J Korean Acad Rehabil Med.  2003 Jun;27(3):300-308.

Clinical Factors Associated with Functional Status at Discharge in Stroke Patients

• Kim KT
• Kang MJ
• Lee HN
• An JD
• Cho C
• Bae J

Abstract

OBJECTIVE
To investigate the clinical characteristics, risk factors and complications of stroke patients and their effect on the patient's functional outcomes at discharge. METHOD: We performed a prospective study during hospitalization on 1, 250 consecutive acute stroke patients discharged from Dong-Eui Hospital from June 2001 to May 2002. Glasgow outcome scale, status of upper extremity involved and status of ambulation were used to evaluate functional status. RESULTS: The variables of clinical characteristics identified as significant in functional status at discharge were the presence of occupation, interval between onset and visit to hospital arrival, type of first treatment after stroke, type of caregiver, type of stroke and location of infarction and intracranial hemorrhage. Positive functional outcomes were significantly related to a younger age, male, small amount of hemorrhage and short length of hospital stay. Among risk factors of stroke, abnormal ECG findings at admission and presence of previous stroke were negative prognostic factors. The complications influencing stroke outcome negatively were pneumonia, depression, urinary tract infection, myocardial infarction and recurrence of stroke in hospitalization. CONCLUSION: The results of this study should be considered during acute management and rehabilitation of stroke patients and are valuable as basic data of functional outcome after stroke.

Keyword

Stroke; Functional status; Clinical factors

MeSH Terms

Caregivers
Depression
Electrocardiography
Glasgow Outcome Scale
Hemorrhage
Hospitalization
Humans
Infarction
Intracranial Hemorrhages
Length of Stay
Male
Myocardial Infarction
Occupations
Pneumonia
Prospective Studies
Recurrence
Rehabilitation
Risk Factors
Stroke*
Upper Extremity
Urinary Tract Infections
Walking