PREDICTION MODEL FOR FUNCTIONAL STATUS AT DISCHARGE FOLLOWING RHABILITATION AFTER INTRACEREBRAL HEMORRHAGE

Author(s)

Kim S1, Shin J2, Kim S3, Hahn S1
1Seoul National University College of Medicine, Seoul, South Korea, 2National Rehabilitation Center, Ministry of Health and Welfare, Seoul, South Korea, 3Systems Biomedical Informatics National Core Research Center, Seoul, South Korea

OBJECTIVES: Few studies examined the course of functional recovery following rehabilitation in patients after intracerebral hemorrhage (ICH). The prediction of progressive increments in functional status is important for appropriate treatment planning and for setting rehabilitation goals. The aim of this study was to develop and validate a prognostication model to predict the functional status at discharge for ICH patients using a retrospective cohort data in the Korea. METHODS: Data were collected on electronic medical record (EMR) referrals and brain computed tomography (CT) images from the National Rehabilitation Center (NRC) in Korea. Functional level was measured using the modified bathel index (MBI), recorded at admission and discharge. Factors considered for predictors associated with the MBI total score at discharge included patients’ clinical and imaging variables (ICH location, ICH volume, mass effect due to hemorrhage etc) at the admission. RESULTS:  Five hundred twenty six patients aged 13 years or older (mean age: 57.2 years) who were discharged between November 15, 2006 and April 24, 2015, from NRC were retrospectively followed. Predictors of the total discharge MBI score included standing balance, cognitive function measured by the total score of Mini-Mental State Examination (MMSE), functional ambulation categories, muscle strength of left hip flexor, muscle strength of right knee extensor, presence of pneumonia, spasticity of right lower extremity, intraventricular hemorrhage score, abnormality of pain sense, aphasia, hemorrhage of brainstem, intracerebral hemorrhage volume, longitudinal sitting balance, mass effect due to hemorrhage. The adequacy of prediction was as measured by adjusted R= CONCLUSIONS: The functional status prediction model performed well. Further studies should be planned to evaluate whether the model can be of practical use to physicians when attempting to set up an appropriate rehabilitation schedule at the patients’ admission.

Conference/Value in Health Info

2015-11, ISPOR Europe 2015, Milan, Italy

Value in Health, Vol. 18, No. 7 (November 2015)

Code

PCV55

Topic

Epidemiology & Public Health

Disease

Cardiovascular Disorders

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