The change of Barthel Index scores from the time of discharge until 3-month post-discharge among acute stroke patients in Malaysia: A random intercept model

Purpose: To investigate staff compliance with discharge planning clinical guideline recommendations in an acute stroke unit, and its relationship with post-discharge experiences of stroke patients and their carers. Subjects: Fifty acute stroke patients were systematically recruited for a retrospective patient record audit of staff compliance with clinical guideline recommendations related to discharge planning. Methods: Semi-structured interviews were conducted over six months post-discharge on patients’ actual community support needs and experiences. Audit and patient experience data were integrated to seek evidence of 1) characteristics of patients receiving guideline-compliant care, 2) relationships between staff compliance with discharge planning recommendations and patient’s post-discharge experiences, and 3) whether patient’s post-discharge experiences of shortfalls in support related to hospital discharge planning. Results: Not all patients received guideline-based care. There was a trend that patients with more complex strokes received guideline-compliant care than other patients. Compliance with providing an occupational therapy (OT) home assessment was significantly related to discharge directly home from hospital. There was a shortfall with 40% of patients between community supports predicted by hospital staff and actual post-discharge support requirements. Community support requirements increased over time for 32% of patients, whose six-month post-discharge needs were actually greater than their needs at six weeks. Conclusions: Staff compliance with discharge planning recommendations was variable and did not always relate to improved post-discharge patient experiences. The post-discharge experiences of many stroke patients could not have been predicted whilst they were in hospital. Discharge planning and support systems thus need to be flexible and responsive to short and long-term needs.

Download Full-text

Relationship of Barthel Index and its Short Form with the Modified Rankin Scale in acute stroke patients

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2020.105033 ◽

2020 ◽

Vol 29 (9) ◽

pp. 105033

Author(s):

Fang Liu ◽

Raymond CC Tsang ◽

Jing Zhou ◽

Mingchao Zhou ◽

Fubing Zha ◽

...

Keyword(s):

Acute Stroke ◽

Barthel Index ◽

Short Form ◽

Modified Rankin Scale ◽

Stroke Patients ◽

Relationship Of

Download Full-text

Age Predicts Functional Outcome in Acute Stroke Patients with rt-PA Treatment

ISRN Neurology ◽

10.1155/2013/710681 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Jarin Chindaprasirt ◽

Kittisak Sawanyawisuth ◽

Paiboon Chattakul ◽

Panita Limpawattana ◽

Somsak Tiamkao ◽

...

Keyword(s):

Ischemic Stroke ◽

Thrombolytic Therapy ◽

Acute Stroke ◽

Acute Ischemic Stroke ◽

Barthel Index ◽

Multiple Logistic Regression Analysis ◽

Asian Population ◽

Limited Data ◽

Stroke Patients ◽

The Mean

The standard treatment for acute ischemic stroke is thrombolytic therapy. There is limited data on prognostic factors of acute stroke with thrombolytic therapy particularly in Asian population. Acute ischemic stroke patients who were treated with thrombolytic therapy at Srinagarind Hospital between May 2008 and July 2010 were included. Factors associated with Barthel index more than 80 were studied by multiple logistic regression analysis. There were 75 patients included in the study. The mean NIHSS scores before treatment and at 3 months were 9.16 ± 4.82 and 3.83 ± 4.00, respectively, and median Barthel index at 3 months was 86. Only significant predictor for having Barthel index more than 80 points at 3 months was age (adjusted odds ratio 0.929, 95% confidence interval 0.874, 0.988). Four patients developed intracranial hemorrhage after the treatment (5%), and two died (2.6%). In conclusion, age predicts Barthel index in acute stroke patients with rt-PA treatment.

Download Full-text

EFFECT OF STROKE SEVERITY INDEX WITH FUNCTIONAL INDEPENDENCE ON CAREGIVERS BURDEN IN ACUTE STROKE PATIENTS.

10.36106/ijar/5910458 ◽

2021 ◽

pp. 13-16

Author(s):

Dhruvina Jaykumar Suru ◽

Shivani Milind Pandirkar ◽

Shailaja Sandeep Jaywant

Keyword(s):

Acute Stroke ◽

Caregiver Burden ◽

Negative Correlation ◽

Barthel Index ◽

Tertiary Care ◽

Functional Independence ◽

Stroke Severity ◽

Care Hospital ◽

Stroke Patients ◽

The Impact

Greater number of stroke survivors suffer from disability and extended years of care is required to be undertaken by family members which adds burden to caregivers daily life. Thus burden on caregivers needs attention to study the impact of stroke .Till now, scarce literature is found to study the correlation of severity of stroke and burden on caregivers. This study was done to nd the correlation of severity of stroke with functional independence and also intends to nd the correlation of Functional dependency with the caregivers burden& severity of stroke with caregivers burden in acute stroke patients Patients admitted in the tertiary care hospital of metropolitan city in Maharashtra with the Acute stroke within 48 hours of onset were included in study , on 3rd day after stroke/admission to hospital. National Institutes Of Health Stroke Scale ( NIHSS), Barthel Index (BI), Burden Scale For Family Caregivers (BSFC), were used to gather information from 100 stroke patients admitted in hospital wards. Study showed strong negative correlation of -0.705 between NIHSS and BI, Barthel index correlation with caregiver burden score shows moderate negative correlation of – 0.482, NIH scale score correlation with caregiver burden score shows moderate positive correlation of 0.59. Thus stroke severity affects negatively on functional independence. caregivers have reported moderate burden due to dependance of patient. stroke severity has positive impact on caregivers burden. Further research in various stages of Stroke recovery on caregivers burden and functional independence level is recommended

Download Full-text

DEFINING OUTCOME IN ACUTE STROKE PATIENTS USING BARTHEL INDEX AND MODIFIED RANKIN SCALE TREATED WITH NEUROPROTECTIVE AGENTS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i8.40959 ◽

2021 ◽

pp. 59-61

Author(s):

INDER PAL SINGH ◽

KAMALDEEP KAUR ◽

LOVLEEN BHATIA ◽

AJAY PAL

Keyword(s):

Acute Stroke ◽

Barthel Index ◽

Modified Rankin Scale ◽

Neuroprotective Agents ◽

Stroke Patients ◽

Neuroprotective Agent ◽

Group I ◽

The Mean ◽

Group Ii ◽

The Difference

Objective: The present study was carried out to describe outcome in acute stroke patients by means of Barthel index (BI) and modified Rankin scale (mRS) treated with neuroprotective agents. Methods: One hundred acute stroke patients were divided into two groups. Group I patients were treated with citicoline as neuroprotective agent and Group II patients were treated with cerebroprotein hydrolysate as neuroprotective agent. BI and mRS were applied at 1st, 3rd, 6th and 12th week respectively. Results: The mean BI at 1st week in Group I was 35.3 and in Group II was 36.2, at 3rd week was 50.5 in Group I and 50.1 in Group II, at 6th week was 61.4 in Group I and 59.8 in Group II and at 12th week was 65.8 in Group I and 64.2 in Group II. The difference was non-significant (p>0.05). The mean mRS at 1st week in Group I was 4.5 and in Group II was 4.2, at 3rd week was 3.6 in Group I and 3.9 in Group II, at 6th week was 3.1 in Group I and 3.6 in Group II and at 12th week was 2.5 in Group I and 2.1 in Group II. The difference was non-significant (p>0.05). Conclusion: A correlation between BI and mRS from baseline to end of 12 weeks within each group was highly significant.

Download Full-text

The role of nursing in the rehabilitation of acute stroke patients: Toward a unified theoretical perspective

Pflege ◽

10.1024/1012-5302.12.1.21 ◽

1999 ◽

Vol 12 (1) ◽

pp. 21-27

Author(s):

Marit Kirkevold

Keyword(s):

Acute Stroke ◽

Theoretical Perspective ◽

Stroke Patients ◽

Role Of Nursing ◽

Rolle Der Pflegenden

Eine Übersicht der bestehenden Literatur weist auf Unsicherheiten bezüglich der spezifischen Rolle der Pflegenden in der Rehabilitation von Hirnschlagpatientinnen und -patienten hin. Es existieren zwei unterschiedliche Begrifflichkeiten für die Rolle der Pflegenden, keine davon bezieht sich auf spezifische Rehabilitationsziele oder Patientenergebnisse. Ein anfänglicher theoretischer Beitrag der Rolle der Pflege in der Genesung vom Hirnschlag wird als Struktur unterbreitet, um die therapeutischen Aspekte der Pflege im Koordinieren, Erhalten und Üben zu vereinen. Bestehende Literatur untermauert diesen Beitrag. Weitere Forschung ist jedoch notwendig, um den spezifischen Inhalt und Fokus der Pflege in der Genesung bei Hirnschlag zu entwickeln.

Download Full-text