Relationship between outcome in acute stroke patients and multiple stroke related scores obtained after onset of stroke.
Atsushi Hiraga, Takeshi Yamaoka, Yukari Sakai and 3 others
PMID 30349170WHAT IT FOUND
Early after stroke, NIHSS and mRS scores differed between home discharge and transfer groups.
FIM differed between convalescence and hospital transfer at all times. Day 30 home versus transfer groups did not differ.
Key findings
01NIHSS and mRS scores differed significantly between home discharge and convalescence/hospital transfer groups at hospitalization, and NIHSS also differed at day 7.
02FIM scores differed significantly between convalescence and hospital transfer groups at hospitalization, day 7, and day 30.
03At day 30, the home discharge versus convalescence/hospital transfer comparison did not show significant differences.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This was a retrospective chart review, so it reports group associations. The outcome groups were discharge destination categories, not a single functional outcome measured by the scales. The analysis used only total scale scores, not sub-items. The study did not examine disease type, surgical history, or complications. Patients were assessed only at hospitalization, day 7, and day 30, so changes between those points were not captured. The study excluded patients with relapsing stroke, subarachnoid hemorrhage, death, deteriorating condition, bedridden or wheelchair use before onset, or incomplete data.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not use these scale scores alone to predict discharge destination. The paper only compared outcome groups at three time points, and the scales that differed changed over time.