistics & numerical data</topic><topic>Rehabilitation Centers - utilization</topic><topic>Severity of Illness Index</topic><topic>Stroke - diagnosis</topic><topic>Stroke Rehabilitation</topic><topic>Treatment Outcome</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PAOLUCCI, Stefano</creatorcontrib><creatorcontrib>ANTONUCCI, Gabriella</creatorcontrib><creatorcontrib>PRATESI, Luca</creatorcontrib><creatorcontrib>GRAZIA GRASSO, Maria</creatorcontrib><creatorcontrib>BRAGONI, Maura</creatorcontrib><creatorcontrib>COIRO, Paola</creatorcontrib><creatorcontrib>DE ANGELIS, Domenico</creatorcontrib><creatorcontrib>FUSCO, Francesca Romana</creatorcontrib><creatorcontrib>MORELLI, Daniela</creatorcontrib><creatorcontrib>VENTURIERO, Vincenzo</creatorcontrib><creatorcontrib>TROISI, Elio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PAOLUCCI, Stefano</au><au>ANTONUCCI, Gabriella</au><au>PRATESI, Luca</au><au>GRAZIA GRASSO, Maria</au><au>BRAGONI, Maura</au><au>COIRO, Paola</au><au>DE ANGELIS, Domenico</au><au>FUSCO, Francesca Romana</au><au>MORELLI, Daniela</au><au>VENTURIERO, Vincenzo</au><au>TROISI, Elio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>34</volume><issue>12</issue><spage>2861</spage><epage>2865</epage><pages>2861-2865</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results.
This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms of stroke origin, infarction versus hemorrhage. We compared the groups' length of stay, efficiency and effectiveness of treatment, and percentage of low and high responder patients. Odds ratios of dropouts and of low and high therapeutic response were also quantified.
Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel Index, and Rivermead Mobility Index; and a higher percentage of high responders on the Barthel Index. Hemorrhagic patients showed a probability of a high therapeutic response on the Barthel Index that was approximately 2.5 times greater than that of ischemic patients (odds ratio, 2.48; 95% confidence interval, 1.19 to 5.20; accuracy on prediction, 87.06%).
The results of this study provide further evidence of better functional prognosis in stroke survivors with hemorrhagic stroke.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>14615613</pmid><doi>10.1161/01.STR.0000102902.39759.D3</doi><tpages>5</tpages></addata></record> |
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| ispartof | Stroke (1970), 2003-12, Vol.34 (12), p.2861-2865 |
| issn | 0039-2499 1524-4628 |
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| source | MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Aged Biological and medical sciences Brain Ischemia - diagnosis Brain Ischemia - rehabilitation Case-Control Studies Cerebral Hemorrhage - diagnosis Cerebral Hemorrhage - rehabilitation Disease Progression Female Humans Italy Length of Stay - statistics & numerical data Male Medical sciences Neurologic Examination - statistics & numerical data Neurology Outcome and Process Assessment (Health Care) - statistics & numerical data Prognosis Recovery of Function Rehabilitation Centers - statistics & numerical data Rehabilitation Centers - utilization Severity of Illness Index Stroke - diagnosis Stroke Rehabilitation Treatment Outcome Vascular diseases and vascular malformations of the nervous system |
| title | Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison |
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