Factors Associated with Changes in Functional Independence after Six Months of Ischemic Stroke
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The aim of this study is to investigate the changes in functional independence and their associated factors during the first 6 months to 1 year after stroke onset. This study is the interim results of the Korean Stroke Cohort for Functioning and Rehabilitation. A total of 1,011 participants were included and classified into 3 subgroups according to changes in the Korean version of Modified Barthel Index (K-MBI) scores that occurred between 6 months to 1 year after stroke onset: the improved group (IG), with scores that increased 5 points or more; the stationary group (SG), with the K-MBI score changes ranging from −4 to +4 points; and the declined group (DG), with the K-MBI scores that decreased 5 points or more. Ordinal logistic regression analyses were used to assess the factors influencing changes in the K-MBI score. Among 1,011 patient, 436 patients (43.1%), 398 patients (39.4%) and 117 patients (17.5%) were classified into the IG, SG, and DG, respectively. Obesity and Geriatric Depression Scale score were significant influencing factors for changes in the K-MBI scores. Obesity showed a positive influence on the K-MBI score, while depression showed a negative influence.
Abstract
The aim of this study is to investigate the changes in functional independence and their associated factors during the first 6 months to 1 year after stroke onset. This study is the interim results of the Korean Stroke Cohort for Functioning and Rehabilitation. A total of 1,011 participants were included and classified into 3 subgroups according to changes in the Korean version of Modified Barthel Index (K-MBI) scores that occurred between 6 months to 1 year after stroke onset: the improved group (IG), with scores that increased 5 points or more; the stationary group (SG), with the K-MBI score changes ranging from −4 to +4 points; and the declined group (DG), with the K-MBI scores that decreased 5 points or more. Ordinal logistic regression analyses were used to assess the factors influencing changes in the K-MBI score. Among 1,011 patient, 436 patients (43.1%), 398 patients (39.4%) and 117 patients (17.5%) were classified into the IG, SG, and DG, respectively. Obesity and Geriatric Depression Scale score were significant influencing factors for changes in the K-MBI scores. Obesity showed a positive influence on the K-MBI score, while depression showed a negative influence.
참고문헌 (38)
- Benjamin EJ, "Heart disease and stroke statistics-2017 update: a report from the American Heart Association", Circulation, 135, pp.e146~e603 (2017)
- Krishnamurthi RV, "Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990–2010: findings from the Global Burden of Disease Study 2010", Lancet Glob Health, 1, pp.e259~e281 (2013)
- Feigin VL, "Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010", Lancet, 383, pp.245~254 (2014)
- Vaartjes I, "Remarkable decline in ischemic stroke mortality is not matched by changes in incidence", Stroke, 44, pp.591~597 (2013)
- Lee Yujin, "Determinant of Quality of Life in Patients with Chronic Cerebral Infarct", 뇌신경재활, 13(1), pp.1~7 (2020), 대한뇌신경재활학회[DOI]
- Kim P, "Quality of life of stroke survivors", Qual Life Res, 8, pp.293~301 (1999)
- Langhorne P, "Stroke rehabilitation", Lancet, 377, pp.1693~1702 (2011)
- 장원혁, "Role of Intensive Inpatient Rehabilitation for Prevention of Disability after Stroke: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study", 뇌신경재활, 9(2), pp.1~10 (2016), 대한뇌신경재활학회
- Skilbeck CE, "Recovery after stroke", J Neurol Neurosurg Psychiatry, 46, pp.5~8 (1983)
- Wade DT, "Functional abilities after stroke : measurement, natural history and prognosis", J Neurol Neurosurg Psychiatry, 50, pp.177~182 (1987)
- Kwakkel G, "Understanding the pattern of functional recovery after stroke : facts and theories", Restor Neurol Neurosci, 22, pp.281~299 (2004)
- Verheyden G, "Time course of trunk, arm, leg, and functional recovery after ischemic stroke", Neurorehabil Neural Repair, 22, pp.173~179 (2008)
- Chang WH, "Korean Stroke Cohort for functioning and rehabilitation (KOSCO): study rationale and protocol of a multi-centre prospective cohort study", BMC Neurol, 15, pp.42~ (2015)
- 김승한, "Factors Associated to Returning Home in the First Year after Stroke", 뇌신경재활, 13(1), pp.1~11 (2020), 대한뇌신경재활학회[DOI]
- Goldstein LB, "American Academy of Neurology affirms the value of this guideline", Stroke, 37, pp.1583~1633 (2006)
- The Asia-Pacific perspective: redefining obesity and its treatment, "World Health Organization Western Pacific Regional Office", Health Communications Australia, ~ (2000)
- Mahoney FI, "Functional evaluation : the Barthel Index", Md State Med J, 14, pp.61~65 (1965)
- Shah S, "Improving the sensitivity of the Barthel Index for stroke rehabilitation", J Clin Epidemiol, 42, pp.703~709 (1989)
- 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007), 대한재활의학회
- Horgan NF, "Recovery after stroke : a 1-year profile", Disabil Rehabil, 31, pp.831~839 (2009)
- Hsieh YW, "Establishing the minimal clinically important difference of the Barthel Index in stroke patients", Neurorehabil Neural Repair, 21, pp.233~238 (2007)
- Kwakkel G, "Long term effects of intensity of upper and lower limb training after stroke : a randomised trial", J Neurol Neurosurg Psychiatry, 72, pp.473~479 (2002)
- Pettersen R, "Prediction of long-term functional outcome after stroke rehabilitation", Clin Rehabil, 16, pp.149~159 (2002)
- De Wit L, "Long-term prediction of functional outcome after stroke using single items of the Barthel Index at discharge from rehabilitation centre", Disabil Rehabil, 36, pp.353~358 (2014)
- Olsen TS, "Body mass index and poststroke mortality", Neuroepidemiology, 30, pp.93~100 (2008)
- Ovbiagele B, "Obesity and recurrent vascular risk after a recent ischemic stroke", Stroke, 42, pp.3397~3402 (2011)
- Andersen KK, "Body mass index and stroke : overweight and obesity less often associated with stroke recurrence", J Stroke Cerebrovasc Dis, 22, pp.e576~e581 (2013)
- Doehner W, "Overweight and obesity are associated with improved survival, functional outcome, and stroke recurrence after acute stroke or transient ischaemic attack : observations from the TEMPiS trial", Eur Heart J, 34, pp.268~277 (2013)
- Burke DT, "Effect of body mass index on stroke rehabilitation", Arch Phys Med Rehabil, 95, pp.1055~1059 (2014)
- Jang SY, "Effect of obesity on functional outcomes at 6 months post-stroke among elderly Koreans : a prospective multicentre study", BMJ Open, 5, pp.e008712~ (2015)
- Agrell B, "Comparison of six depression rating scales in geriatric stroke patients", Stroke, 20, pp.1190~1194 (1989)
- Morris PL, "Prevalence and course of depressive disorders in hospitalized stroke patients", Int J Psychiatry Med, 20, pp.349~364 (1990)
- Gainotti G, "Frequency, phenomenology and anatomical-clinical correlates of major post-stroke depression", Br J Psychiatry, 175, pp.163~167 (1999)
- Morris PL, "Clinical depression is associated with impaired recovery from stroke", Med J Aust, 157, pp.239~242 (1992)
- Nannetti L, "Motor and functional recovery in patients with post-stroke depression", Disabil Rehabil, 27, pp.170~175 (2005)
- Chemerinski E, "Improved recovery in activities of daily living associated with remission of poststroke depression", Stroke, 32, pp.113~117 (2001)
- Quinn TJ, "Barthel Index for stroke trials : development, properties, and application", Stroke, 42, pp.1146~1151 (2011)
- Wohlfahrt P, "The obesity paradox and survivors of ischemic stroke", J Stroke Cerebrovasc Dis, 24, pp.1443~1450 (2015)
