A Retrospective Analysis of Factors Impacting Rehabilitation Outcomes in Patients With Spontaneous Intracerebral Hemorrhage.

Abstract

This study aimed to identify the factors associated with motor and activities of daily living recovery after 4-wk rehabilitation in patients with intracerebral hemorrhage. Eight hundred ten eligible patients were enrolled and engaged in 4-wk rehabilitation. Fugl-Meyer score and Modified Barthel Index were used to measure the motor and activities of daily living function. Multivariate linear regressions were used to investigate the effect of the 23 preexisting conditions in intracerebral hemorrhage patients (eg, scales of functional abilities, spasticity, cognition, and mental disorders) on efficacy outcomes after 4-wk rehabilitation. The results indicated the following: (1) young age, absence of diabetes mellitus, right hemiplegia, early rehabilitation, elbow spasticity, and higher cognitive and motor function were significantly associated with better prognosis after 4-wk rehabilitation; (2) patients who started rehabilitation within 120 days of stroke onset had significantly better outcomes; (3) activities of daily living function could be further improved for those patients wherein the time since stroke onset was more than 121 days; and (4) improving cognitive function may improve functional ability after rehabilitation in patients with intracerebral hemorrhage. The results could enable clinicians to predict the intracerebral hemorrhage rehabilitation outcome and achieve the maximum favorable outcome to facilitate personal independence.