iScore for Predicting Institutional Care after Ischemic Stroke: A Population-Based Study

被引:6
作者
Bejot, Yannick
Daubail, Benoit
Sensenbrenner, Benedicte
Legris, Nicolas
Durier, Jerome
Giroud, Maurice
机构
[1] Univ Burgundy, Univ Hosp, Dept Neurol, Dijon Stroke Registry,EA4184, Dijon, France
[2] Univ Burgundy, Med Sch Dijon, Dijon, France
关键词
Stroke; stroke outcome; epidemiology; stroke registrypredictors; discharge planning; HOSPITAL DISPOSITION; VALIDATION; REHABILITATION; DISPARITIES; MORTALITY; SCALE; HOME;
D O I
10.1016/j.jstrokecerebrovasdis.2014.11.010
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background: We assessed whether the iScore could predict the need for poststroke institutional care. Methods: Patients with acute ischemic stroke living in Dijon, France, were recorded between 2006 and 2011, using a population-based stroke registry. The iScore was calculated for each patient. A logistic regression model was used to assess the performance of the iScore for predicting the need for placement in a care institution. The discrimination and calibration of the model were assessed using the c statistic and the Hosmer-Lemeshow goodness-of-fit test, respectively. Results: Of the 1199 patients recorded, 124 were excluded because of early death and 95 because of missing for variables included in the iScore. Of the remaining 980 patients, 522 (53.3%) returned home and 458 (46.7%) required placement in a care institution. The median iScore was 123 (interquartile range, 97-148), and the proportion of patients who required placement in a care institution increased with each quintile of risk score. The discrimination of the model was good with a c statistic of .75 (95% confidence interval,.72-.78), as was calibration (P = .35). Conclusions: The iScore could be useful for predicting the need for placement in a care institution in ischemic stroke patients. Further studies are required to confirm this finding.
引用
收藏
页码:694 / 698
页数:5
相关论文
共 21 条
  • [1] Population-Based Validation of the iScore for Predicting Mortality and Early Functional Outcome in Ischemic Stroke Patients
    Bejot, Yannick
    Jacquin, Agnes
    Daubail, Benoit
    Durier, Jerome
    Giroud, Maurice
    [J]. NEUROEPIDEMIOLOGY, 2013, 41 (3-4) : 169 - 173
  • [2] Poststroke Disposition and Associated Factors in a Population-Based Study The Dijon Stroke Registry
    Bejot, Yannick
    Troisgros, Odile
    Gremeaux, Vincent
    Lucas, Brigitte
    Jacquin, Agnes
    Khoumri, Catia
    Aboa-Eboule, Corine
    Benaim, Charles
    Casillas, Jean-Marie
    Giroud, Maurice
    [J]. STROKE, 2012, 43 (08) : 2071 - U106
  • [3] Use of nursing home after stroke and dependence on stroke severity - A population-based analysis
    Brown, RD
    Ransom, J
    Hass, S
    Petty, GW
    O'Fallon, WM
    Whisnant, JP
    Leibson, CL
    [J]. STROKE, 1999, 30 (05) : 924 - 929
  • [4] Trend of stroke hospitalization, United States, 1988-1997
    Fang, J
    Alderman, MH
    [J]. STROKE, 2001, 32 (10) : 2221 - 2225
  • [5] Do racial disparities exist in access to inpatient stroke rehabilitation in the state of Maryland?
    Gregory, Patricia C.
    Han, Euna
    Morozova, Olga
    Kuhlemeier, Keith V.
    [J]. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2006, 85 (10) : 814 - 819
  • [6] Disparities in Postacute Stroke Rehabilitation Disposition to Acute Inpatient Rehabilitation vs. Home Findings from the North Carolina Hospital Discharge Database
    Gregory, Patricia C.
    Han, Euna
    [J]. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2009, 88 (02) : 100 - 107
  • [7] The Canadian Neurological Scale and the NIHSS: Development and Validation of a Simple Conversion Model
    Nilanont, Yongchai
    Komoltri, Chulaluk
    Saposnik, Gustavo
    Cote, Robert
    Di Legge, Silvia
    Jin, Yaping
    Prayoonwiwat, Naraporn
    Poungvarin, Niphon
    Hachinski, Vladimir
    [J]. CEREBROVASCULAR DISEASES, 2010, 30 (02) : 120 - 126
  • [8] The iScore Predicts Clinical Response to Tissue Plasminogen Activator in Korean Stroke Patients
    Park, Tai Hwan
    Park, Sang-Soon
    Ko, Youngchai
    Lee, Soo Joo
    Lee, Kyung Bok
    Lee, Jun
    Kang, Kyusik
    Park, Jong-Moo
    Choi, Jay Chol
    Kim, Dong-Eog
    Cho, Yong-Jin
    Hong, Keun-Sik
    Kim, Joon-Tae
    Kim, Dae-Hyun
    Cha, Jae-Kwan
    Han, Moon-Ku
    Lee, Ji Sung
    Lee, Juneyoung
    Yu, Kyung-Ho
    Lee, Byung-Chul
    Yoon, Byung-Woo
    Bae, Hee-Joon
    Saposnik, Gustavo
    [J]. JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2014, 23 (02) : 367 - 373
  • [9] The iScore Predicts Functional Outcome in Korean Patients With Ischemic Stroke
    Park, Tai Hwan
    Saposnik, Gustavo
    Bae, Hee-Joon
    Lee, Soo Joo
    Lee, Kyung Bok
    Lee, Jun
    Park, Jong-Moo
    Choi, Jay Chol
    Kim, Dong-Eog
    Cho, Yong-Jin
    Kim, Joon-Tae
    Cha, Jae-Kwan
    Lee, Juneyoung
    Yu, Kyung-Ho
    Lee, Byung-Chul
    Yoon, Byung-Woo
    [J]. STROKE, 2013, 44 (05) : 1440 - +
  • [10] Pelissier Jacques, 2010, Annals of Physical and Rehabilitation Medicine, V53, P124, DOI 10.1016/j.rehab.2009.11.003