What is the clinical evidence from this study?

Study design: Observational. Population: Stroke (n=57). Intervention: Maximised-ADL index (M7) vs. Summed-ADL index (SQ). Primary outcome: Explained variability (R2) for predicting duration of treatment.

What does this research mean for the field?

The maximised-ADL index (M7) provides superior discrimination in predicting the duration of rehabilitation treatment compared to a summed-ADL index in stroke patients. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

December 1, 1983Journal of Rehabilitation MedicineOpen Access

A maximised-ADL index of functional status for stroke patients. Methodological considerations

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Key result

Maximised-ADL index outperforms summed-ADL in predicting stroke rehabilitation duration by explaining ~55% of variance.

n=57

Why the study?

Does a 3-month rehabilitation programme improve physiological and psychosocial outcomes at one year in patients under 65 years of age after myocardial infarction?

Population

171 patients under 65 years of age after myocardial infarction (MI)

Comparison

Rehabilitation programme including physical… vs Control group

Design

RCT, Allocated at random to rehabilitation and control groups before discharge…

Follow-up

1 year

Authors

SGSchuld W McClatchie G

Discussion

Member takes

Implication

Maximised-ADL index may refine stroke rehabilitation planning; extends summed-ADL methods for prediction and resource allocation.

Study Design

Type

Observational (n=57)

Multicenter

Structured PICO

Does a 3-month rehabilitation programme improve physiological and psychosocial outcomes at one year in patients under 65 years of age after myocardial infarction?

Population

57 stroke patients (mean age 66.2 years, 47.4% female) undergoing a rehabilitation program were followed for up to 7 months to evaluate a new functional status index.

Exposure

Rehabilitation programme including physical exercise, counselling of patients and relatives, and social measures over a 3-month period during the convalescent stage

Comparator

Control group (allocated at random before discharge from hospital)

Outcome

Blood pressure, work capacity, days off work, return to work, psychological status, and understanding of the illness at one yearsurrogate

Main Result

Absolute Event Rate: 55% vs 28.3%

A 3-month comprehensive rehabilitation program after MI improved blood pressure but did not significantly improve work capacity, return to work, or psychological status at one year.

Limitations

Small sample size of 57 patients
Lack of a proven index to use as a reference standard for validation
Potential for error amplification if the most severely affected ADL-parameter is incorrectly recorded
Vaguely defined parameters such as communication and life-planning capacity

Cite This Study

Schuld W McClatchie G (1983) conducted an observational in Stroke (n=57). Maximised-ADL index (M7) vs. Summed-ADL index (SQ) was evaluated on Explained variability (R2) for predicting duration of treatment. The maximised-ADL index (M7) demonstrated superior discrimination in predicting the duration of rehabilitation treatment (R2=55.0) compared to a summed-ADL index (R2=28.3) in stroke patients.

synapsesocial.com/papers/6aa53887bc2c7db7488e35d6 https://doi.org/10.2340/1650197719831519

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A maximised-ADL index of functional status for stroke patients. Methodological considerations

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

A maximised-ADL index of functional status for stroke patients. Methodological considerations

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider