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Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions
OBJECTIVE: To develop a new prediction model by combining independence in eating and bladder management functions, and to assess its utility in an acute care setting. METHODS: Patients with ischemic stroke who were admitted in our acute stroke care unit (n=250) were enrolled in this study. Functiona...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Academy of Rehabilitation Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8273726/ https://www.ncbi.nlm.nih.gov/pubmed/34126671 http://dx.doi.org/10.5535/arm.20226 |
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author | Uchida, Kensaku Uchiyama, Yuki Domen, Kazuhisa Koyama, Tetsuo |
author_facet | Uchida, Kensaku Uchiyama, Yuki Domen, Kazuhisa Koyama, Tetsuo |
author_sort | Uchida, Kensaku |
collection | PubMed |
description | OBJECTIVE: To develop a new prediction model by combining independence in eating and bladder management functions, and to assess its utility in an acute care setting. METHODS: Patients with ischemic stroke who were admitted in our acute stroke care unit (n=250) were enrolled in this study. Functional Independence Measure (FIM) scores for eating and bladder management on the initial day of rehabilitative treatment (median, 3 days) were collected as predictive variables. These scores were divided into low (<5) and high (≥5) and categorized as values 0 and 1, respectively. From the simple summation of these two-level model values, we derived a three-level model that categorized the scores as values 0, 1, and 2. The FIM-motor scores at discharge (median, 14 days) were collected as outcome measurements. The three-level model was assessed by observing the distribution patterns of the outcome FIM-motor scores and logistic regression analyses. RESULTS: The median outcome FIM-motor score was 19 (interquartile range [IQR],13.8–45.3) for the value 0 category (n=14), 66.5 (IQR, 59.5–81.8) for the value 1 category (n=16), and 84 (IQR, 77–89) for the value 2 category (n=95) in the three-level model. Data fitting by logistic regression for FIM-motor scores of 41.3 and 61.4 reached 50% probability of values 1 and 2, respectively. CONCLUSION: Despite the simplicity of the three-level model, it may be useful for predicting outcomes of patients with ischemic stroke in acute care. |
format | Online Article Text |
id | pubmed-8273726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-82737262021-07-26 Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions Uchida, Kensaku Uchiyama, Yuki Domen, Kazuhisa Koyama, Tetsuo Ann Rehabil Med Original Article OBJECTIVE: To develop a new prediction model by combining independence in eating and bladder management functions, and to assess its utility in an acute care setting. METHODS: Patients with ischemic stroke who were admitted in our acute stroke care unit (n=250) were enrolled in this study. Functional Independence Measure (FIM) scores for eating and bladder management on the initial day of rehabilitative treatment (median, 3 days) were collected as predictive variables. These scores were divided into low (<5) and high (≥5) and categorized as values 0 and 1, respectively. From the simple summation of these two-level model values, we derived a three-level model that categorized the scores as values 0, 1, and 2. The FIM-motor scores at discharge (median, 14 days) were collected as outcome measurements. The three-level model was assessed by observing the distribution patterns of the outcome FIM-motor scores and logistic regression analyses. RESULTS: The median outcome FIM-motor score was 19 (interquartile range [IQR],13.8–45.3) for the value 0 category (n=14), 66.5 (IQR, 59.5–81.8) for the value 1 category (n=16), and 84 (IQR, 77–89) for the value 2 category (n=95) in the three-level model. Data fitting by logistic regression for FIM-motor scores of 41.3 and 61.4 reached 50% probability of values 1 and 2, respectively. CONCLUSION: Despite the simplicity of the three-level model, it may be useful for predicting outcomes of patients with ischemic stroke in acute care. Korean Academy of Rehabilitation Medicine 2021-06 2021-06-14 /pmc/articles/PMC8273726/ /pubmed/34126671 http://dx.doi.org/10.5535/arm.20226 Text en Copyright © 2021 by Korean Academy of Rehabilitation Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Uchida, Kensaku Uchiyama, Yuki Domen, Kazuhisa Koyama, Tetsuo Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions |
title | Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions |
title_full | Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions |
title_fullStr | Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions |
title_full_unstemmed | Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions |
title_short | Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions |
title_sort | outcome prediction for patients with ischemic stroke in acute care: new three-level model by eating and bladder functions |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8273726/ https://www.ncbi.nlm.nih.gov/pubmed/34126671 http://dx.doi.org/10.5535/arm.20226 |
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