Factors Associated with Changes in Functional Independence after Six Months of Ischemic Stroke
Authors
Sang Moon Yun ; Seung Yeol Lee ; Min Kyun Sohn ; Jongmin Lee ; Deog Young Kim ; Sam-Gyu Lee ; Yong-Il Shin ; Yang-Soo Lee ; Min Cheol Joo ; So Young Lee ; Junhee Han ; Jeonghoon Ahn ; Gyung-Jae Oh ; Young Hoon Lee ; Won Hyuk Chang ; Yun-Hee Kim
Activities of daily living ; Stroke ; Obesity ; Depression
Abstract
The aim of this study is to investigate the changes in functional independence and their
associated factors during the first 6 months to 1 year after stroke onset. This study is the
interim results of the Korean Stroke Cohort for Functioning and Rehabilitation. A total of 1,011
participants were included and classified into 3 subgroups according to changes in the Korean
version of Modified Barthel Index (K-MBI) scores that occurred between 6 months to 1 year
after stroke onset: the improved group (IG), with scores that increased 5 points or more; the
stationary group (SG), with the K-MBI score changes ranging from −4 to +4 points; and the
declined group (DG), with the K-MBI scores that decreased 5 points or more. Ordinal logistic
regression analyses were used to assess the factors influencing changes in the K-MBI score.
Among 1,011 patient, 436 patients (43.1%), 398 patients (39.4%) and 117 patients (17.5%) were
classified into the IG, SG, and DG, respectively. Obesity and Geriatric Depression Scale score
were significant influencing factors for changes in the K-MBI scores. Obesity showed a positive
influence on the K-MBI score, while depression showed a negative influence.