Nobuhiko Iwai, PT, PhD, Yoichiro Aoyagi, MD, PhD
Jpn J Compr Rehabil Sci 3: 37-41, 2012
Introduction: The objective of this study was to
evaluate whether or not the Nichijo-seikatsu-kinohyokahyo
could be used as an index for predicting
ADL independence level or discharge destination.
Method: The subjects were 482 patients extracted
from the Japanese Association of Rehabilitation
Medicine Patient Database (stroke). Multiple
regression analysis was performed with a dependent
variable, FIM at discharge, and with independent
variables including age, pre-onset mRS, post-onset
hospital day, number of days hospitalized, motor FIM
and cognitive FIM at admission. The Nichijo-seikatsukino-
hyokahyo at admission was added to the
independent variables, and predictability was
compared. Logistic regression analysis was performed
with a dependent variable, discharge destination, and
with independent variables including age, pre-onset
mRS, post-onset hospital day, number of days
hospitalized, nursing availability, motor FIM and
cognitive FIM at admission. The Nichijo-seikatsukino-
hyokahyo at admission was added to the
independent variables, and the predictive value was
compared.
Results: Determination coeffi cient R2 increased by
approximately 0.04 but the predictive value remained
the same after adding the Nichijo-seikatsu-kinohyokahyo
at admission.
Conclusion: The results of analyses on the database
used in this study suggest that the Nichijo-seikatsukino-
hyokahyo does not yield better predictability for
the ADL at discharge or discharge destination.
Key words: stroke patients in the post acute stage, Nichijo-seikatsu-kino-hyokahyo, discharge index, FIM