著者
Yoshihiro Yoshimura Hidetaka Wakabayashi Ryo Momosaki Fumihiko Nagano Sayuri Shimazu Ai Shiraishi
出版者
Tohoku University Medical Press
雑誌
The Tohoku Journal of Experimental Medicine (ISSN:00408727)
巻号頁・発行日
vol.252, no.1, pp.15-22, 2020 (Released:2020-08-25)
参考文献数
34

As Japan’s population ages, there is a growing interest in regional health care coordination. Our study aimed to evaluate whether the interval between onset and admission to convalescent rehabilitation wards (onset-admission) was associated with outcomes in ischemic stroke patients. We conducted a retrospective cohort study in a single rehabilitation hospital. Ischemic stroke patients consecutively admitted to the wards were eligible to enroll. Outcomes included Functional Independence Measure (FIM)-motor gain, the Food Intake Level Scale (FILS) and a discharge rate to home. FIM assesses functional independence, including motor (FIM-motor) and cognitive domains, and is a measure of activities of daily living (ADLs). The FIM-motor gain indicates the difference between the FIM-motor scores at admission and discharge. FILS is a 10-point observer-rated scale to measure swallowing. After enrollment, 481 patients (mean age 74.4 years; 45.7% women) were included. The median [interquartile range] onset-admission interval was 13 [10-20] days and the median National Institute of Health Stroke Scale score, a measure of stroke severity, was 8 [3-13]. In multivariate analysis, the onset-admission interval was independently associated with FIM-motor gain (β = −0.107, p = 0.024), FILS score at discharge (β = −0.159, p = 0.041), and the rate of discharge to home (odds ratio: 0.946, p = 0.032). In conclusion, a shorter interval between stroke onset and admission to convalescent rehabilitation wards contributes to improved outcomes, including ADLs, dysphagia, and a discharge rate to home, in ischemic stroke patients, regardless of stroke severity.

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Shorter Interval between Onset and Admission to Convalescent Rehabilitation Wards Is Associated with Improved Outcomes in Ischemic Stroke Patients https://t.co/VSu8MxcXu0 https://t.co/fiHUfqvjYL
虚血性脳卒中患者は発症からなるべく早く回復期リハ病棟に入棟したほうが脳卒中の重症度にかかわらずALDや嚥下の予後が良好であることを示した研究が公開されました。 一般化には他施設での検証が必要ですが脳卒中以外の疾患にも当てはまるのではないかと思います。 https://t.co/VSu8MxcXu0
虚血性脳卒中患者は発症からなるべく早く回復期リハ病棟に入棟したほうが、脳卒中の重症度にかかわらずADLや嚥下の予後が良好であるという吉村先生の論文が、TJEMのHPに公開されました。今回は熊リハの単施設研究ですので今後、多施設研究でのさらなる検証が必要です。 https://t.co/8aEODMCufI

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