2024-03-29T04:43:04Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00003765
2022-12-14T04:38:28Z
461:462
Long-term outcome in stroke survivors after discharge from a convalescent rehabilitation ward
Mutai, Hitoshi
Furukawa, Tomomi
Araki, Kasumi
Misawa, Kousuke
Hanihara, Tokiji
The definitive version is available at www.wileyonlinelibrary.com
activity of daily living
depression
long-term outcome
rehabilitation
stroke
Aim: The aim of this study was to investigate the long-term mortality, daily living activities, social activity, and symptoms of depression, in post-stroke patients discharged to their homes from a convalescent rehabilitation ward, and to determine the relationship between demographic variables and long-term outcome. Methods: This study included 252 consecutive stroke patients (140 men; mean age, 72.4 +/- 10.8years) who had been admitted to a convalescent rehabilitation ward for inpatient rehabilitation. Follow-up assessment was made by postal questionnaire for up to >1year after discharge, and included the modified Rankin scale, Frenchay activities index (FAI), and Geriatric Depression Scale. Results: Of the 192 respondents (76.2%), 160 (83.3%) were living at home. Eighty-three (51.8%) were independent. Cumulative post-stroke mortality at 1 and 3years was 3.7% and 19.4%, respectively.Mean total FAI score was 26.5 +/- 10.9, suggesting that social inactivity was common. The estimated prevalence of depression was 21.6%. Coronary artery disease and motor functional independence measures were significantly associated with mortality, whereas age, recurrent stroke, severity of paralysis, and motor functional independence measures were significant predictors of independence. In the cross-sectional logistic model, depression symptoms were inversely associated with FAI score. Conclusions: The mortality rate of patients discharged to their home following inpatient rehabilitation is relatively low. Social inactivity and depression symptoms, however, remain common during the chronic phase, and the severity of depression and restriction of participation were interrelated.
Article
PSYCHIATRY AND CLINICAL NEUROSCIENCES. 67(6):434-440 (2013)
WILEY-BLACKWELL
2013-09
eng
journal article
AM
http://hdl.handle.net/10091/17339
https://soar-ir.repo.nii.ac.jp/records/3765
https://pubmed.ncbi.nlm.nih.gov/23941061
23941061
https://doi.org/10.1111/pcn.12075
10.1111/pcn.12075
1323-1316
AA11040669
PSYCHIATRY AND CLINICAL NEUROSCIENCES
67
6
434
440
https://soar-ir.repo.nii.ac.jp/record/3765/files/Long-term_outcome_stroke_survivors_after_discharge.pdf
application/pdf
112.8 kB
2015-09-24