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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Effect of Anemia on the Functional Outcomes of the Stroke Patients and the Efficiency of their Stroke Rehabilitation
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The Effect of Anemia on the Functional Outcomes of the Stroke Patients and the Efficiency of their Stroke Rehabilitation

机译：贫血对中风患者功能结果的影响及其中风康复的效率

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Background: There has been limited study focusing on the functional outcomes of stroke patients' after rehabilitation, such as functional improvement and discharge destination, length of stay (LOS), and complication rate. Methods: A retrospective study was conducted on 123 consecutive patients who were admitted to The Prince Charles Hospital Rehabilitation Unit from January 2011 to December 2012 with clinically defined stroke syndromes. Functional Independence Measure (FIM) score was used to measure the functional improvement. Anemia is defined by using the World Health Organization's criteria (hemoglobin concentration in men,120 mg/dL and in women,110 mg/dL). Results: During the 2-year period, of the 123 stroke patients, 33 were found to be anemic (26.8%). The demographic factors, baseline admission FIM score, comorbidities, and the types of stroke were all comparable in both anemic and nonanemic groups. It was found that, when selecting only the patients with ischemic stroke for comparison (103 patients), there was a significantly higher FIM score improvement (discharge FIM 2 admission FIM) in nonanemic group (P = .042). FIM efficiency (FIM change/LOS) was also significantly higher in the nonanemic group (P = .027). Higher percentage of patients were discharged home in nonanemic group (94.3% versus 73.3%, P = .006). In addition, higher rate of complications was found in anemic group (60% versus 39%, P = .049). Conclusions: Anemia appears to have a significant effect on the functional improvement and discharge outcomes for patients who had an ischemic stroke. Anemia may also increase the complication rate and affect the efficiency of stroke rehabilitation for those patients.
机译：背景：关于中风患者康复后的功能结局（如功能改善和出院目的地，住院时间（LOS）和并发症发生率）的研究很少。方法：回顾性研究从2011年1月至2012年12月收治的123例临床查明的中风综合征患者。功能独立性评估（FIM）评分用于评估功能改善。贫血是根据世界卫生组织的标准定义的（男性血红蛋白浓度为120 mg / dL，女性血红蛋白浓度为110 mg / dL）。结果：在2年期间，在123名中风患者中，有33名贫血（26.8％）。在贫血组和非贫血组中，人口统计学因素，基线入院FIM评分，合并症和中风类型均可比较。结果发现，仅选择缺血性卒中患者进行比较（103例），非贫血组的FIM评分改善显着（出院FIM 2入院FIM）（P = .042）。非贫血组的FIM效率（FIM变化/ LOS）也显着更高（P = .027）。非贫血症组中出院的患者比例更高（94.3％对73.3％，P = .006）。此外，贫血组的并发症发生率更高（60％比39％，P = .049）。结论：贫血似乎对缺血性中风患者的功能改善和出院结局有重要影响。贫血还可能增加这些患者的并发症发生率并影响中风康复的效率。

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