Abstract
BackgroundThis study aims to evaluate the ADL(activity of daily living) of patients with acute cerebral infarction through BI scoring, in order to observe its predictive value in the prognosis of these patients.MethodsAccording to the inclusion and exclusion criteria, patients with acute anterior circulation cerebral infarction were included in the present study. Then, the BI scoring was analyzed through five grades, in order to further investigate the dose-response relationship between BI scoring and mortality risk in patients with cerebral infarction. The receiver operating characteristic (ROC) curves for BI-scored patients were drawn, and the predictive authenticity of the Barthel scale in prognostic prediction for patients with cerebral infarction was estimated.ResultsThe difference in BI scores between the survival group and death group were statistically significant (t = 10.029, P < 0.05), in which the score was lower in the death group than in the survival group. According to the linear trend ×2-test, the decrease in BI score indicates an increase in mortality risk in patients with cerebral infarction. The area under the curve (AUC) of the ROC curve was 0.794 with a P–value of < 0.05.ConclusionBI scoring is a highly valuable scoring system for the prognostic prediction of patients with acute cerebral infarction.
Highlights
This study aims to evaluate the ADL(activity of daily living) of patients with acute cerebral infarction through Barthel index (BI) scoring, in order to observe its predictive value in the prognosis of these patients
This study aims at evaluate the ADL of patients with acute cerebral infarction through BI scoring, in order to observe its predictive value in the prognosis of these patients
The inclusion criteria were as follows: (1) patients admitted within three days after onset; (2) patients who met the standard of diagnosis for cerebral infarction formulated on the 4th National Cerebrovascular Disease Conference 1995, and confirmed by cerebral computed tomography (CT) and magnetic resonance imaging (MRI)
Summary
This study aims to evaluate the ADL(activity of daily living) of patients with acute cerebral infarction through BI scoring, in order to observe its predictive value in the prognosis of these patients. Post-stroke dysfunction mainly includes disorder in movement, language and cognition. This would seriously affect the patient’s activity of daily living (ADL) and social participation, and bring heavy burden to the patients themselves. The ADL of stroke patients has been considered as one of the most basic evaluation items, and the main objective for rehabilitation. It has been used in evaluating the degree of nervous functional defects in stroke patients, the degree of dependence on others, and the functional burden induced to their families and society.
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