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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Comparison of Three Instruments for Activity Disability in Acute Ischemic Stroke Survivors
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Comparison of Three Instruments for Activity Disability in Acute Ischemic Stroke Survivors

机译：急性缺血性卒中幸存者中三种活性残疾仪器的比较

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Background: Disabilities in physical activity and functional independence affect the early rehabilitation of stroke survivors. Moreover, a good instrument for assessing activity disability allows accurate assessment of physical disability and assists in prognosis determination. Objective: To compare three assessment tools for physical activity in acute-phase stroke survivors. Methods: We conducted this prospective observational study at an affiliated hospital of a Medical University in Shanghai, China, from June 2018 to November 2019. We administered three instruments to all patients during post-stroke days 5-7, including the Modified Barthel Index (MBI), Instrumental Activities of Daily Living (IADL), and modified Rankin scale (mRs). We analyzed correlations among the aforementioned scales and the National Institutes of Health Stroke Scale (NIHSS) using Spearman's rank-order correlations test. Univariate analyses were performed using the Mann-Whitney U test. We used a binary logistic regression model to assess the association between the NIHSS (30 days) and patient-related variables. Finally, we used receiver operating characteristic (ROC) curves to assess the predictive value of the multivariate regression models. Results: There was a high correlation among the three instruments; furthermore, the MBI had a higher correlation with the NIHSS (days 5-7). The NIHSS (day 30) was correlated with thrombolysis. ROC analysis revealed that the mRs-measured disability level had the highest predictive value of short-term stroke severity (30 days). Conclusion: The MBI was the best scale for measuring disability in physical activity, whereas the mRs showed better accuracy in short-term prediction of stroke severity.
机译：背景：身体活动障碍和功能独立性影响中风幸存者的早期康复。此外，评估活动障碍的良好工具可以准确评估身体残疾，并有助于判断预后。目的：比较急性期中风幸存者体力活动的三种评估工具。方法：我们于2018年6月至2019年11月在中国上海一所医科大学附属医院进行了这项前瞻性观察研究。我们在卒中后第5-7天对所有患者使用了三种仪器，包括改良Barthel指数（MBI）、仪器日常生活活动量表（IADL）和改良Rankin量表（mRs）。我们使用斯皮尔曼秩次相关检验分析了上述量表和美国国立卫生研究院卒中量表（NIHSS）之间的相关性。单变量分析采用Mann-Whitney U检验。我们使用二元逻辑回归模型来评估NIHSS（30天）与患者相关变量之间的关联。最后，我们使用受试者操作特征（ROC）曲线来评估多元回归模型的预测价值。结果：三种仪器之间存在高度相关性；此外，MBI与NIHSS的相关性更高（第5-7天）。NIHSS（第30天）与溶栓相关。ROC分析显示，mRs测量的残疾水平对短期中风严重程度（30天）具有最高的预测价值。结论：MBI是测量体力活动残疾的最佳量表，而mRs在短期预测中风严重程度方面显示出更好的准确性。

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