The aftermath of rehabilitation for patients with severe stroke (Articolo in rivista)

Type
Label
  • The aftermath of rehabilitation for patients with severe stroke (Articolo in rivista) (literal)
Anno
  • 2003-01-01T00:00:00+01:00 (literal)
Alternative label
  • Nolfe G.1, D'Aniello A.M.2, Muscherà R.3, Giaquinto S.4 (2003)
    The aftermath of rehabilitation for patients with severe stroke
    in Acta neurologica Scandinavica
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Nolfe G.1, D'Aniello A.M.2, Muscherà R.3, Giaquinto S.4 (literal)
Pagina inizio
  • 281 (literal)
Pagina fine
  • 284 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 107 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#note
  • IF 2002: 1,36. Settore disciplinare Neurologia clinica (categorie ISI-CRUI). IF ricalcolato in base al rango: 0,50. ImmediacyIndex 0,1, Cit Half-Life 9,6. (literal)
Note
  • ISI Web of Science (WOS) (literal)
Titolo
  • The aftermath of rehabilitation for patients with severe stroke (literal)
Abstract
  • OBJECTIVE: The study evaluates the aftermath of stroke in patients with very severe disability after their first ever stroke and dismissed after rehabilitation. MATERIALS AND METHODS: Sixty-nine inpatients were studied, who were highly disabled at discharge with a Functional Independence Measure (FIM) score in the range of 18-39. Their rehabilitation program had lasted 60 days. The degree of functional independence was measured by means of the FIM at the beginning of treatment, at discharge and at follow-up. The data collected were examined by using parametric and distribution-free statistical methods. The role of age in the process of recovery was also evaluated. RESULTS: All patients were discharged home after 2 months. At 6 month follow-up, 15 patients (21.7%) were lost, 27 (39.1%) had died and 27 (39.1%) lived at home. Among stroke survivors a clear trend toward an improvement was detected during the 6 months observation period. Indeed, the third quartile changed from 33 to 63 and a patient approached to independence (FIM 87). None underwent a rehabilitation program at home beside the relatives' assistance. CONCLUSIONS: Highly disabled stroke patients are probably to undergo unfavourable outcome but unexpected recovery cannot be ruled-out on the basis of cut-off parameters measured after the acute phase of stroke. Multivariate statistical methods can identify factors which can interfere with functional recovery but are error-prone in setting individual prognosis. Moreover the recovery process may develop in a long period of time. Taking into consideration the spontaneous recovery observed during the follow-up period after the dismissal from rehabilitation ward, a suitable rehabilitation at home might be fruitful in these patients, who should not be considered as \"lost\". (literal)
Prodotto di
Autore CNR

Incoming links:


Prodotto
Autore CNR di
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#rivistaDi
data.CNR.it