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

10. november 2020 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Annen: Ingen inngrep

Studietype

Observasjonsmessig

Registrering (Faktiske)

247

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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.

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål	Tiltaksbeskrivelse	Tidsramme
Functional Independence Measure (FIM) on Admission Tidsramme: 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 Tidsramme: 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.

Sekundære resultatmål

Resultatmål	Tiltaksbeskrivelse	Tidsramme
Mean Functional Independence Measure (FIM) Gain Tidsramme: Within 72 hours	Mean FIM gain, calculated as [Td-FIM - Ta-FIM] points	Within 72 hours
Mean Functional Independence Measure (FIM) efficiency Tidsramme: 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 Tidsramme: 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) Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Tan Tock Seng Hospital

Etterforskere

Hovedetterforsker: SZE CHIN JONG, MD, Tan Tock Seng Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

31. januar 2019

Primær fullføring (Faktiske)

30. januar 2020

Studiet fullført (Faktiske)

30. juli 2020

Datoer for studieregistrering

Først innsendt

30. oktober 2020

Først innsendt som oppfylte QC-kriteriene

10. november 2020

Først lagt ut (Faktiske)

12. november 2020

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)