Evidence map›Paper›PMID 41939660›Full record

ArticleCureus2026

Prediction of Stroke Outcomes in a Super-aged Society: Different Effects Among Predictive Variables.

Yoshihiro Kanata, Yuki Uchiyama, Satoko Matsushima, Mika Kanatani, Tetsuo Koyama, Kazuhisa Domen

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Yoshihiro KanataDepartment of Rehabilitation Medicine, General Medicine and Community Health, Hyogo Medical University Sasayama Medical Center, Tamba-Sasayama, JPN.
Yuki UchiyamaDepartment of Rehabilitation Medicine, School of Medicine, Hyogo Medical University, Nishinomiya, JPN.
Satoko MatsushimaDepartment of Rehabilitation Medicine, Hyogo Medical University Sasayama Medical Center, Tamba-Sasayama, JPN.
Mika KanataniDepartment of Rehabilitation Medicine, Hyogo Medical University Sasayama Medical Center, Tamba-Sasayama, JPN.
Tetsuo KoyamaDepartment of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, JPN.
Kazuhisa DomenDepartment of Rehabilitation Medicine, School of Medicine, Hyogo Medical University, Nishinomiya, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePopulation aging has progressed rapidly worldwide, particularly in developed countries such as Japan. Age is a well-established prognostic factor after stroke; however, its influence on functional outcomes may differ in increasingly older populations. This study aims to investigate whether the impact of age on post-stroke functional independence differs between patients aged ≥75 years (late elderly) and those aged <75 years.

methodsThis retrospective cohort study included 169 post-stroke patients admitted to a convalescent rehabilitation ward between 2018 and 2023. All patients were independent before stroke onset and received intensive multidisciplinary rehabilitation. Functional outcomes were assessed using the Functional Independence Measure (FIM), with the motor score at discharge as the primary endpoint. Patients were divided into a younger group referred to as the 'early elderly' (<75 years, n = 80) and an older group known as the 'late elderly' (≥75 years, n = 89). Multivariable linear regression analyses were performed for the entire cohort and separately for each age group, adjusting for demographic, clinical, and functional variables at admission.

resultsBaseline FIM motor and cognitive scores and trunk function were significantly poorer in the late elderly group; however, no significant age-related difference in FIM gain was observed. In the overall cohort, age, time from stroke onset to transfer, FIM cognitive score at admission, and trunk function independently predicted the FIM motor score at discharge. In subgroup analyses, age was not a significant predictor in the early elderly group but was a strong independent predictor in the late elderly group, along with cognitive function, motor impairment, trunk function, and time to rehabilitation.

conclusionsThe prognostic significance of age differs by age group in post-stroke rehabilitation. Age does not independently predict functional independence in patients aged <75 years, but plays a critical role among those aged ≥75 years. These findings highlight the need for age-specific prognostic models and rehabilitation planning in aging societies, particularly among patients undergoing intensive convalescent rehabilitation.

Indexed as

aging societyfunctional independence measurejapanese geriatricslate elderlystroke fehabilitationstroke outcome

Identifiers

PMID41939660
PMCPMC13044251

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.