Abstract
We report an investigation to identify patient factors which influence social outcome measured by the Frenchay Activities Index at 12 months after a disabling stroke. Using data from a previous randomised trial a logistic regression model identified gait speed, prestroke Frenchay Activities Index, the Abbreviated Mental Test score, sensory neglect, chronic obstructive airways disease and left hemiplegia as significantly associated with 12-month social outcome scores. The model correctly predicted the social outcome for 78% of the study population and, when tested on a second data set, correctly predicted 76% of cases. These patient factors provide insight into social activity recovery after stroke and could be considered as stratification factors in future community stroke randomised trials.
References
1.
Bamford J, Sandercock P, Dennis M, Burn J, Warlow C: Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet 1991;337:1551–1526.
2.
Kwakkel G, Wagenaar RC, Kollen B, Lankhorst GJ: Predicting disability in stroke: A critical review of the literature. Age Ageing 1996;25:479–489.
3.
Forster A, Young J: Stroke rehabilitation: Can we do better? Br Med J 1992;305:1446–1447.
4.
Wood-Dauphine SL, Opzoomer MA, Williams JI, Marchard B, Spitzer WO: Assessment of global function: The reintegration to normal living index. Arch Phys Med Rehabil 1988;69:583–590.
5.
Badley EM: An introduction to the concepts and classifications of the international classification of impairments, disabilities and handicaps. Disability Rehabil 1993;15:161–178.
6.
Wade DT: Measurement in Neurological Rehabilitation. Oxford, Oxford University Press, 1995.
7.
Harwood RH, Ebrahim S: Manual of the London Handicap Scale. Nottingham, Department of Health Care of the Elderly, University of Nottingham, 1995.
8.
Trigg R, Wood VA, Langton-Hewer R: Social reintegration after stroke: The first stages in the development of the Subjective Index of Physical and Social Outcome (SIPSO). Clin Rehabil 1999;13:341–353.
9.
Wade DT, Legh-Smith J, Langton Hewer R: Social activities after stroke: Measurement and natural history using the Frenchay Activities Index. Int Rehabil Med 1985;7:176–181.
10.
Piercy M, Carter J, Mant J, Wade DT: Inter-rater reliability of the Frenchay Activities Index in patients with stroke and their carers. Clin Rehabil 2000;14:433–440.
11.
Forster A, Young J: A randomised trial of specialist nurse support for community stroke patients. Br Med J 1996;312:1642–1646.
12.
Hodkinson HM: Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1972;1:233–238.
13.
Fullerton KJ, McSherry D, Stout RW: Albert’s test: A neglected test of perceptual neglect. Lancet 1986;i:430–432.
14.
Enderby PM, Wood VA, Wade DT, Langton Hewer R: The Frenchay Aphasia Screening Test: A short simple test for aphasia, appropriate for non-specialists. Int Rehabil Med 1987;8:166–170.
15.
Isaacs B: Identification of disability in the stroke patient. Mod Geriatr 1971;1:390–302.
16.
Collin C, Wade DT, Davies S, Horne V: Barthel ADL Index: A reliability study. Int Disability Stud 1988;10:61–63.
17.
Wade DT, Wood VA, Heller A, Maggs J, Langton Hewer R: Walking after stroke. Scand J Rehabil Med 1987;19:25–30.
18.
Hunt SM, McEwen J, McKenna SP: Measuring Health Status. London, Croom Helm, 1986.
19.
Goldberg DP, Hillier VF: A scaled version of general health questionnaire. Psychol Med 1979;9:139–145.
20.
Young J, Forster A: The Bradford Community Stroke Trial: Results at 6 months. Br Med J1992;304:1085–1089.
21.
Evans RL, Bishop DS, Matlock AL, Stanahan S, Halar EM, Noonan WC: Pre-stroke family interactions, a predictor of stroke outcome. Arch Phys Med Rehabil 1987;68:508–512.
22.
Clarke MS, Smith DS: Psychological correlates of outcome following rehabilitation from stroke. Clin Rehabil 1999;13:129–140.
23.
Feibel JH, Springer CJ: Depression and failure to resume social activities after stroke. Arch Phys Med Rehabil 1982;63:276–277.
24.
Whiting SE, Lincoln NB, Cockburn J, Bhavnani G: The Rivermead Perceptual Assessment Battery. Windsor, NFER-Nelson, 1985.
25.
Wade DT, Legh-Smith J, Langton Hewer RA: Depressed mood after stroke. Br J Psychiatry 1987;151:200–205.
© 2001 S. Karger AG, Basel
2001
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