Document Detail

Relationship between Barthel Index scores during the acute phase of rehabilitation and subsequent ADL in stroke patients.
MedLine Citation:
PMID:  20299746     Owner:  NLM     Status:  MEDLINE    
The Barthel Index (BI) cannot be used to measure initial stroke severity or by extension, to stratify patients by severity in acute stroke trials because most patients are bedbound in the first few hours after stroke, either by their deficit or by medical directive. Our objectives were to clarify the threshold of acute BI for use in the prediction of subsequent independence in activities of daily living (ADL) and to assist in the definition of acute stroke rehabilitation goals. Subjects comprised 78 patients out of 191 inpatients admitted with acute stroke at our hospital during 2006-2007. The BI ADL score was divided into 2 ranges (BI> or =60 and < or =40), in a process similar to previous studies. During the acute period (from onset to approximately 3 weeks), all patients with a BI> or =40 could improve their ADL in 6 months. Patients with a BI< or =40 exhibited two ADL recovery outcomes (improved and no change) at 6 months. We also found that the skill level of basic activities related to standing was significant indicator of BI improvement (P<0.001). BI scores determined at approximately 3 weeks were reliable predictors of ADL disabilities at 6 months.
Shigetaka Nakao; Shinjiro Takata; Hirokazu Uemura; Michiharu Kashihara; Toshifumi Osawa; Koji Komatsu; Yuki Masuda; Tetsuya Okahisa; Koji Nishikawa; Shin Kondo; Megumi Yamada; Risa Takahara; Yoshimi Ogata; Yuka Nakamura; Shinji Nagahiro; Ryuji Kaji; Natsuo Yasui
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of medical investigation : JMI     Volume:  57     ISSN:  1349-6867     ISO Abbreviation:  J. Med. Invest.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-19     Completed Date:  2010-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716841     Medline TA:  J Med Invest     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  81-8     Citation Subset:  IM    
Department of Orthopedic Surgery, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan.
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MeSH Terms
Activities of Daily Living*
Acute Disease
Geriatric Assessment
Middle Aged
Severity of Illness Index
Stroke / rehabilitation*

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