Deans' stroke musings: A simple hospital mobility scale for acute ischemic stroke patients predicts long-term functional outcome

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 22, 2019

A simple hospital mobility scale for acute ischemic stroke patients predicts long-term functional outcome

We don't need a prognostic indicator. We need protocols that deliver 100% return to mobility. ARE YOU THAT FUCKING STUPID?

OOPS! A bit of anger showing there. It is very simple when people don't do their job I get annoyed or angry depending on the level of stupidity shown.

A simple hospital mobility scale for acute ischemic stroke patients predicts long-term functional outcome

Neurorehabilitation and Neural Repair (NNR) , Volume 33(8) , Pgs. 614-622.

NARIC Accession Number: J81673. What's this?
ISSN: 1545-9683.
Author(s): Maso, Iara; Pinto, Elen B.; Monteiro, Maiana; Makhoul, Marina; Mendel, Tassiana; Jesus, Pedro A. P.; Oliveira-Filho, Jamary.
Publication Year: 2019.
Number of Pages: 9.
Abstract: Study developed and assessed the validity of the Hospital Mobility Scale (HMS) to identify the level of mobility of ischemic stroke patients, specifically in a hospital environment, and evaluated the HMS as a prognostic indicator. The study was performed in 2 phases; in the first, the HMS content was developed, and in the second, researchers defined its score and evaluated its psychometric properties. Participants were temporally divided into 2 cohorts with a 3-month follow-up: one cohort for HMS derivation (160 patients consecutively admitted between January and September 2015) and another cohort for HMS validation (160 patients consecutively admitted between October 2015 and April 2016). The data were collected in a stroke unit, and the following scales were applied during hospitalization: National Institutes of Health Stroke Scale to quantify stroke severity and the HMS to verify the degree of mobility. The primary outcome was the proportion of unfavorable functional outcomes, defined as a modified Barthel Index of <95. The HMS defined 3 tasks: sitting, standing, and gait. In the derivation cohort, the HMS presented an accuracy of 84.5 percent measured using the area under the receiver operating characteristic curve, whereas in the validation cohort the accuracy was 87.8 percent. The HMS presented a large standardized effect size (1.41) and excellent inter-examiner agreement (intraclass correlation coefficient = 0.962). The HMS was able to predict accurately the functional outcome of poststroke patients, presented excellent inter-examiner agreement, and was sensitive in detecting changes.
Descriptor Terms: FUNCTIONAL STATUS, HOSPITALS, MEASUREMENTS, MOBILITY IMPAIRMENTS, OUTCOMES, PERFORMANCE STANDARDS, PREDICTION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://journals.sagepub.com/doi/10.1177/1545968319856894.

Citation: Maso, Iara, Pinto, Elen B., Monteiro, Maiana, Makhoul, Marina, Mendel, Tassiana, Jesus, Pedro A. P., Oliveira-Filho, Jamary. (2019). A simple hospital mobility scale for acute ischemic stroke patients predicts long-term functional outcome. Neurorehabilitation and Neural Repair (NNR) , 33(8), Pgs. 614-622. Retrieved 10/22/2019, from REHABDATA database.