Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Comorbidity in post-stroke rehabilitation.

S Giaquinto1

  • 1San Raffaele Hospital Pisana Clinic, via della Pisana, Rome, Italy. sgiaquin@libero.it

European Journal of Neurology
|May 20, 2003
PubMed
Summary

Comorbidity in stroke patients correlates with initial dependence but does not hinder functional recovery during rehabilitation. The Cumulative Illness Rating Scale (CIRS) effectively assesses comorbidity, impacting rehabilitation costs.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Religious and spiritual beliefs in outpatients suffering from Parkinson Disease.

International journal of geriatric psychiatry·2011
Same author

Spectral analysis of the voice in Down Syndrome.

Research in developmental disabilities·2010
Same author

Spectral analysis of the human voice: a potentially useful tool in rehabilitation.

European journal of physical and rehabilitation medicine·2009
Same author

Hydrotherapy after total knee arthroplasty. A follow-up study.

Archives of gerontology and geriatrics·2009
Same author

Hydrotherapy after total hip arthroplasty: a follow-up study.

Archives of gerontology and geriatrics·2009
Same author

Breath test for differential diagnosis between small intestinal bacterial overgrowth and irritable bowel disease: an observation on non-absorbable antibiotics.

World journal of gastroenterology·2007

Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Geriatrics

Background:

  • Patients in rehabilitation often have comorbidities that can affect treatment outcomes.
  • Understanding the impact of comorbidity on stroke recovery is crucial for effective patient management.

Purpose of the Study:

  • To evaluate how comorbidity influences functional independence and recovery in stroke patients undergoing rehabilitation.
  • To assess the utility of the Cumulative Illness Rating Scale (CIRS) in quantifying comorbidity in this population.

Main Methods:

  • Ninety-three stroke patients admitted for rehabilitation were enrolled.
  • Functional independence was measured using the Functional Independence Measure (FIM) at admission and discharge.
  • Comorbidity was assessed using the Cumulative Illness Rating Scale (CIRS), yielding a cumulative index (CI) and severity index (SI).

Main Results:

  • Comorbidity, measured by CIRS (CI and SI), was significantly correlated with FIM scores at admission (r = -0.24, P < 0.02 and r = -0.32, P < 0.002, respectively).
  • Logistic modeling differentiated regularly discharged patients from those who were deceased or transferred to acute care (P < 0.02).
  • Despite significant correlations with initial dependence, comorbidity did not impede functional gain during the rehabilitation period, even in severely affected patients.

Conclusions:

  • The CIRS is a sensitive tool for evaluating comorbidity in stroke patients.
  • While comorbidity is linked to initial dependence, it does not negatively impact functional gains post-stroke.
  • Comorbidity is relevant for rehabilitation cost considerations due to its inclusion in cost-determining variables.

Related Experiment Videos