Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia

Saad M Bindawas,1 Vishal Vennu,1 Hussam Mawajdeh,2 Hisham Alhaidary2 1Department of Rehabilitation Sciences, King Saud University, Riyadh, 2Comprehensive Rehabilitation Care Department, Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia Background: Among various risk factors, a...

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Autores principales:	Bindawas SM, Vennu V, Mawajdeh H, Alhaidary H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	stroke rehabilitation age Saudi Arabia FIM Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ecf3dc0a7d114f19a7beb06d593abbe6
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spelling	oai:doaj.org-article:ecf3dc0a7d114f19a7beb06d593abbe62021-12-02T05:51:38ZFunctional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia1178-1998https://doaj.org/article/ecf3dc0a7d114f19a7beb06d593abbe62017-10-01T00:00:00Zhttps://www.dovepress.com/functional-outcomes-by-age-after-inpatient-stroke-rehabilitation-in-sa-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Saad M Bindawas,1 Vishal Vennu,1 Hussam Mawajdeh,2 Hisham Alhaidary2 1Department of Rehabilitation Sciences, King Saud University, Riyadh, 2Comprehensive Rehabilitation Care Department, Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia Background: Among various risk factors, age has been identified as a nonmodifiable risk factor for stroke that influences functional outcomes after inpatient stroke rehabilitation in the developed world as well as in Saudi Arabia (SA). The demand for inpatient stroke rehabilitation services increases with population aging and stroke incidence; however, these services are limited in SA.Objective: To examine functional outcomes by age after inpatient stroke rehabilitation in SA.Patients and methods: Data from 418 patients with stroke who underwent inpatient stroke rehabilitation at the King Fahad Medical City-Rehabilitation Hospital, Riyadh, SA, between November 2008 and December 2014 were collected from electronic medical records. According to the patients’ age, we classified participants into two groups: adults, aged <65 years (n=255), and older adults, aged ≥65 years (n=163). All patients’ functional statuses at admission and discharge from inpatient stroke rehabilitation were assessed using the functional independence measure (FIM) scale.Results: The mean age was 59.9 years (SD =9.4). Older adults had significantly smaller changes in functional outcome from admission to discharge on both the total FIM (23 [SD =15.9]) and the motor FIM (21 [SD =15.4]), and they were significantly less independent (36%) compared to adults. In the adjusted models, older adults had significantly lower scores than adults, by 11 points (p<0.0001) for the total FIM score and by 10 points (p<0.0001) for the motor FIM subscale score. There was no significant change with age in the cognitive FIM subscale score.Conclusion: After inpatient stroke rehabilitation, older adults had limited functional outcomes or were less independent than adults. However, the clinical relevance of this finding is questionable, so there is currently no justification to deny patients access to intensive stroke rehabilitation solely because of advanced age. Future large-scale research is needed to confirm rehabilitation outcomes by including confounders such as social support, socioeconomics, comorbidities, and the patient’s opinion after rehabilitation. Keywords: adult, older adult, FIM Bindawas SMVennu VMawajdeh HAlhaidary HDove Medical PressarticlestrokerehabilitationageSaudi ArabiaFIMGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1791-1797 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	stroke rehabilitation age Saudi Arabia FIM Geriatrics RC952-954.6
spellingShingle	stroke rehabilitation age Saudi Arabia FIM Geriatrics RC952-954.6 Bindawas SM Vennu V Mawajdeh H Alhaidary H Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia
description	Saad M Bindawas,1 Vishal Vennu,1 Hussam Mawajdeh,2 Hisham Alhaidary2 1Department of Rehabilitation Sciences, King Saud University, Riyadh, 2Comprehensive Rehabilitation Care Department, Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia Background: Among various risk factors, age has been identified as a nonmodifiable risk factor for stroke that influences functional outcomes after inpatient stroke rehabilitation in the developed world as well as in Saudi Arabia (SA). The demand for inpatient stroke rehabilitation services increases with population aging and stroke incidence; however, these services are limited in SA.Objective: To examine functional outcomes by age after inpatient stroke rehabilitation in SA.Patients and methods: Data from 418 patients with stroke who underwent inpatient stroke rehabilitation at the King Fahad Medical City-Rehabilitation Hospital, Riyadh, SA, between November 2008 and December 2014 were collected from electronic medical records. According to the patients’ age, we classified participants into two groups: adults, aged <65 years (n=255), and older adults, aged ≥65 years (n=163). All patients’ functional statuses at admission and discharge from inpatient stroke rehabilitation were assessed using the functional independence measure (FIM) scale.Results: The mean age was 59.9 years (SD =9.4). Older adults had significantly smaller changes in functional outcome from admission to discharge on both the total FIM (23 [SD =15.9]) and the motor FIM (21 [SD =15.4]), and they were significantly less independent (36%) compared to adults. In the adjusted models, older adults had significantly lower scores than adults, by 11 points (p<0.0001) for the total FIM score and by 10 points (p<0.0001) for the motor FIM subscale score. There was no significant change with age in the cognitive FIM subscale score.Conclusion: After inpatient stroke rehabilitation, older adults had limited functional outcomes or were less independent than adults. However, the clinical relevance of this finding is questionable, so there is currently no justification to deny patients access to intensive stroke rehabilitation solely because of advanced age. Future large-scale research is needed to confirm rehabilitation outcomes by including confounders such as social support, socioeconomics, comorbidities, and the patient’s opinion after rehabilitation. Keywords: adult, older adult, FIM
format	article
author	Bindawas SM Vennu V Mawajdeh H Alhaidary H
author_facet	Bindawas SM Vennu V Mawajdeh H Alhaidary H
author_sort	Bindawas SM
title	Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia
title_short	Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia
title_full	Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia
title_fullStr	Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia
title_full_unstemmed	Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia
title_sort	functional outcomes by age after inpatient stroke rehabilitation in saudi arabia
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/ecf3dc0a7d114f19a7beb06d593abbe6
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_version_	1718400206745108480

Functional outcomes by age after inpatient stroke rehabilitation in Saudi Arabia

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