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Published on: October 11, 2024
The Ability for Basic Movement Scale II Can Predict Functional Outcome and Discharge Destination in Stroke Patients
De Gang Yang1, Rui Gu2, Shin Sato3
1Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan; Department of Spinal and Neural Function Reconstruction, Beijing Bo Ai Hospital, China Rehabilitation Research Center, Faculty of Rehabilitation Medicine, Capital Medical University, Beijing, China.
The Ability for Basic Movement Scale II (ABMS II) score upon admission effectively predicts functional recovery and discharge destination for stroke patients. A higher ABMS II score indicates better outcomes and shorter hospital stays.
Area of Science:
- Rehabilitation Medicine
- Neurology
- Geriatrics
Background:
- Stroke rehabilitation requires accurate prognostication tools.
- Assessing functional status at admission is crucial for tailoring patient care.
- Predicting discharge destination impacts resource allocation and patient support.
Purpose of the Study:
- To determine if the Ability for Basic Movement Scale II (ABMS II) score at admission predicts functional status at discharge.
- To investigate the ABMS II's ability to predict discharge destination in stroke patients undergoing convalescent rehabilitation.
Main Methods:
- Ninety-four stroke patients in a rehabilitation ward were assessed.
- The Ability for Basic Movement Scale II (ABMS II) and Functional Independence Measure (FIM) were used for admission and discharge evaluations.
- Demographic, clinical data, and discharge destinations (home vs. facility) were recorded.
Main Results:
- The ABMS II score at admission significantly predicted discharge FIM scores (β = .747, P < .05).
- Higher ABMS II scores predicted better basic walk ability (OR 1.29) and home discharge (OR 1.241).
- An ABMS II cutoff of 18 predicted walk ability (AUC = .863) and home discharge (AUC = .827); a negative correlation with length of stay was observed (r = -.680, P < .05).
Conclusions:
- The ABMS II is a valuable tool for predicting functional recovery and discharge destination in convalescent stroke patients.
- A higher ABMS II admission score correlates with improved functional outcomes, shorter length of stay, and increased likelihood of home discharge.
- The ABMS II's ease of use suggests potential for widespread adoption in stroke care settings.
