クモ膜下出血発症３カ月目におけるＡＤＬ自立介助の予測因子－超急性期のパラメータによる予測の可否について－

• 八幡 徹太郎

  金沢大学医学部附属病院リハビリテーション部

• 立野 勝彦

  金沢大学医学部保健学科

• 染矢 富士子

  金沢大学医学部保健学科

• 高橋 友哉

  金沢大学医学部附属病院リハビリテーション部 医療法人社団博洋会藤井脳神経外科病院

書誌事項

タイトル別名

• The Relevance of Age and Sex, and Hemorrhage Severity and Site for Predicting Daily Activities 3 Months after Aneurysmal Subarachnoid Hemorrhage
• クモ マク カ シュッケツ ハッショウ 3カゲツメ ニ オケル ADL ジリツカイジョ ノ ヨソク インシ チョウキュウセイキ ノ パラメータ ニ ヨル ヨソク ノ カヒ ニ ツイテ
• 超急性期のパラメータによる予測の可否について

抄録

Although aneurysmal subarachnoid hemorrhage (SAH) is considered a subtype of stroke, functional outcome is not always predictable. The purpose of this study was to analyze the relevance of some acute-phase parameters for predicting the types of activities of daily living (ADL) three months after SAH. One hundred forty-one of 165 consecutive patients who were admitted to Kanazawa University Hospital between 1989 and 2001 were analyzed retrospectively. All patients were classified into two groups based on the Barthel Index (BI) three months after SAH. The Independent-group with BI≥85 comprised 96 patients, and the Dependent-group with BI≤80 comprised 45 patients. Severity was assessed using the World Federation of Neurosurgical Societies' grading system (WFNS) and the Hunt and Kosnik classification (H & K). WFNS showed ratings of the Independent-group of 88% for I, 80% for II, 75% for III, 48% for IV and 29% for V. H & K analysis showed a similar pattern. Differences in ratings were closely related to differences in grades for each severity scale (p<0.0001). The patients ranged in age from 36 to 89 years. Mean ages were 60.5 years in the Independent-group and 62.0 years in the Dependent-group. No significant differences were found in age analyses between the two groups. As for sex and hemorrhage site, there were also no significant differences between the two groups. None of the sites showed a characteristic pattern of patient distributions based on severity grades. We conclude that severity grades are predictable factors of functional outcome to some extent, but age, sex and site are not relevant.

収録刊行物

• リハビリテーション医学

  リハビリテーション医学 40 (12), 824-832, 2003

  社団法人 日本リハビリテーション医学会

キーワード

• クモ膜下出血
• 予測因子
• 日常生活活動
• 機能的帰結
• リハビリテーション

詳細情報

• CRID: 1390282679925534976
• NII論文ID: 130003663395
• NII論文ID: 110001846121
• NII書誌ID: AN00250275
• DOI: 10.2490/jjrm1963.40.824
• ISSN: 1880778X
• ISSN: 0034351X
• ISSN: http://id.crossref.org/issn/0034351X
• NDL書誌ID: 6813784
• Web Site: http://hdl.handle.net/2297/23589
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I6813784
• Web Site: http://www.jstage.jst.go.jp/article/jjrm1964/40/12/40_12_824/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004145923
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • IRDB
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可