Stroke, Vol 17, 765-776, Copyright © 1986 by American Heart Association
L Jongbloed
A review of 33 studies identifies the factors of prior stroke, older age,
urinary and bowel incontinence, and visuo-spatial deficits as adverse
prognostic indicators of function. No relationship is shown between sex,
hemisphere of stroke, and functional outcome. Functional admission score is
a strong predictor of discharge functional status, but its relationship
with improvement in function is unclear. Findings regarding the prognostic
value of severity of paralysis and onset- admission delay are ambiguous.
Comparison among studies is hindered by differences in patient samples,
timing of assessments, criteria by which outcome is measured and measuring
instrument used. Future studies should measure function at set times
post-stroke, use functional scales whose reliability and validity is well
established, and be conducted in several treatment centres to ensure that
the sample is representative of the population to which the predictor
measure is to be applied.
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