scholarly journals The impact of Functional Independence Measure score on the mortality of hemodialysis patients

2014 ◽  
Vol 47 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Takuya Murakami ◽  
Yuya Nakamura ◽  
Masaki Hara ◽  
Misako Endo ◽  
Hideki Tsukahara ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Hemodialysis Patients ◽  
Functional Independence Measure Score ◽  
The Impact

scholarly journals Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Julianne Vermeer ◽  
Amanda McIntyre ◽  
Shannon Janzen ◽  
Danielle Rice ◽  
Laura Allen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Poststroke Depression ◽  
Rehabilitation Team ◽  
Care Access ◽  
Home Based ◽  
Patient Health ◽  
The Impact

Poststroke depression has been shown to affect rehabilitation progress. This study evaluated patients after stroke who actively participated in a home-based rehabilitation program to determine variables that correlated with depressive symptoms in this population. A retrospective review of patients who were provided rehabilitation by Community Stroke Rehabilitation Team clinicians between January 1, 2009, and September 30, 2015, was completed. Logistic regression analysis was conducted to determine which demographic and outcome variables (Functional Independence Measure [FIM™] and Reintegration to Normal Living Index [RNLI]) were independently associated with depressive symptoms, as defined by Patient Health Questionnaire (PHQ-9) scores. 889 patients (53.2% male, mean age = 69.8 years) were included. Based on PHQ-9 scores, 89.7% of patients presented with no or mild depressive symptoms (PHQ-9 < 10) and 10.3% were considered to have moderate to severe depressive symptoms (PHQ-9 ≥ 10). The regression demonstrated that referral from outpatient, community care access centre, or community settings (OR = 1.89, p=0.04), low RNLI scores (OR = 0.92; p=0.001), and younger age (OR = 0.96; p<0.001) predicted patients having moderate to severe depressive symptoms. Given the impact of poststroke depression on rehabilitation, clinicians should consider the potential impact of referral source, community reintegration, and age when monitoring and treating depressive symptoms.

Effect of Hospital Length of Stay on Functional Independence Measure Score in Trauma Patients

2016 ◽  
Vol 95 (8) ◽  
pp. 597-607 ◽  
Author(s):  
Farid F. Muakkassa ◽  
Robert A. Marley ◽  
Katherine L. Billue ◽  
Mackenzie Marley ◽  
Sophia Horattas ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Trauma Patients ◽  
Functional Independence Measure Score

scholarly journals Polypharmacy and Potentially Inappropriate Medications in Stroke Rehabilitation: Prevalence and Impact

2021 ◽  
Author(s):  
Ayaka Matsumoto ◽  
Yoshihiro Yoshimura ◽  
Fumihiko Nagano ◽  
Takahiro Bise ◽  
Yoshifumi Kido ◽  
...  
Keyword(s):  
Energy Intake ◽  
Stroke Rehabilitation ◽  
Functional Independence Measure ◽  
Length Of Hospital Stay ◽  
Functional Independence ◽  
Potentially Inappropriate Medications ◽  
Negatively Associated ◽  
Home Discharge ◽  
The Impact ◽  
Inappropriate Medications

Abstract BackgroundEvidence is scarce regarding the polypharmacy and potentially inappropriate medications (PIMs) in rehabilitation medicine.AimTo investigate the prevalence and impact on outcomes of polypharmacy and PIMs in stroke rehabilitation.MethodsA retrospective cohort study was conducted with 849 older inpatients after stroke.Polypharmacy was defined as six or more medications, and PIMs were defined based on Beers criteria 2019. Study outcomes included Functional Independence Measure (FIM)-motor, FIM-cognitive, energy intake, dysphagia, length of hospital stay and the rate of home discharge. To consider the impact of pharmacotherapy during rehabilitation, multivariate analyses were used to determine whether the presence of polypharmacy or PIMs at discharge was associated with outcomes.ResultsAfter enrollment, 361 patients (mean age 78.3 ± 7.7 years; 49.3% male) were analyzed. Polypharmacy was observed in 43.8% and 62.9% of patients, and any PIMs were observed 64.8% and 65.4% of patients at admission and discharge, respectively. The most frequently prescribed PIMs included antipsychotics, benzodiazepines, and proton pump inhibitors. Polypharmacy was negatively associated with FIM-motor score (β = -0.072, P = 0.017), FIM-cognitive score (β = -0.077, P = 0.011), energy intake (β = -0.147, P = 0.004), and home discharge (OR: 0.499; 95% CI: 0.280, 0.802; P = 0.015). PIMs were negatively associated with energy intake (β = -0.066, P = 0.042) and home discharge (OR: 0.452; 95% CI: 0.215, 0.756; P = 0.005).ConclusionsPolypharmacy and PIMs are commonly found among older patients undergoing stroke rehabilitation. Moreover, polypharmacy and PIMs are negatively associated with outcomes.

scholarly journals Functional recovery in post-stroke patients on hemodialysis during the convalescent phase: a comparison with those not undergoing hemodialysis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takeki Ishida ◽  
Kenichi Kono ◽  
Yuusuke Nishida ◽  
Masahiro Yoshida
Keyword(s):  
Functional Recovery ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Hemodialysis Patients ◽  
Stroke Patients ◽  
Post Stroke ◽  
Rehabilitation Hospital ◽  
Convalescent Phase ◽  
The Difference ◽  
Impaired Motor Function

Abstract Background Low physical fitness is often found in patients undergoing hemodialysis. It may be possible that the recovery of impaired motor function with rehabilitative training might be affected when the patient is on hemodialysis. So far, however, no researcher has clinically investigated this issue in post-stroke patients. The purpose of this study is to clarify the difference of functional recovery during the convalescent phase between post-stroke patients with and without hemodialysis. Methods A cohort of 82 post-stroke hemiparetic patients who were admitted to our rehabilitation hospital, were subjected. On the day of admission and discharge, some clinical parameters including Functional Independence Measure (FIM) and Functional Ambulation Category (FAC) were evaluated for each patient. The changes during the hospitalization and the values at the discharge in these parameters were statistically compared between the patients with and without hemodialysis. Results The FIM motor score at the discharge was significantly lower in hemodialysis patients than non-hemodialysis patients (64.7 ± 21.2 points in hemodialysis patients and 81.8 ± 28.0 points in non-hemodialysis patients, p < 0.05). In addition, the frequency of FAC at the discharge of ≥ 3 was significantly lower in hemodialysis patients than non-hemodialysis patients (40.0% in hemodialysis patients and 72.2% in non-hemodialysis patients, p < 0.05). Conclusion In patients undergoing hemodialysis seem to experience a worse functional recovery during the convalescent phase compared to those not undergoing hemodialysis. We might have to modify the rehabilitative program during the convalescent phase after stroke if the patient was on hemodialysis.

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