Predictive factors of functional independence in basic activities of daily living during hospitalization and after discharge of stroke patients.
Luciana Protásio MeloDébora Carvalho OliveiraAna Amália Torres Souza Gandour DantasRenan Alves Silva JúniorTatiana Souza RibeiroTania Fernandes CamposPublished in: Brain injury (2020)
Objective: The aim of this study was to identify the predictive factors of functional independence in the basic activities of daily living during hospitalization, on the 10th and 28th day after stroke.Methods: A total of 433 patients (204 men and 229 women) took part. Functional independence data were collected using the Step 1 from an instrument called Stepwise. Analysis was conducted by logistic regression.Results: Due to the OR values below 1.0 we can verify that the age of 59 years or less and the presence of physiotherapy in the hospital were protective factors of functional independence. Other predictive factors were the number of stroke risk factors (bathing: OR = 0.4; p = .005, transfer: OR = 0.487; p = .025), the amount of medication used before stroke (bathing: OR = 1.7; p = .013), sex (grooming: OR = 1.6; p = .026); type of stroke (continence: OR = 2.2; p = .003-10th day; OR = 1.9; p = .013-28th day), previous strokes (eating: OR = 0.5; p = .036).Conclusions: According to the results, the risk of impaired functional independence decreased in bathing and eating and increased for dressing, grooming and transfer during clinical recovery suggesting the need for greater therapeutic intervention in different basic activities of daily living.
Keyphrases
- risk factors
- end stage renal disease
- randomized controlled trial
- chronic kidney disease
- weight loss
- physical activity
- newly diagnosed
- ejection fraction
- emergency department
- peritoneal dialysis
- adverse drug
- patient reported outcomes
- deep learning
- robot assisted
- brain injury
- patient reported
- wound healing
- urinary incontinence