Relationship between change in ADL during two weeks from admission and ADL at discharge in post-stroke patients admitted to Kaifukuki rehabilitation wards

抄録

Hori H, Sonoda S, Watanabe M, Okuyama Y, Okamoto S, Okazaki H. Relationship between change in ADL during two weeks from admission and ADL at discharge in post-stroke patients admitted to Kaifukuki rehabilitation wards. Jpn J Compr Rehabil Sci 2019; 10: 82-87.

Objective: In post-stroke patients admitted to Kaifukuki (comprehensive inpatient) rehabilitation wards, we investigated whether the level of activities of daily living (ADL) at discharge differs depending on the change in Functional Independence Measure (FIM) score from admission to 2 weeks post-admission.

Methods: A total of 2,636 post-stroke patients were studied. Total scores of FIM motor subscale (FIMM) were divided into 7 grades (FIMM7) and total scores of FIM cognitive subscale (FIMC) were also divided into 7 grades (FIMC7). The FIMM7 or FIMC7 on admission and that at 2 weeks post-admission were compiled in a cross table, and the median values of FIMM on admission, FIMM at discharge, FIMM gain, and FIMM efficiency were calculated, and the differences were analyzed statistically.

Results: For both FIMM7 and FIMC7, as the difference in score between admission and 2 weeks post-admission became greater, more combinations showed significantly higher FIMM at discharge and higher FIMM gain/efficiency.

Conclusion: Patients showing improvement in FIMM or FIMC from admission to 2 weeks post-admission may have better ADL outcomes.