Document Detail


Predictors of return to driving after stroke.
MedLine Citation:
PMID:  23370577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Although returning to driving is a major concern for many survivors of stroke, predicting who will return to driving after a stroke is often difficult for rehabilitation professionals. The primary aim of this study was to identify patient factors present at admission to an inpatient rehabilitation hospital that can be used to identify which patients who have had acute stroke will and will not return to driving.
DESIGN: After comparing returners and nonreturners on demographic and clinical characteristics, a logistic regression model with return to driving as the outcome variable was built using the backward stepwise method.
RESULTS: Thirty-one percent (48/156) of the patients who had been driving before their stroke returned to driving 6 mos after stroke. The final regression model, using Functional Independence Measure cognition and lower extremity Motricity Index scores, predicted the driving outcome with an accuracy of 75% (107/143).
CONCLUSIONS: Patients with lower Functional Independence Measure cognition and lower extremity Motricity Index scores at admission to inpatient rehabilitation are less likely to return to driving at 6 mos. This model could be used by rehabilitation professionals to help counsel patients and their families and focus treatment goals.
Authors:
Elyse L Aufman; Marghuretta D Bland; Peggy P Barco; David B Carr; Catherine E Lang
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  92     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-06-20     Completed Date:  2013-08-23     Revised Date:  2014-07-02    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  627-34     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Academic Medical Centers
Activities of Daily Living*
Aged
Aged, 80 and over
Automobile Driving / statistics & numerical data*
Cognition Disorders / diagnosis,  rehabilitation
Cohort Studies
Disability Evaluation
Female
Follow-Up Studies
Humans
Logistic Models
Male
Motor Skills
Patient Discharge
Patient Safety
Predictive Value of Tests
Recovery of Function
Rehabilitation Centers
Retrospective Studies
Risk Assessment
Severity of Illness Index
Stroke / diagnosis*,  rehabilitation*
Survivors
Time Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
TL1 TR000449/TR/NCATS NIH HHS; UL1 TR000448/TR/NCATS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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