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Rehabilitation Practice and Science

Translated Title

腦中風病患之年齡對復健預後生活獨立之影響

Abstract

Two hundred and one stroke patients who were admitted to the Rehabilitation Department of Chang Gung Memorial Hospital, Linkou, from April 1995 to March 1996 were evaluated by the Functional Independence Measure (FIM) in order to analyze the influence of age on stroke outcome. FIM scores on admission and discharge and the gain of FIM Two hundred and one stroke patients who were admitted to the Rehabilitation Department of Chang Gung Memorial Hospital, Linkou, from April 1995 to March 1996 were evaluated by the Functional Independence Measure (FIM) in order to analyze the influence of age on stroke outcome. FIM scores on admission and discharge and the gain of FIM scores were recorded in correlation with age, gender, lesion side and type of stroke. Patients were divided into young stroke (< 40 years, 6.5%), middle age stroke (40-64 years, 40.8%) and geriatric group ( 65 years, 52.7%). The geriatric group was also divided into young old (65-74 years) and old old ( 75 years or older) for comparison. The FIM scores were lowest in the geriatric group on admission, discharge and gain during hospitalization (p=0.024), but there was no significant difference between the young old and old old groups. The patients with lower FIM scores on admission required a longer hospital stay (p=0.029). The middle age group had a shorter stay than other groups. In the geriatric group, there was no significant difference in hospital stay between the young old and old old. Gender, side of lesion, and type of stroke were not influencing factors for longer hospital stays. Female stroke patients were significantly older on theaverage than male, but there were no significant differences in FIM scores on admission, discharge or gain. In conclusion, geriatric stroke patients had more severe initial disability and less recovery than younger patients after acute rehabilitation.

Language

English

First Page

85

Last Page

93

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