脳梗塞患者における回復期病院退院時FIMの認知および運動項目を急性期入院時から予測する—予後予測に基づいた生活行為目標を設定するために

Predicting cognitive and motor items of FIM at discharge from rehabilitation hospitals among patients with acute phase cerebral infarction: Setting life performance goals based on prognosis prediction

要旨：【目的】脳梗塞患者における回復期病院退院時認知および運動FIMを急性期から予測できるか検討した．【方法】対象は急性期病院から回復期病院に転院した脳梗塞患者115名とした．方法は回復期病院退院時認知および運動FIMと急性期病院のデータとの関連を重回帰分析で解析した．【結果】認知，運動FIMの各モデルの寄与率は53.9％，59.2％であり，回復期病院退院時の認知，運動FIMの関連因子として，どちらもリハ開始時のNIHSS，年齢および既往の認知症の有無，リハ開始から2週後までのOT実施時間が抽出された．【結論】回復期病院退院時認知および運動FIMは急性期から良好な予測ができる可能性が示唆された．

　Purpose: This study examined the possibility of predicting cognitive and motor FIM of patients with acute phase cerebral infarction at the time of discharge from recovery hospitals. Methods: The subjects were 115 patients with cerebral infarction who were transferred from an acute care hospital to recovery hospitals. Methods were multiple regression analysis of the association between cognitive and motor FIM at discharge from recovery hospitals and data from acute care hospitals. Results: The adjusted R-square of each model to cognitive and motor FIM was 53.9% and 59.2%, respectively, and NIHSS at the start of rehabilitation, age, presence of pre-existing dementia, and time of OT were extracted as factors associated with cognitive and motor FIM at discharge from recovery hospitals in both cases. Conclusion: The results suggest that cognitive and motor FIM at discharge from recovery hospitals may be accurately predicted from the acute phase.