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Article: Does age predict outcome in stroke rehabilitation? A study of 878 Chinese subjects

TitleDoes age predict outcome in stroke rehabilitation? A study of 878 Chinese subjects
Authors
Issue Date2006
PublisherS Karger AG. The Journal's web site is located at http://www.karger.com/CED
Citation
Cerebrovascular Diseases, 2006, v. 21 n. 4, p. 229-234 How to Cite?
AbstractBackground: The predicting value of age on stroke rehabilitation has been controversial. There is a lack of large-scale studies in the Chinese population to examine the effect of age on stroke rehabilitation outcomes. This study examines the predictors of a good outcome after rehabilitation in Chinese stroke patients with special attention to age as a factor. Patients and Methods: This retrospective cohort study includes stroke patients receiving a standard inpatient multidisciplinary rehabilitation program in a neuro-rehabilitation ward of a convalescence hospital in Hong Kong from January 2000 to December 2003. Functional independence measure (FIM) ≥90 was used to define a good outcome. Multivariate regression analysis was used to assess the independent predictors of a good outcome. Results: There were important differences in clinical characteristics and complications of stroke among patients of three age groups: <65, ≥65 and <80, and ≥ 80 years. The total FIM scores both upon admission and at discharge were lower in the older age groups. No significant difference was observed in the changes in FIM scores across these age groups. Age was not an independent predictor for a good outcome. FIM upon admission was an independent predictor for a good outcome (discharge FIM ≥90) in all patients and in individual age groups. Having employment before stroke was a predictor for good outcome in all patients. Living at home prior to stroke was a predictor for the total population and the ≥65 and <80 years group. The length of stay predicted a good outcome in the group ≥80 years. Conclusions: Admission functional status, employment and living at home before stroke but not age per se are predictors of a good outcome following stroke rehabilitation. As older patients show comparable improvement during rehabilitation, intensive rehabilitation should not be withheld in stroke patients simply because of advanced age. Copyright © 2006 S. Karger AG.
Persistent Identifierhttp://hdl.handle.net/10722/78523
ISSN
2015 Impact Factor: 3.359
2015 SCImago Journal Rankings: 1.744
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLuk, JKHen_HK
dc.contributor.authorCheung, RTFen_HK
dc.contributor.authorHo, SLen_HK
dc.contributor.authorLi, Len_HK
dc.date.accessioned2010-09-06T07:43:49Z-
dc.date.available2010-09-06T07:43:49Z-
dc.date.issued2006en_HK
dc.identifier.citationCerebrovascular Diseases, 2006, v. 21 n. 4, p. 229-234en_HK
dc.identifier.issn1015-9770en_HK
dc.identifier.urihttp://hdl.handle.net/10722/78523-
dc.description.abstractBackground: The predicting value of age on stroke rehabilitation has been controversial. There is a lack of large-scale studies in the Chinese population to examine the effect of age on stroke rehabilitation outcomes. This study examines the predictors of a good outcome after rehabilitation in Chinese stroke patients with special attention to age as a factor. Patients and Methods: This retrospective cohort study includes stroke patients receiving a standard inpatient multidisciplinary rehabilitation program in a neuro-rehabilitation ward of a convalescence hospital in Hong Kong from January 2000 to December 2003. Functional independence measure (FIM) ≥90 was used to define a good outcome. Multivariate regression analysis was used to assess the independent predictors of a good outcome. Results: There were important differences in clinical characteristics and complications of stroke among patients of three age groups: <65, ≥65 and <80, and ≥ 80 years. The total FIM scores both upon admission and at discharge were lower in the older age groups. No significant difference was observed in the changes in FIM scores across these age groups. Age was not an independent predictor for a good outcome. FIM upon admission was an independent predictor for a good outcome (discharge FIM ≥90) in all patients and in individual age groups. Having employment before stroke was a predictor for good outcome in all patients. Living at home prior to stroke was a predictor for the total population and the ≥65 and <80 years group. The length of stay predicted a good outcome in the group ≥80 years. Conclusions: Admission functional status, employment and living at home before stroke but not age per se are predictors of a good outcome following stroke rehabilitation. As older patients show comparable improvement during rehabilitation, intensive rehabilitation should not be withheld in stroke patients simply because of advanced age. Copyright © 2006 S. Karger AG.en_HK
dc.languageengen_HK
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/CEDen_HK
dc.relation.ispartofCerebrovascular Diseasesen_HK
dc.rightsCerebrovascular Diseases. Copyright © S Karger AG.en_HK
dc.subject.meshActivities of Daily Livingen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAge Factorsen_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshChina - epidemiologyen_HK
dc.subject.meshDisability Evaluationen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLength of Stayen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshRecovery of Functionen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.subject.meshStroke - epidemiology - physiopathology - rehabilitationen_HK
dc.subject.meshUrinary Incontinence - epidemiology - physiopathology - rehabilitationen_HK
dc.titleDoes age predict outcome in stroke rehabilitation? A study of 878 Chinese subjectsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9770&volume=21&spage=229&epage=234&date=2006&atitle=Does+age+predict+outcome+in+stroke+rehabilitation?+A+study+of+878+Chinese+subjectsen_HK
dc.identifier.emailCheung, RTF:rtcheung@hku.hken_HK
dc.identifier.emailHo, SL:slho@hku.hken_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.identifier.authorityHo, SL=rp00240en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000091219en_HK
dc.identifier.pmid16446535-
dc.identifier.scopuseid_2-s2.0-33644900232en_HK
dc.identifier.hkuros115083en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33644900232&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issue4en_HK
dc.identifier.spage229en_HK
dc.identifier.epage234en_HK
dc.identifier.isiWOS:000235580800003-
dc.publisher.placeSwitzerlanden_HK
dc.identifier.scopusauthoridLuk, JKH=7006777797en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK
dc.identifier.scopusauthoridHo, SL=25959633500en_HK
dc.identifier.scopusauthoridLi, L=7501450364en_HK

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