Deans' stroke musings: Association between performance on an interdisciplinary stroke assessment battery and falls in patients with acute stroke in an inpatient rehabilitation facility

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.

Saturday, January 25, 2020

Association between performance on an interdisciplinary stroke assessment battery and falls in patients with acute stroke in an inpatient rehabilitation facility

Oh god, more prediction stupidity. Survivors want EXACT STROKE PROTOCOLS LEADING TO 100% RECOVERY. When the hell will you get there? After you are the 1 in 4 per WHO that has a stroke?

Association between performance on an interdisciplinary stroke assessment battery and falls in patients with acute stroke in an inpatient rehabilitation facility

Archives of Physical Medicine and Rehabilitation , Volume 100(11) , Pgs. 2089-2095.

NARIC Accession Number: J82546. What's this?
ISSN: 0003-9993.
Author(s): Eikenberry, Megan; Ganley, Kathleen J.; Zhang, Nan; Kinney, Carolyn L..
Publication Year: 2019.
Number of Pages: 7.
Abstract: Study explored the association between demographic factors and functional performance measures of 139 patients with acute stroke in an inpatient rehabilitation facility (IRF) and falls during the IRF stay and determined the diagnostic accuracy of functional outcome measures in identifying fallers. Odds ratios were used to examine the relationship between fall frequency and functional outcome measures: National Institute of Stroke Scale, neglect (Item #11); Berg Balance Scale; Stroke Rehabilitation Assessment of Movement (STREAM) mobility and STREAM lower-extremity (STREAM-LE) subscales; Montreal Cognitive Assessment; Dynamic Gait Index; and Stroke Impact Scale. Receiver operator characteristic analysis with area under the curve, sensitivity, specificity, and diagnostic odds ratio were used to assess the diagnostic accuracy of each functional outcome measure to distinguish patients who fell vs those who did not fall in the IRF. A total of 23 patients (16.2 percent) fell during the IRF hospitalization. Patients who did and did not fall did not differ in terms of age, sex, stroke type, or stroke location. Only the STREAM-LE was associated with falls. Area under the curve was 0.67. With a positivity cutoff point of 12, sensitivity and specificity were 73.3 percent and 50.0 percent, respectively. The diagnostic odds ratio was 3.4. The findings suggest that the STREAM-LE score at admission to IRF may identify patients with acute stroke who are more likely to fall during their stay. However, the search for measures with greater diagnostic accuracy should continue.(No it shouldn't. We need protocols that deliver recovery, that will prevent falls.)
Descriptor Terms: BODY MOVEMENT, DEMOGRAPHICS, EQUILIBRIUM, FUNCTIONAL EVALUATION, INTERDISCIPLINARY ACTIVITIES, MEASUREMENTS, MOBILITY, OUTCOMES, PERFORMANCE STANDARDS, POSTURE, REHABILITATION FACILITIES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Eikenberry, Megan, Ganley, Kathleen J., Zhang, Nan, Kinney, Carolyn L.. (2019). Association between performance on an interdisciplinary stroke assessment battery and falls in patients with acute stroke in an inpatient rehabilitation facility. Archives of Physical Medicine and Rehabilitation , 100(11), Pgs. 2089-2095. Retrieved 1/25/2020, from REHABDATA database.