Dependency in Activities of Daily Living During the First Year After Stroke

Background: Dependency in personal activities of daily living (ADL) is a common short-term and long-term consequence of stroke and requires targeted rehabilitation. As the duration of hospital stay has become shorter in recent decades, early identification of patients who require rehabilitation has...

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Autores principales:	Hannah E. Wurzinger, Tamar Abzhandadze, Lena Rafsten, Katharina S. Sunnerhagen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	activities of daily living longitudinal studies outcome assessment stroke rehabilitation adherence prognosis p-ADL Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/df26774ea4ea47748179a50999da7487
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spelling	oai:doaj.org-article:df26774ea4ea47748179a50999da74872021-11-08T05:12:29ZDependency in Activities of Daily Living During the First Year After Stroke1664-229510.3389/fneur.2021.736684https://doaj.org/article/df26774ea4ea47748179a50999da74872021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.736684/fullhttps://doaj.org/toc/1664-2295Background: Dependency in personal activities of daily living (ADL) is a common short-term and long-term consequence of stroke and requires targeted rehabilitation. As the duration of hospital stay has become shorter in recent decades, early identification of patients who require rehabilitation has become vital. To our knowledge, no study has investigated whether ADL dependency in the very early stages after admission to the stroke unit can explain ADL dependency 3 and 12 months later. This knowledge would facilitate planning for very early discharge and patient-centered rehabilitation.Objective: This study evaluated whether ADL dependency within 2 days after stroke could explain ADL dependency at 3 and 12 months after stroke.Methods: This longitudinal cohort study included patients with stroke who were treated at a stroke unit in the Sahlgrenska University Hospital (Gothenburg, Sweden) between May 2011 and March 2016. The primary independent variable was ADL dependency at 36–48 h after admission to the stroke unit, which was assessed using a Barthel Index (BI) score of ≤90. The dependent variables were self-reported personal ADL dependency at 3 and 12 months after stroke. Binary logistic regression analyses were performed.Results: Of 366 eligible patients (58% male; median age 71 years), a majority (76%) had mild stroke and 60% were ADL dependent 36–48 h after stroke. Univariable and multivariable logistic regression analyses showed that patients who were dependent within the first 2 days after stroke had higher odds for being dependent 3 months as well as 12 months after stroke.Conclusion: The results indicated that dependency in personal ADL during the first 2 days can explain dependency at 3- and 12-month post-stroke. Therefore, early ADL assessments post-stroke can be used for understanding rehabilitation needs after stroke.Hannah E. WurzingerTamar AbzhandadzeTamar AbzhandadzeLena RafstenLena RafstenKatharina S. SunnerhagenKatharina S. SunnerhagenFrontiers Media S.A.articleactivities of daily livinglongitudinal studiesoutcome assessmentstroke rehabilitation adherenceprognosisp-ADLNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	activities of daily living longitudinal studies outcome assessment stroke rehabilitation adherence prognosis p-ADL Neurology. Diseases of the nervous system RC346-429
spellingShingle	activities of daily living longitudinal studies outcome assessment stroke rehabilitation adherence prognosis p-ADL Neurology. Diseases of the nervous system RC346-429 Hannah E. Wurzinger Tamar Abzhandadze Tamar Abzhandadze Lena Rafsten Lena Rafsten Katharina S. Sunnerhagen Katharina S. Sunnerhagen Dependency in Activities of Daily Living During the First Year After Stroke
description	Background: Dependency in personal activities of daily living (ADL) is a common short-term and long-term consequence of stroke and requires targeted rehabilitation. As the duration of hospital stay has become shorter in recent decades, early identification of patients who require rehabilitation has become vital. To our knowledge, no study has investigated whether ADL dependency in the very early stages after admission to the stroke unit can explain ADL dependency 3 and 12 months later. This knowledge would facilitate planning for very early discharge and patient-centered rehabilitation.Objective: This study evaluated whether ADL dependency within 2 days after stroke could explain ADL dependency at 3 and 12 months after stroke.Methods: This longitudinal cohort study included patients with stroke who were treated at a stroke unit in the Sahlgrenska University Hospital (Gothenburg, Sweden) between May 2011 and March 2016. The primary independent variable was ADL dependency at 36–48 h after admission to the stroke unit, which was assessed using a Barthel Index (BI) score of ≤90. The dependent variables were self-reported personal ADL dependency at 3 and 12 months after stroke. Binary logistic regression analyses were performed.Results: Of 366 eligible patients (58% male; median age 71 years), a majority (76%) had mild stroke and 60% were ADL dependent 36–48 h after stroke. Univariable and multivariable logistic regression analyses showed that patients who were dependent within the first 2 days after stroke had higher odds for being dependent 3 months as well as 12 months after stroke.Conclusion: The results indicated that dependency in personal ADL during the first 2 days can explain dependency at 3- and 12-month post-stroke. Therefore, early ADL assessments post-stroke can be used for understanding rehabilitation needs after stroke.
format	article
author	Hannah E. Wurzinger Tamar Abzhandadze Tamar Abzhandadze Lena Rafsten Lena Rafsten Katharina S. Sunnerhagen Katharina S. Sunnerhagen
author_facet	Hannah E. Wurzinger Tamar Abzhandadze Tamar Abzhandadze Lena Rafsten Lena Rafsten Katharina S. Sunnerhagen Katharina S. Sunnerhagen
author_sort	Hannah E. Wurzinger
title	Dependency in Activities of Daily Living During the First Year After Stroke
title_short	Dependency in Activities of Daily Living During the First Year After Stroke
title_full	Dependency in Activities of Daily Living During the First Year After Stroke
title_fullStr	Dependency in Activities of Daily Living During the First Year After Stroke
title_full_unstemmed	Dependency in Activities of Daily Living During the First Year After Stroke
title_sort	dependency in activities of daily living during the first year after stroke
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/df26774ea4ea47748179a50999da7487
work_keys_str_mv	AT hannahewurzinger dependencyinactivitiesofdailylivingduringthefirstyearafterstroke AT tamarabzhandadze dependencyinactivitiesofdailylivingduringthefirstyearafterstroke AT tamarabzhandadze dependencyinactivitiesofdailylivingduringthefirstyearafterstroke AT lenarafsten dependencyinactivitiesofdailylivingduringthefirstyearafterstroke AT lenarafsten dependencyinactivitiesofdailylivingduringthefirstyearafterstroke AT katharinassunnerhagen dependencyinactivitiesofdailylivingduringthefirstyearafterstroke AT katharinassunnerhagen dependencyinactivitiesofdailylivingduringthefirstyearafterstroke
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Dependency in Activities of Daily Living During the First Year After Stroke

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