Predicting the functional outcome of intensive inpatient rehabilitation after stroke: results from the RIPS Study.
Alessandro Sodero, Silvia Campagnini, Anita Paperini and 16 others
PMID 37934187WHAT IT FOUND
Admission scores on six items predict discharge function after stroke rehab.
Younger age, higher independence, fewer comorbidities, better cognition, lower stroke severity, and higher motor function at admission linked to better discharge outcomes.
Key findings
01Younger age, higher independence in basic activities, fewer comorbidities, better cognition, lower stroke severity, and higher motor function at admission were independently associated with better functional outcome at discharge.
02The multivariable model explained 77.2% of the variance in the modified Barthel Index score at discharge.
03The model correctly estimated discharge function for 111 patients, overestimated it for 54, and underestimated it for 55.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The model has not been externally validated in other populations. Impulsivity and neglect were not included in the analysis. The sample size may have been too small to detect the predictive role of some variables. Prediction was less accurate for patients with low baseline function.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not use this model to predict outcomes for patients with very low baseline motor or functional scores. The study found that the model was significantly less accurate for this specific group.