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  1. Article ; Online: Association between N-terminal pro-B-type natriuretic peptide and clinical outcomes in bedridden patients with stroke: a cross-sectional study.

    Li, Dongxia / Zhou, Mingchao / Zha, Fubing / Long, Jianjun / Wang, Yulong

    BMJ open

    2024  Volume 14, Issue 1, Page(s) e077083

    Abstract: Objectives: Patients with stroke often remain bedridden despite rehabilitation. Serum N-terminal pro-B-type natriuretic peptide (NT-pro-BNP) levels increase after stroke. Our study aimed to investigate the difference in NT-pro-BNP levels between ... ...

    Abstract Objectives: Patients with stroke often remain bedridden despite rehabilitation. Serum N-terminal pro-B-type natriuretic peptide (NT-pro-BNP) levels increase after stroke. Our study aimed to investigate the difference in NT-pro-BNP levels between bedridden and non-bedridden patients with stroke and to explore the factors influencing NT-pro-BNP levels in bedridden patients.
    Design: A single-centre, cross-sectional study.
    Setting: This study was conducted in a hospital, Shenzhen, China.
    Participants: Between January 2019 and December 2022, 465 participants were included in this study.
    Outcome measures: The collected data included basic information, laboratory data and echocardiographic parameters. Binary logistic regression analysis and receiver operating characteristic curves were used to identify factors associated with high NT-pro-BNP levels.
    Results: Bedridden patients with stroke had higher levels of NT-pro-BNP, D-dimer, high-sensitivity C reactive protein (hs-CRP) and lower levels of creatinine, high-density lipoprotein cholesterol, albumin and haemoglobin, as well as lower left ventricular ejection fraction, fractional shortening and the ratio between the peak velocities of early and late diastolic filling than non-bedridden patients. In bedridden patients, age ≥75 years, high levels of hs-CRP and creatinine, and low levels of albumin were associated with high NT-pro-BNP levels. In non-bedridden patients, age ≥75 years and high creatinine levels were associated with high NT-pro-BNP levels. In bedridden patients with stroke, the area under the curve (AUC) of hs-CRP was 0.700 (p<0.001, 95% CI 0.638 to 0.762) with a cut-off value of 5.12 mg/L. The AUC of albumin was 0.671 (p<0.001, 95% CI 0.606 to 0.736) with a cut-off value of 37.15 g/L.
    Conclusions: NT-pro-BNP levels were higher in bedridden patients with stroke than in non-bedridden patients. Decreased albumin and elevated hs-CRP levels were associated with high levels of NT-pro-BNP in bedridden patients. Further studies are needed to explore the risk stratification and potential treatments for elevated NT-pro-BNP in bedridden patients with stroke.
    MeSH term(s) Humans ; Aged ; Natriuretic Peptide, Brain ; C-Reactive Protein/metabolism ; Cross-Sectional Studies ; Stroke Volume ; Bedridden Persons ; Creatinine ; Ventricular Function, Left ; Peptide Fragments ; Stroke ; Biomarkers
    Chemical Substances Natriuretic Peptide, Brain (114471-18-0) ; C-Reactive Protein (9007-41-4) ; Creatinine (AYI8EX34EU) ; Peptide Fragments ; Biomarkers
    Language English
    Publishing date 2024-01-29
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-077083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Association Between Falling and Activities of Daily Living Measured by the Longshi Scale in Patients Poststroke: A Cross-sectional Study.

    Li, Dongxia / Zha, Fubing / Wang, Yulong

    Journal of nursing care quality

    2022  Volume 38, Issue 2, Page(s) E25–E31

    Abstract: Background: Activities of daily living comprise an important risk factor for falls among patients who have suffered a stroke.: Purpose: To investigate the incidence of falls in patients with stroke, categorized by their Longshi grades (bedridden, ... ...

    Abstract Background: Activities of daily living comprise an important risk factor for falls among patients who have suffered a stroke.
    Purpose: To investigate the incidence of falls in patients with stroke, categorized by their Longshi grades (bedridden, domestic, community), and to explore their risk factors for falls.
    Methods: A cross-sectional descriptive design was used. Patients completed a survey during face-to-face interviews.
    Results: Of the 869 participants, 15.7% experienced a fall. Those in the domestic Longshi group had the highest rate of falls. Approximately 30% experienced either a moderate or severe injury as a result of falling. In addition, being older than 70 years was significantly correlated with fall risk. Intermediate Longshi grades, from moderately dependent to slightly dependent, were also positively correlated with falls.
    Conclusion: Patients with stroke in the domestic Longshi group have a higher rate of falls. The risk of falling increased significantly in those with intermediate Longshi grades.
    MeSH term(s) Humans ; Accidental Falls/prevention & control ; Activities of Daily Living ; Cross-Sectional Studies ; Risk Factors ; Stroke
    Language English
    Publishing date 2022-12-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1089089-0
    ISSN 1550-5065 ; 1057-3631
    ISSN (online) 1550-5065
    ISSN 1057-3631
    DOI 10.1097/NCQ.0000000000000679
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Electroacupuncture attenuates middle cerebral artery occlusion-induced learning and memory impairment by regulating microglial polarization in hippocampus.

    Wen, Qiong / Zha, Fubing / Shan, Linlin / Zhang, Shaohua / Xiao, Peng / Zhang, Chunxia / Yu, Haibo / Wang, Yulong

    The International journal of neuroscience

    2024  , Page(s) 1–13

    Abstract: Background: As a traditional medical therapy, electroacupuncture (EA) has been demonstrated to have beneficial effects on ischemic stroke-induced cognitive impairment. However, the underlying mechanism is largely unclear.: Methods: Adult rats ... ...

    Abstract Background: As a traditional medical therapy, electroacupuncture (EA) has been demonstrated to have beneficial effects on ischemic stroke-induced cognitive impairment. However, the underlying mechanism is largely unclear.
    Methods: Adult rats received occlusion of the middle cerebral artery and reperfusion (MCAO/R) to establish the ischemic stroke model. Morris water maze test was performed following EA stimulation at the GV20, PC6, and KI1 acupoints in rats to test the learning and memory ability. Western blot, immunofluorescent staining, and enzyme-linked immunosorbent assay were conducted to assess the cellular and molecular mechanisms.
    Results: EA stimulation attenuated neurological deficits. In the Morris water maze test, EA treatment ameliorated the MCAO/R-induced learning and memory impairment. Moreover, we observed that MCAO/R induced microglial activation and polarization in the ischemic hippocampus, whereas, EA treatment dampened microglial activation and inhibited M1 microglial polarization but enhanced M2 microglial polarization. EA treatment inhibited the increased expression of proinflammatory cytokines and enhanced the increased expression of anti-inflammatory cytokines. Finally, we found that EA treatment dampened microglial p38 mitogen-activated protein kinase (MAPK) phosphorylation.
    Conclusion: Collectively, our data suggested that EA treatment ameliorated cognitive impairment induced by MCAO/R and the underlying mechanism may be
    Language English
    Publishing date 2024-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 3061-2
    ISSN 1563-5279 ; 1543-5245 ; 0020-7454
    ISSN (online) 1563-5279 ; 1543-5245
    ISSN 0020-7454
    DOI 10.1080/00207454.2024.2313664
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors.

    Zhou, Jing / Zha, Fubing / Liu, Fang / Wan, Li / Zhou, Mingchao / Long, Jianjun / Chen, Miaoling / Xue, Kaiwen / Wang, Yulong

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 7625

    Abstract: Stroke survivors frequently experience difficulties in daily activities, such as bathing, feeding, and mobility. This study aimed to evaluate the reliability and validity of a computer-adaptive test-Longshi scale (CAT-LS) for assessing activities of ... ...

    Abstract Stroke survivors frequently experience difficulties in daily activities, such as bathing, feeding, and mobility. This study aimed to evaluate the reliability and validity of a computer-adaptive test-Longshi scale (CAT-LS) for assessing activities of daily living (ADL) in stroke survivors. This cross-sectional study collected data using an electronic application. The ADL function of stroke survivors in rehabilitation departments of hospitals was assessed using both the CAT-LS and BI. Correlations between the CAT-LS and Barthel index (BI) and concurrent validity were evaluated using Pearson's correlation test and multiple linear regression. Interrater reliability was evaluated using the intraclass correlation coefficient based on a two-way random effect. The internal consistency of the CAT-LS was assessed using Cronbach's coefficient (α) and corrected item-total correlations. Overall, 103 medical institutions in China were used in this study. In total, 7151 patients with stroke were included in this study. The CAT-LS classified patients into three ADL groups (bedridden, domestic, and community) with significantly different BI scores (P < 0.05). The CAT-LS results obtained using the decision-tree scoring model were consistent with the scores for each BI item. A strong correlation was observed between CAT-LS and BI (Pearson's r: 0.6-0.894, P < 0.001). The CAT-LS demonstrated good internal consistency (Cronbach's α, 0.803-0.894) and interrater reliability (ICC, 0.928-0.979). CAT-LS is time-efficient and requires < 1 min to administer. The CAT-LS is a reliable and valid tool for assessing ADL function in stroke survivors and can provide rapid and accurate assessments that reduce the burden on healthcare professionals. Further validation of this tool in other populations and settings is necessary.Study registration number: No.: ChiCTR2000034067; http://www.chictr.org.cn/showproj.aspx?proj=54770 .
    MeSH term(s) Humans ; Activities of Daily Living ; Cross-Sectional Studies ; Reproducibility of Results ; Stroke ; Survivors
    Language English
    Publishing date 2024-04-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-57671-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Combining HD-tDCS with music stimulation for patients with prolonged disorders of consciousness: Study protocol for an RCT trial.

    Yan, Jie / Zha, Fubing / Zhou, Juan / Zhou, Jing / Zhao, Jingpu / Zhang, Qingfang / Long, Jianjun / Hou, Dianrui / Song, Zhenhua / Wang, Yulong

    NeuroRehabilitation

    2024  Volume 54, Issue 3, Page(s) 495–504

    Abstract: Background: Patients with prolonged disorders of consciousness (pDOC) pose significant challenges to healthcare workers due to their severe motor impairments and limited interaction with the environment. Non-invasive brain stimulation such as high- ... ...

    Abstract Background: Patients with prolonged disorders of consciousness (pDOC) pose significant challenges to healthcare workers due to their severe motor impairments and limited interaction with the environment. Non-invasive brain stimulation such as high-definition transcranial direct current stimulation (HD-tDCS) and music stimulation show promise in awakening this population.
    Objective: In this study, we present a protocol aiming at investigating the efficacy of combined HD-tDCS and music stimulation in awakening patients with pDOC through a single-blind, randomized controlled trial.
    Methods: Ninety patients with pDOC will be randomly divided into three groups: active HD-tDCS with music stimulation, active HD-tDCS, and sham HD-tDCS. All participants will receive 20 treatment sessions over a period of 10 days and the Coma Recovery Scale-Revised, Glasgow Outcome Scale and electroencephalogram will be used as assessment measures to evaluate their level of consciousness throughout the study. Adverse events and complications will be recorded during treatment. Within-group pre-post comparisons and between-group efficacy comparisons will be conducted to identify the most effective intervention approach. Statistical analysis will be performed using SPSS software with a significance level set at P < 0.05.
    Conclusion: The pursuit of awakening therapy for patients with pDOC remains a clinical research challenge. This study protocol is designed with the aim of introducing an innovative non-pharmacological approach which combined HD-tDCS and music stimulation to facilitate the reinstatement of consciousness in patients with pDOC.
    MeSH term(s) Humans ; Consciousness Disorders/rehabilitation ; Consciousness Disorders/therapy ; Single-Blind Method ; Adult ; Music Therapy/methods ; Transcranial Direct Current Stimulation/methods ; Male ; Female ; Middle Aged ; Young Adult ; Combined Modality Therapy ; Aged ; Adolescent ; Treatment Outcome
    Language English
    Publishing date 2024-03-07
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Randomized Controlled Trial ; Clinical Trial Protocol
    ZDB-ID 1087912-2
    ISSN 1878-6448 ; 1053-8135
    ISSN (online) 1878-6448
    ISSN 1053-8135
    DOI 10.3233/NRE-230282
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Nonlinear connection between remnant cholesterol and stroke risk: evidence from the China health and retirement longitudinal study.

    Wang, Yuanqing / Zha, Fubing / Han, Yong / Cai, Ying / Chen, Miaoling / Yang, Cui / Cai, Xiaodong / Hu, Haofei / Cao, Changchun / Luo, Jiao

    Lipids in health and disease

    2023  Volume 22, Issue 1, Page(s) 181

    Abstract: Objective: The evidence on the relationship between remnant cholesterol (RC) and stroke remains controversial. Therefore, this study aimed to explore the relationship between RC and stroke risk in a Chinese population of middle-aged and elderly ... ...

    Abstract Objective: The evidence on the relationship between remnant cholesterol (RC) and stroke remains controversial. Therefore, this study aimed to explore the relationship between RC and stroke risk in a Chinese population of middle-aged and elderly individuals.
    Methods: The present study included 10067 Chinese subjects of middle-aged and elderly individuals. The connection between RC and incident stroke was investigated using the multivariate Cox proportional hazards regression model, several sensitivity analyses, generalized additive models, and smoothed curve fitting.
    Results: A total of 1180 participants with stroke were recorded during the follow-up period. The multivariate Cox proportional hazards regression model identified a positive connection between RC and stroke risk (hazard ratio (HR) = 1.087, 95% confidence interval (CI): 1.001-1.180). In addition, the current study discovered a nonlinear connection between RC and incident stroke, and the point of inflection for RC was 1.78 mmol/L. The risk of stroke increased by 25.1% with each unit increase in RC level when RC was < 1.78 mmol/L (HR:1.251, 95%CI: 1.089-1.437, P = 0.0015). The results were not affected by sensitivity tests.
    Conclusion: The current study showed a positive and nonlinear connection between RC and stroke risk in a middle-aged and elderly Chinese population. These findings provided new information to help researchers better understand the relationship between RC levels and incident stroke.
    MeSH term(s) Aged ; Middle Aged ; Humans ; Longitudinal Studies ; Retirement ; China/epidemiology ; Cholesterol ; Stroke/epidemiology ; Risk Factors
    Chemical Substances Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2023-10-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091381-3
    ISSN 1476-511X ; 1476-511X
    ISSN (online) 1476-511X
    ISSN 1476-511X
    DOI 10.1186/s12944-023-01943-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Inverted U-shaped relationship between Barthel Index Score and falls in Chinese non-bedridden patients: a cross-sectional study.

    Yan, Jie / Zhang, Qingfang / Zhou, Jing / Zha, Fubing / Gao, Yan / Li, Dongxia / Zhou, Mingchao / Zhao, Jingpu / Feng, Jun / Ye, Liang / Wang, Yulong

    Topics in stroke rehabilitation

    2024  , Page(s) 1–11

    Abstract: Background: Performing activities of daily living comprise an important risk factor for falls among non-bedridden stroke inpatients in rehabilitation departments.: Objectives: To explore the correlation between Barthel Index score and the occurrence ... ...

    Abstract Background: Performing activities of daily living comprise an important risk factor for falls among non-bedridden stroke inpatients in rehabilitation departments.
    Objectives: To explore the correlation between Barthel Index score and the occurrence of falls in non-bedridden stroke rehabilitation inpatients.
    Methods: In this cross-sectional study, information of patients grouped as non-bedridden patients by the Longshi Scale was collected.
    Results: A total of 3097 patients were included in this study, with a fall incidence of 10.43%. After adjusting covariates, the total score of Barthel Index and falls in non-bedridden inpatients after stroke presented an inverted U-shaped curve relationship, in which inflection point was 60. The effect sizes on the left and right sides of infection point were 1.02 (95%CI 1.00-1.04) and 0.97 (95%CI 0.96-0.99), respectively.
    Conclusions: Non-bedridden stroke patients with moderate activities of daily living (ADL) capacity may be at particularly increased risk of falls in rehabilitation departments.
    Language English
    Publishing date 2024-02-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1213112-x
    ISSN 1945-5119 ; 1074-9357
    ISSN (online) 1945-5119
    ISSN 1074-9357
    DOI 10.1080/10749357.2024.2318089
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Comparative analysis of sleep parameters and structures derived from wearable flexible electrode sleep patches and polysomnography in young adults.

    Wang, Yuqi / Zhou, Jing / Zha, Fubing / Zhou, Mingchao / Li, Dongxia / Zheng, Qian / Chen, Shugeng / Yan, Shuiping / Geng, Xinling / Long, Jianjun / Wan, Li / Wang, Yulong

    Journal of neurophysiology

    2024  Volume 131, Issue 4, Page(s) 738–749

    Abstract: Polysomnography (PSG) is the gold standard for clinical sleep monitoring, but its cost, discomfort, and limited suitability for continuous use present challenges. The flexible electrode sleep patch (FESP) emerges as an economically viable and patient- ... ...

    Abstract Polysomnography (PSG) is the gold standard for clinical sleep monitoring, but its cost, discomfort, and limited suitability for continuous use present challenges. The flexible electrode sleep patch (FESP) emerges as an economically viable and patient-friendly solution, offering lightweight, simple operation, and self-applicable. Nevertheless, its utilization in young individuals remains uncertain. The objective of this study was to compare sleep data obtained by FESP and PSG in healthy young individuals and analyze agreement for sleep parameters and structure classification. Overnight monitoring with FESP and PSG recordings in 48 participants (mean age: 23 yr) was done. Correlation analysis, Bland-Altman plots, and Cohen's kappa coefficient assessed consistency. Sensitivity, specificity, and predictive values compared classification against PSG. FESP showed strong correlation and consistency with PSG for sleep monitoring. Bland-Altman plots indicated small errors and high consistency. Kappa values (0.70-0.84) suggested substantial agreement for sleep stage classification. Pearson correlation coefficient values for sleep stages (0.75-0.88) and sleep parameters (0.80-0.96) confirm that FESP has a strong application. Intraclass correlation coefficient yielded values between 0.65 and 0.97. In addition, FESP demonstrated an impressive accuracy range of 84.12-93.47% for sleep stage classification. The FESP also features a wearable self-test program with an error rate of no more than 8% for both deep sleep and wake. In young adults, FESP demonstrated reliable monitoring capabilities comparable to PSG. With its low cost and user-friendly design, FESP is a potential alternative for portable sleep assessment in clinical and research applications. Further studies involving larger populations are needed to validate its diagnostic potential.
    MeSH term(s) Humans ; Young Adult ; Adult ; Polysomnography ; Actigraphy ; Reproducibility of Results ; Sleep ; Wearable Electronic Devices ; Electrodes ; Spiperone/analogs & derivatives
    Chemical Substances 3-N-(2-fluoroethyl)spiperone (106114-42-5) ; Spiperone (4X6E73CJ0Q)
    Language English
    Publishing date 2024-02-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80161-6
    ISSN 1522-1598 ; 0022-3077
    ISSN (online) 1522-1598
    ISSN 0022-3077
    DOI 10.1152/jn.00465.2023
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  9. Article ; Online: Effect of Robot Assisted Gait Training on Motor and Walking Function in Patients with Subacute Stroke: A Random Controlled Study.

    Li, Dong-Xia / Zha, Fu-Bing / Long, Jian-Jun / Liu, Fang / Cao, Jia / Wang, Yu-Long

    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

    2021  Volume 30, Issue 7, Page(s) 105807

    Abstract: Background: Robot-assisted gait training has been confirmed to have beneficial effect on the rehabilitation of stroke patients. An exoskeleton robot, named BEAR-H1, is designed to help stroke patients with walking disabilities.: Methods: 17 subjects ... ...

    Abstract Background: Robot-assisted gait training has been confirmed to have beneficial effect on the rehabilitation of stroke patients. An exoskeleton robot, named BEAR-H1, is designed to help stroke patients with walking disabilities.
    Methods: 17 subjects in experimental group and 15 subjects in control group completed the study. The experimental group received 30 minutes of BEAR-H1 assisted gait training(BAGT), and the control group received 30 minutes of conventional training, 5 times/week for 4weeks. All subjects were evaluated with 6-minute walk test (6MWT), Fugl-Meyer Assessment for lower extremity (FMA-LE), Functional Ambulatory Classification (FAC), Modified Ashworth Scale (MAS), and gait analysis at baseline and after 4 weeks intervention.
    Results: The improvements of 6MWT, FMA-LE, gait speed, cadence, step length and cycle duration in BAGT group were more noticeable than in the control group. However, there was no difference in the assessment of MAS between two groups.
    Conclusions: Our results showed that BAGT is an effective intervention to improve the motor and walking ability during 4 weeks training for subacute stroke patients.
    MeSH term(s) Adult ; China ; Exoskeleton Device ; Female ; Functional Status ; Gait ; Gait Analysis ; Humans ; Lower Extremity/innervation ; Male ; Middle Aged ; Mobility Limitation ; Motor Activity ; Prospective Studies ; Recovery of Function ; Robotics/instrumentation ; Single-Blind Method ; Stroke/diagnosis ; Stroke/physiopathology ; Stroke/therapy ; Stroke Rehabilitation/instrumentation ; Time Factors ; Treatment Outcome ; Walk Test
    Language English
    Publishing date 2021-04-22
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1131675-5
    ISSN 1532-8511 ; 1052-3057
    ISSN (online) 1532-8511
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2021.105807
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  10. Article ; Online: Functional status and its related factors among stroke survivors in rehabilitation departments of hospitals in Shenzhen, China: a cross-sectional study.

    Zhou, Jing / Liu, Fang / Zhou, Mingchao / Long, Jianjun / Zha, Fubing / Chen, Miaoling / Li, Jiehui / Yang, Qingqing / Zhang, Zeyu / Wang, Yulong

    BMC neurology

    2022  Volume 22, Issue 1, Page(s) 173

    Abstract: Background: Many stroke survivors have multiple chronic diseases and complications coupled with various other factors which may affect their functional status. We aimed to investigate the factors associated with poor functional status in hospitalized ... ...

    Abstract Background: Many stroke survivors have multiple chronic diseases and complications coupled with various other factors which may affect their functional status. We aimed to investigate the factors associated with poor functional status in hospitalized patients with stroke in Shenzhen, China.
    Methods: In this cross-sectional study, four urban hospitals were selected using convenient sampling, and all stroke patients in these four hospitals were included using cluster sampling. The functional status of stroke survivors was evaluated using Longshi Scale. Explanatory variables (factors affecting functional status comprising age, sex, body mass index, smoking, alcohol consumption, complications, and chronic conditions) were collected. Ordinal logistic regression was used to examine which factors were associated with poor functional status.
    Results: Stroke survivors with poor functional status accounted for 72.14% and were categorised as the bedridden group based on Longshi scale, 21.67% of patients with moderate functional limitation were categorised as the domestic group, and 6.19% of the patients with mild functional restriction were categorised as the community group. The highest dependence scores were noted for feeding (73.39%), bowel and bladder management (69.74%) and entertainment (69.53%) among the bedridden group, and housework (74.29%) among the domestic group. In the adjusted model, the odds of poor functional status were higher among stroke patients with older age (odds ratio [OR] = 2.39, 95% CI: 1.55-3.80), female sex (OR = 1.73, 95% CI: 1.08-2.77), duration of stroke more than 12 months (OR = 1.94, 95% CI: 1.28-2.95), with pulmonary infection (OR = 10.91, 95% CI: 5.81-20.50), and with deep venous thrombosis (OR = 3.00, 95% CI: 1.28-7.04).
    Conclusions: Older adults (age ≥ 60 years) and women were more likely to exhibit poor functional status post-stroke. Pulmonary infection and deep venous thrombosis were related to an increased risk of being dependent on activities of daily living. Therefore, clinical and rehabilitation interventions aimed at preventing or treating these common complications should be addressed to deal with subsequent dysfunction post-stroke. Since all data were obtained in metropolitan areas where the economy is well developed, future studies should be conducted in rural areas and economically less developed cities.
    MeSH term(s) Activities of Daily Living ; Aged ; China/epidemiology ; Cross-Sectional Studies ; Female ; Functional Status ; Hospitals ; Humans ; Middle Aged ; Stroke/epidemiology ; Stroke Rehabilitation ; Survivors ; Venous Thrombosis
    Language English
    Publishing date 2022-05-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041347-6
    ISSN 1471-2377 ; 1471-2377
    ISSN (online) 1471-2377
    ISSN 1471-2377
    DOI 10.1186/s12883-022-02696-0
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