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The Effect of Body Mass Index (BMI) on Inpatient Stroke Rehabilitation Outcome: A Prospective Study From an East-Asian Cohort

2020년 11월 10일 업데이트: Jong Sze Chin, Tan Tock Seng Hospital

Research has shown that rehabilitation at almost any Body Mass Index (BMI) level leads to positive functional outcomes. Some data demonstrating that gains are often more rapid at BMI above "normal". The aim of this study is to investigate the association between BMI and the functional progress of all patients admitted to Tan Tock Seng Tertiary Rehabilitation Center.

연구 개요

상태

완전한

정황

개입 / 치료

다른: 개입 없음

연구 유형

관찰

등록 (실제)

247

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

싱가포르
- - Singapore, 싱가포르, 570186
    - Tan Tock Seng Hospital

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

샘플링 방법

비확률 샘플

연구 인구

All patient admitted to Tan Tock Seng Tertiary Rehabilitation Centre and fulfilled the inclusion criteria within the study period will be consented to the study.

설명

Inclusion Criteria:

clinical strokes (ischaemic or haemorrhagic) diagnosed by acute neurologists or neurosurgeons and confirmed on computerized tomography (CT) or Magnetic resonance imaging (MRI) brain imaging
aged 18 years and above
admitted directly from acute stroke units
able to provide informed consent by self or by next of kin in incompetence patient
must receive physical therapy (either physiotherapy, occupational therapy or speech therapy) at least 5 times a week with each session at least 30 minutes

Exclusion Criteria:

rehabilitation was not the primary reason for the inpatient admission
failure to complete the rehabilitation program due to either an acute transfer off rehabilitation or a discharge against medical advice
incomplete or missing Body Mass Index (BMI) or Functional Independence Measure (FIM) data
patients who were not of Asian ethnicity

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정	측정값 설명	기간
Functional Independence Measure (FIM) on Admission 기간: Functional Independence Measure (FIM) was measured within 72 hours of admission	Functional Independence Measure (FIM), the main primary outcome measure during rehabilitation was measured within 72 hours of admission and discharge by rehabilitation therapists all of whom were trained and certified in the use of the FIM. The FIM is an 18-item instrument comprising 13 motor items and 5 cognitive items, with each item graded on a 7-point ordinal scale (1 denotes complete dependence and 7 denotes complete independence), including the ability to perform activities of daily living (ADLs) across 6 areas (self-care, sphincter control, transfers, locomotion, communication, and social cognition). Total admission FIM (Ta-FIM) scores, total discharge FIM (Td-FIM) scores (18 - 126), motor FIM (m-FIM) sub-scores (13 - 91) and cognitive FIM (c-FIM) sub-scores (5 - 35), were tabulated.	Functional Independence Measure (FIM) was measured within 72 hours of admission
Functional Independence Measure (FIM) on Discharge 기간: Functional Independence Measure (FIM) was measured within 72 hours of discharge.	Functional Independence Measure (FIM), the main primary outcome measure during rehabilitation was measured within 72 hours of admission and discharge by rehabilitation therapists all of whom were trained and certified in the use of the FIM. The FIM is an 18-item instrument comprising 13 motor items and 5 cognitive items, with each item graded on a 7-point ordinal scale (1 denotes complete dependence and 7 denotes complete independence), including the ability to perform activities of daily living (ADLs) across 6 areas (self-care, sphincter control, transfers, locomotion, communication, and social cognition). Total admission FIM (Ta-FIM) scores, total discharge FIM (Td-FIM) scores (18 - 126), motor FIM (m-FIM) sub-scores (13 - 91) and cognitive FIM (c-FIM) sub-scores (5 - 35), were tabulated.	Functional Independence Measure (FIM) was measured within 72 hours of discharge.

2차 결과 측정

결과 측정	측정값 설명	기간
Mean Functional Independence Measure (FIM) Gain 기간: Within 72 hours	Mean FIM gain, calculated as [Td-FIM - Ta-FIM] points	Within 72 hours
Mean Functional Independence Measure (FIM) efficiency 기간: Through study completion, an average of 1 year	Mean FIM efficiency, calculated as [FIM gain]/ [rehabilitation length of stay (days)]	Through study completion, an average of 1 year
Mean Functional Independence Measure (FIM) effectiveness 기간: Within 72 hours	Mean FIM effectiveness was calculated as FIM gain/(126 points-FIM admission scores) with a value of 0-1.	Within 72 hours
Body Mass Index (BMI) 기간: Within 72 hours	All patients had their weight (in kilograms) and height (in meters) measured on admission and discharge by rehabilitation nurses 72 hours after rehabilitation admission and prior to planned rehabilitation discharge. Weight was measured via sitting weighing scales or platform weighing scale for bedbound patients while height was measured with height measuring scale or measured in a supine position with legs outstretched and feet in dorsiflexion at end of bed for bedbound patients. BMI is then calculated as weight /height in meters squared.	Within 72 hours

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Tan Tock Seng Hospital

수사관

수석 연구원: SZE CHIN JONG, MD, Tan Tock Seng Hospital

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2019년 1월 31일

기본 완료 (실제)

2020년 1월 30일

연구 완료 (실제)

2020년 7월 30일

연구 등록 날짜

최초 제출

2020년 10월 30일

QC 기준을 충족하는 최초 제출

2020년 11월 10일

처음 게시됨 (실제)

2020년 11월 12일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)