Evidence map›Paper›PMID 41577879›Full record

ArticleEuropean geriatric medicine2026

Clinically meaningful changes in functional independence among older patients with subacute stroke: estimating the minimal important change using an anchor-based adjusted predictive modeling approach.

Hiroyuki Uchida, Tomoaki Shirakawa, Kazuki Ishii, Yudai Kato, Yuki Yamajo, Takumi Igusa, Masataka Sakimoto, Chihaya Machida, Tomohiro Shimada, Kenji Tsuchiya and 2 more

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Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Hiroyuki UchidaGraduate School of Health Sciences, Gunma University, Maebashi, Japan.
Tomoaki ShirakawaDepartment of Rehabilitation, Kurashiki Heisei Hospital, Kurashiki, Japan.
Kazuki IshiiDepartment of Rehabilitation, Kurashiki Heisei Hospital, Kurashiki, Japan.
Yudai KatoDepartment of Rehabilitation, Kurashiki Heisei Hospital, Kurashiki, Japan.
Yuki YamajoDepartment of Rehabilitation, Kurashiki Heisei Hospital, Kurashiki, Japan.
Takumi IgusaGraduate School of Health Sciences, Gunma University, Maebashi, Japan.
Masataka SakimotoGraduate School of Health Sciences, Gunma University, Maebashi, Japan.
Chihaya MachidaGraduate School of Health Sciences, Gunma University, Maebashi, Japan.
Tomohiro ShimadaGraduate School of Health Sciences, Gunma University, Maebashi, Japan.
Kenji TsuchiyaDepartment of Rehabilitation, Faculty of Health Sciences, Nagano University of Health and Medicine, Nagano, Japan.
Senichiro KikuchiGraduate School of Health Sciences, Gunma University, Maebashi, Japan.
Kazuki HiraoDepartment of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8544, Japan. kazuki.hirao@health.nop.kagoshima-u.ac.jp.ORCID http://orcid.org/0000-0002-2467-7564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFunctional independence measure (FIM) is a detailed assessment of activities of daily living in patients with stroke. To confirm that the FIM is useful in clinical practice and clinical research, the minimal important change (MIC), which is an aspect of interpretability of the FIM, must be clarified in addition to validity and reliability. This study aimed to estimate the MIC of the FIM in older patients with subacute stroke, with the goal of enhancing the interpretability of rehabilitation outcomes in geriatric care.

methodsData from patients admitted to a single convalescent rehabilitation ward (CRW) in Japan between January 2020 and December 2022 were analyzed. This study included patients aged 65 years or older with subacute stroke who were originally living at home. Those who died or were transferred to other hospitals during hospitalization were excluded. FIM was assessed on admission and discharge. The MIC for the FIM was calculated using the place of discharge as an anchor (i.e., anchor-based adjusted predictive modeling method [MIC

resultsOf the 1401 patients admitted to the CRW, 277 were eligible (mean age [SD], 78.9 [7.6] years). The motor, cognitive, and total FIM scores on CRW admission were 39.1 (21.2), 19.7 (8.5), and 58.8 (27.7) and those at CRW discharge were 60.9 (23.9), 23.9 (8.4), and 84.8 (30.7), respectively. The estimated MIC

conclusionsThe MIC for the FIM in older patients with subacute stroke were 19, 4, and 23 points for the motor, cognitive, and total FIM, respectively, which may aid in interpreting the effects of rehabilitation in older patients with subacute stroke.

Indexed as

Activities of Daily LivingFunctional StatusGeriatric AssessmentStrokeStroke RehabilitationAgedAged, 80 and overDisability EvaluationFemaleHumansJapanMaleRecovery of FunctionReproducibility of ResultsActivities of daily livingFunctional independence measureMinimal important changeRehabilitationStroke

Identifiers

PMID41577879
PMCPMC13109285

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