Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,554 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
To describe patients’ meaningful changes in three functional domains (basic mobility [BA], daily activity [DA], and applied cognition [AC]) following discharge from inpatient stroke rehabilitation and to identify the predictors of the 1-year functional improvement.
The longitudinal, multicenter, prospective cohort study.
The acute care wards of three hospitals in the greater Taipei area, Taiwan.
Five hundred patients with stroke in acute care wards (mean age=60±12.2 years, 62% male).
Not applicable.
The Mandarin version Activity Measure for Post-Acute Care (AM-PAC) short forms assessed at discharge and 3-, 6-, and 12-months follow-up. The minimal detectable change (MDC) was used to categorize the score changes as “improved” and “nonimproved” between the four time points.
The mean scores of the AM-PAC BM and DA subscales substantially increased within the first 3 months after discharge (86% participants were “improved”) and slightly increased during the subsequent 9 months (5∼26% participants were “improved”), whereas the mean score of the AC subscale decreased within the first 3 months and increased over the subsequent 9 months (22∼23% participants were “improved”). The BM, DA and AC scores at discharge were the dominant predictors of the subsequent functional improvement (p < 0.05). Patients at higher functional stages at discharge were more likely to have significant improvements.
Functional improvements in BM and DA were observed between discharge and 12 months, especially within the first 3 months; improvement in AC was evident during 3-12-months following discharge. The predictive ability of the AM-PAC for predicting functional improvement in three functional domains during the early, middle, and late stages of recovery were identified. These findings may help clinicians identify patients at risk of unfavorable long-term functional recovery and provide the patients with tailored interventions at the early stage of rehabilitation.
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