The Effect of Body Mass Index (BMI) on Inpatient Stroke Rehabilitation Outcome: A Prospective Study From an East-Asian Cohort
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 247
- 试验地点
- 1
- 主要终点
- Functional Independence Measure (FIM) on Discharge
研究概览
简要总结
Research has shown that rehabilitation at almost any Body Mass Index (BMI) level leads to positive functional outcomes. Some data demonstrating that gains are often more rapid at BMI above "normal". The aim of this study is to investigate the association between BMI and the functional progress of all patients admitted to Tan Tock Seng Tertiary Rehabilitation Center.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinical strokes (ischaemic or haemorrhagic) diagnosed by acute neurologists or neurosurgeons and confirmed on computerized tomography (CT) or Magnetic resonance imaging (MRI) brain imaging
- •aged 18 years and above
- •admitted directly from acute stroke units
- •able to provide informed consent by self or by next of kin in incompetence patient
- •must receive physical therapy (either physiotherapy, occupational therapy or speech therapy) at least 5 times a week with each session at least 30 minutes
排除标准
- •rehabilitation was not the primary reason for the inpatient admission
- •failure to complete the rehabilitation program due to either an acute transfer off rehabilitation or a discharge against medical advice
- •incomplete or missing Body Mass Index (BMI) or Functional Independence Measure (FIM) data
- •patients who were not of Asian ethnicity
结局指标
主要结局
Functional Independence Measure (FIM) on Discharge
时间窗: Functional Independence Measure (FIM) was measured within 72 hours of discharge.
Functional Independence Measure (FIM), the main primary outcome measure during rehabilitation was measured within 72 hours of admission and discharge by rehabilitation therapists all of whom were trained and certified in the use of the FIM. The FIM is an 18-item instrument comprising 13 motor items and 5 cognitive items, with each item graded on a 7-point ordinal scale (1 denotes complete dependence and 7 denotes complete independence), including the ability to perform activities of daily living (ADLs) across 6 areas (self-care, sphincter control, transfers, locomotion, communication, and social cognition). Total admission FIM (Ta-FIM) scores, total discharge FIM (Td-FIM) scores (18 - 126), motor FIM (m-FIM) sub-scores (13 - 91) and cognitive FIM (c-FIM) sub-scores (5 - 35), were tabulated.
Functional Independence Measure (FIM) on Admission
时间窗: Functional Independence Measure (FIM) was measured within 72 hours of admission
Functional Independence Measure (FIM), the main primary outcome measure during rehabilitation was measured within 72 hours of admission and discharge by rehabilitation therapists all of whom were trained and certified in the use of the FIM. The FIM is an 18-item instrument comprising 13 motor items and 5 cognitive items, with each item graded on a 7-point ordinal scale (1 denotes complete dependence and 7 denotes complete independence), including the ability to perform activities of daily living (ADLs) across 6 areas (self-care, sphincter control, transfers, locomotion, communication, and social cognition). Total admission FIM (Ta-FIM) scores, total discharge FIM (Td-FIM) scores (18 - 126), motor FIM (m-FIM) sub-scores (13 - 91) and cognitive FIM (c-FIM) sub-scores (5 - 35), were tabulated.
次要结局
- Mean Functional Independence Measure (FIM) efficiency(Through study completion, an average of 1 year)
- Mean Functional Independence Measure (FIM) effectiveness(Within 72 hours)
- Mean Functional Independence Measure (FIM) Gain(Within 72 hours)
- Body Mass Index (BMI)(Within 72 hours)
研究者
Jong Sze Chin
Registrar
Tan Tock Seng Hospital