Evidence map›Paper›PMID 39624502›Full record

ArticleCureus2024

Impact of Recurrence on Functional Independence in Stroke Patients Treated in a Convalescent Rehabilitation Hospital.

Yoshihiro Kanata, Yuki Uchiyama, Saya Iwasa, Satoko Matsushima, Yuta Tauchi, Tetsuo Koyama, Kazuhisa Domen

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yoshihiro KanataDepartment of General Medicine and Community Health, Hyogo Medical University Sasayama Medical Center, Tanbasasayama, JPN.
Yuki UchiyamaDepartment of Rehabilitation Medicine, Hyogo Medical University, Nishinomiya, JPN.
Saya IwasaDepartment of Rehabilitation Medicine, Hyogo Medical University Sasayama Medical Center, Tanbasasayama, JPN.
Satoko MatsushimaDepartment of Rehabilitation Medicine, Hyogo Medical University Sasayama Medical Center, Tanbasasayama, JPN.
Yuta TauchiDepartment of Rehabilitation Medicine, Hyogo Medical University Sasayama Medical Center, Tanbasasayama, JPN.
Tetsuo KoyamaDepartment of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, JPN.
Kazuhisa DomenDepartment of Rehabilitation Medicine, Hyogo Medical University, Nishinomiya, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOutcome prediction is a crucial component of rehabilitation in post-stroke patients. However, only a few studies have focused on the influence of stroke recurrence on outcomes in these patients. This study aimed to determine the impact of stroke recurrence on functional independence using data from a convalescent rehabilitation hospital. MATERIALS AND

methodsThe study included stroke patients who were admitted to our convalescent rehabilitation hospital. Data were collected on age, stroke recurrence, and number of days between stroke onset and transfer to our facility. Scores for the motor component of the functional independence measure (FIM-motor) and stroke impairment assessment set (SIAS-motor) were obtained at admission and discharge. Multivariate regression analysis was performed using the FIM-motor score at discharge as the dependent variable. Stroke recurrence was used as the independent variable, with age, days from onset to transfer, and FIM-motor and total SIAS-motor scores at admission entered as covariates. To explore the impact of the size of deep white matter lesions from prior strokes, we used the Fazekas scale to classify the recurrent cases into subgroups (0-1 or 2-3) and compared the FIM-motor scores at discharge between them.

resultsAfter adjusting for the above-mentioned covariates, stroke recurrence emerged as a statistically significant predictor of a reduced FIM-motor score at discharge. Furthermore, in patients with recurrent stroke, those with larger deep white matter lesions had a significantly lower FIM-motor score at discharge.

conclusionsStroke recurrence was found to be an independent predictor of a reduced FIM-motor score. Moreover, in patients with recurrent stroke, larger deep white matter lesions were associated with further reductions in the FIM-motor score. These findings underscore the negative impact of recurrent stroke on functional independence in stroke patients.

Indexed as

fazekas scalefunctional independent measure (fim)recurrent strokesrehabilitationstroke outcome

Identifiers

PMID39624502
PMCPMC11610527

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.