Comorbidities in Stroke Patients as Assessed With a Newly Developed Comorbidity Scale1

Liu, Meigen; Tsuji, Takao; Tsujiuchi, Kazuhito; Chino, Naoichi

doi:10.1097/00002060-199909000-00004

Cited by 49 publications

(43 citation statements)

References 13 publications

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“…No significant differences were found for the remaining parameters, with the exception of the baseline HDRS score. According to the comorbidity scale of Liu et al [46], 217 patients out of 290 (74.8%) had comorbidities requiring specific treatment, but not limiting daily activities and exercise.…”

Section: Resultsmentioning

confidence: 99%

Post-Stroke Depression, Antidepressant Treatment and Rehabilitation Results

et al. 2001

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The aim of this study was to assess the specific influence of poststroke depression (PSD) on both basal functional status and rehabilitation results. We performed a case-control study in 290 stroke inpatients, matched for age (±1 year) and onset admission interval (±3 days) and divided in two groups according to the presence (PSD+) or absence (PSD–) of PSD. All PSD+ patients were treated with antidepressants (AD), mainly with fluoxetine. PSD+ patients, despite similar severity of stroke, showed greater disability in coping with activities of daily living (ADL) on admission and greater disability both in ADL and mobility at discharge than PSD– patients. Although both groups exhibited similar average functional improvement during rehabilitation, PSD– patients were nearly twice as likely to show excellent recovery both on ADL and mobility as PSD+ patients (OR = 1.95, 95% CI = 1.01–3.75 and OR = 2.23, 95% CI = 1.14–4.35, respectively). All AD drugs improved depressive symptoms. Few relevant side effects were observed: fluoxetine was discontinued in 2 patients because of insomnia and in 2 patients because of nausea; paroxetine was stopped in 1 patient because of nausea and dry mouth. Our results confirm the unfavorable influence of PSD on functional outcome, despite pharmacological treatment.

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Section: Resultsmentioning

confidence: 99%

Post-Stroke Depression, Antidepressant Treatment and Rehabilitation Results

et al. 2001

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“…Exclusion criteria were previous cerebrovascular accidents, subarachnoid hemorrhage, dementia (according to the DSM-III-R definition) [26], presence of other chronic disabling pathologies (i.e., severe Parkinson’s disease, polyneuropathy, severe cardiac, liver or renal failure, cancer, limb amputation), grade 5 in cardiovascular and/or pulmonary items of Liu’s Comorbidity Scale (CS) [27, 28]. …”

Section: Methodsmentioning

confidence: 99%

Aging and Stroke Rehabilitation

et al. 2003

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The aim of this study was to assess the specific influence of age on basal functional status and rehabilitation results. We conducted a case-comparison study on 150 stroke inpatients. They were enrolled in homogeneous subgroups, matched for severity of stroke (measured by Canadian Neurological Scale – CNS) and onset admission interval (within 3 days) and divided into five subgroups according toage: ≤50; 51–64; 65–74; 75–84; and ≧85 years. Even when severity of stroke was the same, increasing age was associated with greater disability in activities of daily living (ADL) and mobility, minor results of rehabilitation treatment and shorter length of stay. Patients ≧85 years were nearly ten times as likely to show a low response in ADL (OR = 9.28, 95% CI = 2.89–29.76) and nearly six times in mobility (OR = 6.13, 95% CI = 2.18–17.25) than younger patients. However, rehabilitation treatment was efficacious also in patients ≧85 years, with effectiveness of treatment 27.96% on ADL and 18.64% on mobility. On one hand our results confirm the unfavorable influence of age on functional outcome and on the other that inpatient rehabilitation is substantially effective also for very old patients, although less than for younger ones.

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“…Subjects had to fulfill the following inclusion criteria: (1) ASIA Impairment Scale grades A, B, or C and wheelchair-dependent in daily living, (2) training periods of at least 1 month for orthotic gait as an in-patient, (3) completion of gait training during in-patient rehabilitation, and (4) the presence of no comorbidity that forced patients to lessen the training dose. 23 The subject group consisted of 36 men and nine women with a mean age of 34.0 years (range 16-68 years). Of these patients, 13 used the Walkabout, four used the gear joint orthosis, and 28 used the Primewalk as the medial hip joint.…”

Section: Subjectsmentioning

confidence: 99%

Prediction of gait outcome with the knee–ankle–foot orthosis with medial hip joint in patients with spinal cord injuries: a study using recursive partitioning analysis

et al. 2006

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Study design: Retrospective study of the degree of gait independence achieved by persons with spinal cord injury (SCI) using knee-ankle-foot orthosis with a medial single hip joint (MSH-KAFO). Objective: To examine the effects of the neurological level, degree of paresis, age, and inhibitory physical/other factors on the gait with a MSH-KAFO in patients with SCIs. Setting: Three university hospitals and two rehabilitation hospitals in Japan. Methods: The 45 patients (36 men, nine women) examined included 10 with injuries in the cervical cord between C6 and C8 (group C), 20 with injuries in the upper-middle thoracic cord between T4 and T10 (group UT), and 15 with injuries in the lower thoracic-lumbar cord between T12 and L1 (group TL). Mean age was 34.0 years (range 16-68 years). Of these patients, 13 used the Walkabout, four used the gear joint, and 28 used the Primewalk as the medial hip joint. Recursive partitioning, which predicted the final status of gait from the level, degree of paresis, age, and inhibitory factors, was performed, and a decision tree for gait was constructed. Inhibitory factors were spasticity, involuntary spasms or muscle contractions, pain, contracture, weakness of the upper extremities, and decreased motivation to perform gait exercise. The degree of gait independence was rated on the following five-point scale: outdoor independent gait (5 points), indoor independent gait (4 points), indoor supervised gait (3 points), indoor assisted gait (2 points), and gait within parallel bars (1 point). New branches were added to the decision tree for gait based on the clinical experience, thereby constructing a new decision tree. Results: The coincident ratio between the value predicted on the basis of the decision tree of gait and the value actually observed was 53.3%. The coincident ratio between the value predicted on the basis of the modified decision tree of gait and the actually observed value was 68.9%. Conclusion:The results provide valuable information to medical teams that may assist prescription of gait orthoses.

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Comorbidities in Stroke Patients as Assessed With a Newly Developed Comorbidity Scale1

Cited by 49 publications

References 13 publications

Post-Stroke Depression, Antidepressant Treatment and Rehabilitation Results

Post-Stroke Depression, Antidepressant Treatment and Rehabilitation Results

Aging and Stroke Rehabilitation

Prediction of gait outcome with the knee–ankle–foot orthosis with medial hip joint in patients with spinal cord injuries: a study using recursive partitioning analysis

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