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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):300-308.
Clinical Factors Associated with Functional Status at Discharge in Stroke Patients.
Kim, Kyeong Tae , Kang, Min Jeong , Lee, Hoan Nyoung , An, Jae Doo , Cho, Changweon , Bae, Jiho
1Department of Rehabilitation Medicine, Dong-Eui Hospital, Korea. oukims@chol.com
2Department of Neurosurgery, Dong-Eui Hospital, Korea.
3Department of Neurology, Dong-Eui Hospital, Korea.
뇌졸중 환자의 퇴원 당시 기능상태와 임상요인
김경태, 강민정, 이환녕, 안재두, 조창원1, 배지호2
동의병원 재활의학과, 1신경외과, 2신경과
Abstract
Objective
To investigate the clinical characteristics, risk factors and complications of stroke patients and their effect on the patient's functional outcomes at discharge.


Method
We performed a prospective study during hospitalization on 1,250 consecutive acute stroke patients discharged from Dong-Eui Hospital from June 2001 to May 2002. Glasgow outcome scale, status of upper extremity involved and status of ambulation were used to evaluate functional status.


Results
The variables of clinical characteristics identified as significant in functional status at discharge were the presence of occupation, interval between onset and visit to hospital arrival, type of first treatment after stroke, type of caregiver, type of stroke and location of infarction and intracranial hemorrhage. Positive functional outcomes were significantly related to a younger age, male, small amount of hemorrhage and short length of hospital stay. Among risk factors of stroke, abnormal ECG findings at admission and presence of previous stroke were negative prognostic factors. The complications influencing stroke outcome negatively were pneumonia, depression, urinary tract infection, myocardial infarction and recurrence of stroke in hospitalization.


Conclusion
The results of this study should be considered during acute management and rehabilitation of stroke patients and are valuable as basic data of functional outcome after stroke. (J Korean Acad Rehab Med 2003; 27: 300-308)

Key Words: Stroke, Functional status, Clinical factors


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