دورية أكاديمية
Rehabilitation profiles of older adult stroke survivors admitted to intermediate care units: a multi-centre study
| العنوان: | Rehabilitation profiles of older adult stroke survivors admitted to intermediate care units: a multi-centre study |
|---|---|
| المؤلفون: | Pérez, Laura M., Inzitari, Marco, Quinn, Terence J., Montaner, Joan, Gavaldà, Ricard, Duarte, Esther, Coll-Planas, Laura, Cerdà, Mercè, Santaeugenia, Sebastià, Closa, Conxita, Gallofré, Miquel |
| بيانات النشر: | Public Library of Science |
| سنة النشر: | 2016 |
| المجموعة: | University of Glasgow: Enlighten - Publications |
| الوصف: | Background: Stroke is a major cause of disability in older adults, but the evidence around post-acute treatment is limited and heterogeneous. We aimed to identify profiles of older adult stroke survivors admitted to intermediate care geriatric rehabilitation units. Methods: We performed a cohort study, enrolling stroke survivors aged 65 years or older, admitted to 9 intermediate care units in Catalonia-Spain. To identify potential profiles, we included age, caregiver presence, comorbidity, pre-stroke and post-stroke disability, cognitive impairment and stroke severity in a cluster analysis. We also proposed a practical decision tree for patient’s classification in clinical practice. We analyzed differences between profiles in functional improvement (Barthel index), relative functional gain (Montebello index), length of hospital stay (LOS), rehabilitation efficiency (functional improvement by LOS), and new institutionalization using multivariable regression models (for continuous and dichotomous outcomes). Results: Among 384 patients (79.1±7.9 years, 50.8% women), we identified 3 complexity profiles: a) Lower Complexity with Caregiver (LCC), b) Moderate Complexity without Caregiver (MCN), and c) Higher Complexity with Caregiver (HCC). The decision tree showed high agreement with cluster analysis (96.6%). Using either linear (continuous outcomes) or logistic regression, both LCC and MCN, compared to HCC, showed statistically significant higher chances of functional improvement (OR = 4.68, 95%CI = 2.54–8.63 and OR = 3.0, 95%CI = 1.52–5.87, respectively, for Barthel index improvement ≥20), relative functional gain (OR = 4.41, 95%CI = 1.81–10.75 and OR = 3.45, 95%CI = 1.31–9.04, respectively, for top Vs lower tertiles), and rehabilitation efficiency (OR = 7.88, 95%CI = 3.65–17.03 and OR = 3.87, 95%CI = 1.69–8.89, respectively, for top Vs lower tertiles). In relation to LOS, MCN cluster had lower chance of shorter LOS than LCC (OR = 0.41, 95%CI = 0.23–0.75) and HCC (OR = 0.37, 95%CI = 0.19–0.73), for LOS lower Vs ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | http://eprints.gla.ac.uk/131282/1/131282.pdfTest; Pérez, L. M. et al. (2016) Rehabilitation profiles of older adult stroke survivors admitted to intermediate care units: a multi-centre study. PLoS ONE , 11(11), e0166304. (doi:10.1371/journal.pone.0166304 ) (PMID:27829011) (PMCID:PMC5102428) |
| الإتاحة: | https://doi.org/10.1371/journal.pone.0166304Test http://eprints.gla.ac.uk/131282Test/ http://eprints.gla.ac.uk/131282/1/131282.pdfTest |
| حقوق: | cc_by_4 |
| رقم الانضمام: | edsbas.DE2F6A80 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |