Vitality index is a predictor of the improvement in the functional independence measure score in subacute stroke patients with cognitive impairment

Daisuke Ito, Naoki Mori, Ayaka Shimizu, Ayako Fuji, Sachiko Sakata, Kunitsugu Kondo, Michiyuki Kawakami

研究成果: Article査読

抄録

Objectives: To investigate the effect of motivation on improvements in the Functional Independence Measure (FIM) scores in subacute stroke patients with cognitive impairment. Methods: This retrospective cohort study included 358 consecutive subacute stroke patients with first-ever stroke and Mini-Mental State Examination score ≤23 at admission. We determined motivation and rehabilitation outcome using the vitality index and FIM-motor gain, respectively. Stepwise multiple regression analysis was performed to identify the factors at admission related to FIM-motor gain. Results: Of 80 participants enrolled in this study (mean age: 74.2 ± 11.3 years). The median (interquartile range) vitality index at admission and FIM-motor gain were 7 (4) and 23 (22) points, respectively. Stepwise multiple regression analysis revealed that age (B, −0.43; 95% confidence interval [CI], −0.65–(−0.21); β, −0.31; P <.001), duration from stroke onset to admission (B, −0.18; 95% CI, −0.33–(−0.04); β, −0.20; P =.014) and Stroke Impairment Assessment Set-motor function (B, 1.27; 95% CI, 0.92–1.61; β, 0.78; P <.001), FIM-motor (B, −0.80; 95% CI, −1.01–(−0.60); β, −0.95; P <.001), and vitality index (B, 3.79; 95% CI, 2.37–5.21; β, 0.50; P <.001) scores at admission were significantly associated with the FIM-motor gain. Discussion: The vitality index was significantly associated with FIM improvement in subacute stroke patients with cognitive impairment.

本文言語English
ページ(範囲)97-102
ページ数6
ジャーナルNeurological Research
43
2
DOI
出版ステータスPublished - 2021

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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