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July 2018 CME Activity No. 7: Acute-Phase Predicto ...
July 2018 CME Activity No. 7: Acute-Phase Predictors of 6-Month Functional Outcome in Italian Stroke Patients Eligible for In-Hospital Rehabilitation
ADDITIONAL INFORMATION
Objective:
to assess early post-stroke prognostic factors in patients admitted for post-acute phase rehabilitation
Design:
a one-year multicenter prospective project was conducted in four Italian regions on 352 patients who were hospitalized after a first stroke and were eligible for post-acute rehabilitation. Clinical data were collected in the Stroke or Acute Care Units (acute phase), then in Rehabilitation Units (post-acute phase) and, subsequently, after a 6-month post-stroke period (follow-up). Clinical outcome measures were represented using the Barthel Index (BI) and the modified Rankin Scale (mRS). Univariate and multivariate analyses were performed to identify the most important prognostic index
.
Results:
mRS score, minor neurologic impairment and early out-of-bed mobilization (within 2 days after the stroke) proved to be important factors related to a better recovery according to BI (power of prediction = 37%). Similarly, age, pre-morbid mRS score and early out-of-bed mobilization were seen to be significant factors in achieving better overall participation and activity according to the mRS (power of prediction = 48%). BI at admission and certain comorbidities were also significant prognostic factors correlated with a better outcome
.
Conclusions:
according to the BI and mRS, early mobilization is an early predictor of favorable outcome.
Learning Objectives:
After completing this activity, the learner will be able to:
Incorporate prognostic factors of good clinical outcomes after stroke in developing treatment plans for patient
s admitted to rehabilitation
.
Identify acute phase indicators associated with favorable 6-months outcome after stroke.
Recognize the cut-off for early mobilization linked to better outcome in
stroke survivors admitted to rehabilitation.
Summary
Availability:
Retired
Cost:
FREE
Credit Offered:
No Credit Offered
×
July 2018 CME Activity No. 7: Acute-Phase Predictors of 6-Month Functional Outcome in Italian Stroke Patients Eligible for In-Hospital Rehabilitation Course List
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