Postacute Rehabilitation Impact on Functional Recovery Outcome and Quality of Life in Stroke Survivors: Six Month Follow-Up
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Study Population
2.3. Postacute Rehabilitation Program
2.4. Examination Procedure
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Tested Characteristics | Sample Size (n = 100) | ||
---|---|---|---|
Age (Year), Mean ± SD | 66.5 ± 7.3 | ||
Gender, n (%) | Male | 48 (48) | |
Female | 52 (52) | ||
Marital status, n (%) | Not married | 11 (11) | |
Married | 58 (58) | ||
Divorced | 11 (11) | ||
Widow/widower | 20 (20) | ||
Level of education, n (%) | Primary school | 36 (36) | |
High school | 38 (38) | ||
Higher education | 15 (15) | ||
College | 11 (11) | ||
Employment status, n (%) | Unemployed | 20 (20) | |
Employed | 19 (19) | ||
Housewife | 18 (18) | ||
Farmer | 18 (18) | ||
Retired | 25 (25) | ||
Monthly income, n (%) | Below average | 23 (23) | |
Average | 67 (67) | ||
Above average | 10 (10) | ||
High blood pressure, n (%) | Yes | 71 (71) | |
No | 29 (29) | ||
High cholesterol, n (%) | Yes | 46 (46) | |
No | 54 (54) | ||
Diabetes mellitus, n (%) | Yes | 39 (39) | |
No | 61 (61) | ||
Alcohol, n (%) | Never used | 63 (63) | |
Currently using | 3 (3) | ||
Previously used | 34 (34) | ||
Coffee, n (%) | Never used | 7 (7) | |
Currently using | 55 (55) | ||
Previously used | 38 (38) | ||
Cigarettes, n (%) | Never used | 40 (40) | |
Currently using | 24 (24) | ||
Previously used | 36 (36) | ||
Medicaments, n (%) | Never used | 9 (9) | |
Currently using | 81 (81) | ||
Previously used | 10 (10) | ||
Children, n (%) | Yes | 80 (80) | |
No | 20 (20) | ||
Type of stroke, n (%) | Ischemic, N (%), n = 50 | Male | 27 (27) |
Female | 23 (23) | ||
Hemorrhagic, N (%), n = 50 | Male | 21 (21) | |
Female | 29 (29) |
Tested Measures | Mean ± SD | p * |
---|---|---|
FIM (admission) | 47.1 ± 18.0 | <0.001 |
FIM (one month) | 59.5 ± 18.2 | 0.012 |
FIM (three months) | 75.5 ± 20.1 | 0.034 |
FIM (six months) | 88.2 ± 20.1 | 0.012 |
EQ-5D-3L (admission) | 6.2 ± 1.9 | <0.001 |
EQ-5D-3L (one month) | 7.7 ± 2.2 | 0.001 |
EQ-5D-3L (three months) | 9.2 ± 2.4 | 0.067 |
EQ-5D-3L (six months) | 10.9 ± 2.4 | 0.007 |
Tested Variables | Stroke Type | p * | ||
---|---|---|---|---|
IS | ICH | |||
n (%) | n (%) | |||
Gender, n (%) | Male | 27 (54) | 21 (42) | 0.230 |
Female | 23 (46) | 29 (58) | ||
Cigarettes, n (%) | Never used | 20 (40) | 20 (40) | 0.870 |
Currently using | 13 (26) | 11 (22) | ||
Previously used | 17 (34) | 19 (38) | ||
Alcohol, n (%) | Never used | 29 (5)8 | 34 (68) | 0.409 |
Currently using | 1 (2) | 2 (4) | ||
Previously used | 20 (40) | 14 (28) | ||
Coffee, n (%) | Never used | 4 (8) | 3 (6) | 0.601 |
Currently using | 25 (50) | 30 (60) | ||
Previously used | 21 (42) | 17 (34) |
Tested Measures versus Stroke Type | Correlation Coefficient | p |
---|---|---|
FIM (admission) | −0.387 | <0.001 |
FIM (one month) | −0.396 | <0.001 |
FIM (three months) | −0.307 | 0.001 |
FIM (six months) | −0.438 | 0.002 |
EQ-5D-3L (admission) | −0.377 | <0.001 |
EQ-5D-3L (one month) | −0.237 | 0.018 |
EQ-5D-3L (three months) | −0.220 | 0.028 |
EQ-5D-3L (six months) | −0.203 | 0.049 |
Type of Stroke | Tested Measures and Time Points | Mean ± SD | p * | |||
---|---|---|---|---|---|---|
IS | FIM | FIM motor | FIM cognitive | |||
At admission | 54.5 ± 20.9 | ∆ | 41.8 ± 18.8 | 18.7 ± 6.3 | - | |
One month | 68.3 ± 19.5 | 13.8 | 52.8 ± 18.3 | 22.7 ± 6.2 | <0.001 | |
Three months | 84.3 ± 21.0 | 29.8 | 62.4 ± 18.5 | 26.4 ± 5.8 | <0.001 | |
Six months | 96.6 ± 19.1 | 42.1 | 67.6 ± 16.4 | 29.2 ± 4.0 | <0.001 | |
ICH | FIM | FIM motor | FIM cognitive | |||
At admission | 39.6 ± 10.3 | ∆ | 29.8 ± 11.8 | 14.4 ± 4.6 | - | |
One month | 50.6 ± 11.4 | 11 | 39.8 ± 12.9 | 18.3 ± 4.9 | <0.001 | |
Three months | 66.7 ± 14.8 | 27.1 | 51.1 ± 14.5 | 22.8 ± 5.0 | <0.001 | |
Six months | 79.5 ± 17.3 | 39.9 | 53.8 ± 14.4 | 25.8 ± 4.7 | <0.001 | |
IS | EQ-5D-3L | |||||
At admission | 7.5 ± 2.7 | ∆ | - | |||
One month | 9.4 ± 3.0 | 1.9 | <0.001 | |||
Three months | 11.0 ± 2.7 | 3.5 | <0.001 | |||
Six months | 11.7 ± 1.9 | 4.2 | <0.001 | |||
ICH | EQ-5D-3L | |||||
At admission | 5.8 ± 1.7 | ∆ | - | |||
One month | 7.9 ± 2.3 | 2.1 | <0.001 | |||
Three months | 9.7 ± 2.5 | 3.9 | <0.001 | |||
Six months | 10.9 ± 2.6 | 5.1 | <0.001 |
EQ-5D-3L (Admission) | EQ-5D-3L (One Month) | EQ-5D-3L (Three Months) | EQ-5D-3L (Six Months) | ||
---|---|---|---|---|---|
FIM (admission) | CC | 0.664 | - | - | - |
p | <0.001 | - | - | - | |
FIM (one month) | CC | - | 0.785 | - | - |
p | - | <0.001 | - | - | |
FIM (three months) | CC | - | - | 0.776 | - |
p | - | - | <0.001 | - | |
FIM (six months) | CC | - | - | - | 0.631 |
p | - | - | - | <0.001 |
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Bisevac, E.; Lazovic, M.; Nikolic, D.; Mahmutovic, E.; Dolicanin, Z.; Jurisic-Skevin, A. Postacute Rehabilitation Impact on Functional Recovery Outcome and Quality of Life in Stroke Survivors: Six Month Follow-Up. Medicina 2022, 58, 1185. https://doi.org/10.3390/medicina58091185
Bisevac E, Lazovic M, Nikolic D, Mahmutovic E, Dolicanin Z, Jurisic-Skevin A. Postacute Rehabilitation Impact on Functional Recovery Outcome and Quality of Life in Stroke Survivors: Six Month Follow-Up. Medicina. 2022; 58(9):1185. https://doi.org/10.3390/medicina58091185
Chicago/Turabian StyleBisevac, Emir, Milica Lazovic, Dejan Nikolic, Elvis Mahmutovic, Zana Dolicanin, and Aleksandra Jurisic-Skevin. 2022. "Postacute Rehabilitation Impact on Functional Recovery Outcome and Quality of Life in Stroke Survivors: Six Month Follow-Up" Medicina 58, no. 9: 1185. https://doi.org/10.3390/medicina58091185