- 著者
- Atsushi SATO Takaaki FUJITA Yuichi YAMAMOTO
- 出版者
- Japanese Society of Physical Therapy
- 雑誌
- Physical Therapy Research (ISSN:21898448)
- 巻号頁・発行日
- pp.E9914, (Released:2017-07-28)
- 参考文献数
- 26
- 被引用文献数
- 6 7
Purpose: This study aimed to calculate cut-off values of activities of daily living independence level for stroke patient home discharge based on the number of family caregivers. Method: The subjects comprised 1442 stroke patients (26 hospitals) who were registered of the Japanese Rehabilitation Database. Receiver operating characteristic curves were used to elucidate the BI and FIM® instrument scores necessary for home discharge. Analysis was performed for each subject according to the number of family caregivers, i.e., no caregiver, one person, two persons or more, and overall. Result: The BI cut-off points that discriminated between home discharge and other were 65/60 points overall, 75/70 points in patients with no caregiver, 65/60 points in patients with one caregiver, and 60/55 points in patients with two or more caregivers. The FIM® instrument cut-off points were 90/89 points overall, 101/100 points in patients with no caregiver, 87/86 points in patients with one caregiver, and 87/86 points in patients with two or more caregivers. Conclusion: Our results indicated that home discharge for patients with many caregivers was possible even with low ADL independence levels, and that there was a large difference in cut-off values depending on the presence or absence of one caregiver.
言及状況
外部データベース (DOI)
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脳卒中患者を対象に自宅退院を可能とするFIMのカットオフの研究
・対象者1442名（26病院）
・データベース研究
・ROC曲線により算出
・介護者なしで101点、介護者が1人で87点、介護者が2人で87点以上あれば自宅退院可能
＃リハビリ
https://t.co/DvwigeqbEi