Article

This systematic review summarizes the utility of variables available at
acute discharge after stroke for predicting functional independence at discharge
from inpatient rehabilitation. METHODS: A systematic review of four electronic
databases (Medline, EMBASE, PsycINFO and CINAHL) was conducted to identify
studies reporting multivariable models predicting post-rehabilitation Barthel
Index (BI) or Functional Independence Measure (FIM(R)) scores. In studies meeting
inclusion criteria, the frequency with which candidate predictors were found
statistically significant was calculated and summarized. RESULTS: A total of 3260
articles were screened, of which 27 were included and 63 multivariable models of
discharge BI or FIM(R) were reported. In all, 126 candidate predictors of BI or
FIM(R) were explored. Variables found to be significant most frequently included
admission functional level (BI or FIM(R)), National Institute of Health Stroke
Scale (NIHSS), dysphasia, impulsivity, neglect, previous stroke, and age.
CONCLUSIONS: Only a selected group of variables have repeatedly proven to be
significant predictors of functional ability after post-stroke inpatient
rehabilitation. [Box: see text].

Langue : ANGLAIS