Dependency in Activities of Daily Living During the First Year After Stroke
Background: Dependency in personal activities of daily living (ADL) is a common short-term and long-term consequence of stroke and requires targeted rehabilitation. As the duration of hospital stay has become shorter in recent decades, early identification of patients who require rehabilitation has...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2021.736684/full |
| _version_ | 1819025345603436544 |
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| author | Hannah E. Wurzinger Tamar Abzhandadze Tamar Abzhandadze Lena Rafsten Lena Rafsten Katharina S. Sunnerhagen Katharina S. Sunnerhagen |
| author_facet | Hannah E. Wurzinger Tamar Abzhandadze Tamar Abzhandadze Lena Rafsten Lena Rafsten Katharina S. Sunnerhagen Katharina S. Sunnerhagen |
| author_sort | Hannah E. Wurzinger |
| collection | DOAJ |
| description | Background: Dependency in personal activities of daily living (ADL) is a common short-term and long-term consequence of stroke and requires targeted rehabilitation. As the duration of hospital stay has become shorter in recent decades, early identification of patients who require rehabilitation has become vital. To our knowledge, no study has investigated whether ADL dependency in the very early stages after admission to the stroke unit can explain ADL dependency 3 and 12 months later. This knowledge would facilitate planning for very early discharge and patient-centered rehabilitation.Objective: This study evaluated whether ADL dependency within 2 days after stroke could explain ADL dependency at 3 and 12 months after stroke.Methods: This longitudinal cohort study included patients with stroke who were treated at a stroke unit in the Sahlgrenska University Hospital (Gothenburg, Sweden) between May 2011 and March 2016. The primary independent variable was ADL dependency at 36–48 h after admission to the stroke unit, which was assessed using a Barthel Index (BI) score of ≤90. The dependent variables were self-reported personal ADL dependency at 3 and 12 months after stroke. Binary logistic regression analyses were performed.Results: Of 366 eligible patients (58% male; median age 71 years), a majority (76%) had mild stroke and 60% were ADL dependent 36–48 h after stroke. Univariable and multivariable logistic regression analyses showed that patients who were dependent within the first 2 days after stroke had higher odds for being dependent 3 months as well as 12 months after stroke.Conclusion: The results indicated that dependency in personal ADL during the first 2 days can explain dependency at 3- and 12-month post-stroke. Therefore, early ADL assessments post-stroke can be used for understanding rehabilitation needs after stroke. |
| first_indexed | 2024-12-21T05:09:12Z |
| format | Article |
| id | doaj.art-df26774ea4ea47748179a50999da7487 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-21T05:09:12Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-df26774ea4ea47748179a50999da74872022-12-21T19:15:07ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-11-011210.3389/fneur.2021.736684736684Dependency in Activities of Daily Living During the First Year After StrokeHannah E. Wurzinger0Tamar Abzhandadze1Tamar Abzhandadze2Lena Rafsten3Lena Rafsten4Katharina S. Sunnerhagen5Katharina S. Sunnerhagen6Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, SwedenBackground: Dependency in personal activities of daily living (ADL) is a common short-term and long-term consequence of stroke and requires targeted rehabilitation. As the duration of hospital stay has become shorter in recent decades, early identification of patients who require rehabilitation has become vital. To our knowledge, no study has investigated whether ADL dependency in the very early stages after admission to the stroke unit can explain ADL dependency 3 and 12 months later. This knowledge would facilitate planning for very early discharge and patient-centered rehabilitation.Objective: This study evaluated whether ADL dependency within 2 days after stroke could explain ADL dependency at 3 and 12 months after stroke.Methods: This longitudinal cohort study included patients with stroke who were treated at a stroke unit in the Sahlgrenska University Hospital (Gothenburg, Sweden) between May 2011 and March 2016. The primary independent variable was ADL dependency at 36–48 h after admission to the stroke unit, which was assessed using a Barthel Index (BI) score of ≤90. The dependent variables were self-reported personal ADL dependency at 3 and 12 months after stroke. Binary logistic regression analyses were performed.Results: Of 366 eligible patients (58% male; median age 71 years), a majority (76%) had mild stroke and 60% were ADL dependent 36–48 h after stroke. Univariable and multivariable logistic regression analyses showed that patients who were dependent within the first 2 days after stroke had higher odds for being dependent 3 months as well as 12 months after stroke.Conclusion: The results indicated that dependency in personal ADL during the first 2 days can explain dependency at 3- and 12-month post-stroke. Therefore, early ADL assessments post-stroke can be used for understanding rehabilitation needs after stroke.https://www.frontiersin.org/articles/10.3389/fneur.2021.736684/fullactivities of daily livinglongitudinal studiesoutcome assessmentstroke rehabilitation adherenceprognosisp-ADL |
| spellingShingle | Hannah E. Wurzinger Tamar Abzhandadze Tamar Abzhandadze Lena Rafsten Lena Rafsten Katharina S. Sunnerhagen Katharina S. Sunnerhagen Dependency in Activities of Daily Living During the First Year After Stroke Frontiers in Neurology activities of daily living longitudinal studies outcome assessment stroke rehabilitation adherence prognosis p-ADL |
| title | Dependency in Activities of Daily Living During the First Year After Stroke |
| title_full | Dependency in Activities of Daily Living During the First Year After Stroke |
| title_fullStr | Dependency in Activities of Daily Living During the First Year After Stroke |
| title_full_unstemmed | Dependency in Activities of Daily Living During the First Year After Stroke |
| title_short | Dependency in Activities of Daily Living During the First Year After Stroke |
| title_sort | dependency in activities of daily living during the first year after stroke |
| topic | activities of daily living longitudinal studies outcome assessment stroke rehabilitation adherence prognosis p-ADL |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2021.736684/full |
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