Abstract
Background: Successful rehabilitation is associated with physical, psychological, environmental, social, and personal factors based on the International Classification of Functioning, Disability and Health (ICF) framework. The influence of age has been suggested as crucial personal factors that may affect rehabilitation needs in post-stroke survivors. The aim of this study was to investigate the qualifiers of the ICF core set for stroke to detect differences in rehabilitation needs and goals between older (O, >65 years old) and younger (Y, ≤65 years old,) post-stroke individuals. Materials and methods: In this observational study, the comprehensive core set for stroke was filled during the rehabilitation period. Patient information was obtained using disability scales and translated into certain ICF categories using linking rules. Frequency, similarity, and linear regression analyses were performed for ICF qualifier profiles among Y and O patients. Results: Forty-eight ICF variables were significantly different between Y (n = 35, 46.17 ± 11.27 years old) and O (n = 35, 76.43 ± 6.77 years old) patients. Frequency analysis showed that activity of daily living and basic needs were more prevalent in O patients, whereas regaining of social role and social life were more prevalent in Y patients. The average Jaccard Index result (similarity analysis) was more homogeneous in O than in Y patients. Conclusions: ICF qualifiers are useful to design patient-centered care. Y patients have more heterogeneous needs and require more personalized program than O patients.
Highlights
Stroke is one of the leading causes of chronic disability worldwide, and persistently reduces the quality of life (QoL)
Thirty-five patients (10 out of 37 patients hospitalized in the first department and 25 out of 33 in the second one hospital) were younger than 65 years (46.17 ± 11.27 years old, and 35 patients were older than 65 years (76.43 ± 6.77 years old, range: 66–90)
No significant differences between the two groups of patients were found on sex distribution, Bamford Classification, NIHSS score, and days since onset
Summary
Stroke is one of the leading causes of chronic disability worldwide, and persistently reduces the quality of life (QoL). Evidence suggests that rehabilitation plays a key role for improving functional status and the QoL of post-stroke individuals [1,2] as well as for other neurological disorders [3,4]. Among the factors influencing self-perceived QoL and the success of a rehabilitation program, age has. Successful rehabilitation is associated with physical, psychological, environmental, social, and personal factors based on the International Classification of Functioning, Disability and Health (ICF) framework. The influence of age has been suggested as crucial personal factors that may affect rehabilitation needs in post-stroke survivors. The aim of this study was to investigate the qualifiers of the ICF core set for stroke to detect differences in rehabilitation needs and goals between older (O, >65 years old) and younger (Y, ≤65 years old,) post-stroke individuals
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