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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(5):641-646.
Prediction of Functional Outcome after Stroke Using Acute Clinical Factors.
Kim, Deog Young , Park, Chang Il , Chang, Won Hyuk , Ahn, So Young , Ohn, Seok Hoon
1Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. rina-an@hanmail.net
2Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
발병 초기 뇌졸중 환자 소견을 통한 퇴원 시 예후 예측
김덕용, 박창일, 장원혁, 안소영, 온석훈
연세대학교 의과대학 재활의학교실 및 재활의학연구소
Abstract
Objective
To plan the goals of the rehabilitation management after stroke, it was important to know functional prognosis of the patients. The purpose of this article was to predict functional outcomes of stroke patients by means of an analysis of the well-known prognostic factors of function at admission.


Method
This study was performed retrospectively on 102 patients with acute stroke who were admitted to Department of Rehabilitation Medicine. The inpatients, clinical and functional evaluation were carried out at admission. Functional abilities were measured with the use of the Functional Ambulatory Category (FAC) and the modified Barthel Index (MBI).


Results
The significant prognostic factors of FAC improvement rate were age, National Institute of Health Stroke Scale (NIHSS), Morticity Index, MBI, Mini-Mental State Examination (MMSE), aphasia and Trunk Control Test (TCT) (p<0.01). The most valuable single factor of FAC improvement rate was TCT. The significant prognostic factors of MBI improvement rate were age, NIHSS, Morticity Index, MMSE, aphasia and TCT (p<0.01). The most valuable single factor of MBI improvement rate was TCT.


Conclusion
We concluded that TCT could be the most valuable prognostic factor in rehabilitation management outcome of stroke.

Key Words: Stroke, Rehabilitation, Prognosis, Trunk control test


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