抄録
Iwai N, Aoyagi Y. Discharge index and prediction for stroke patients in the post-acute stage: Evaluation of the usefulness of Nichijo-seikatsu-kino-hyokahyo. Jpn J Compr Rehabil Sci 2012; 3: 37-41.
Introduction: The objective of this study was to evaluate whether or not the Nichijo-seikatsu-kino-hyokahyo could be used as an index for predicting ADL independence level or discharge destination.
Method: The subjects were 482 patients extracted from the Japanese Association of Rehabilitation Medicine Patient Database (stroke). Multiple regression analysis was performed with a dependent variable, FIM at discharge, and with independent variables including age, pre-onset mRS, post-onset hospital day, number of days hospitalized, motor FIM and cognitive FIM at admission. The Nichijo-seikatsu-kino-hyokahyo at admission was added to the independent variables, and predictability was compared. Logistic regression analysis was performed with a dependent variable, discharge destination, and with independent variables including age, pre-onset mRS, post-onset hospital day, number of days hospitalized, nursing availability, motor FIM and cognitive FIM at admission. The Nichijo-seikatsu-kino-hyokahyo at admission was added to the independent variables, and the predictive value was compared.
Results: Determination coefficient R2 increased by approximately 0.04 but the predictive value remained the same after adding the Nichijo-seikatsu-kino-hyokahyo at admission.
Conclusion: The results of analyses on the database used in this study suggest that the Nichijo-seikatsu-kino-hyokahyo does not yield better predictability for the ADL at discharge or discharge destination.
