Outcome assessment of stroke convalescence using multiple scales based on different dimensions

作     者：Yingrong Lao1, Xinfeng Guo1,2, Shilong Lai1,2, Weixiong Liang1,2, Zehuai Wen1,2, Qi Wang1,2, Peixin Huang3, Yan Huang3 1Unit of Applied Clinical Epidemiology, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine (Guangzhou Provincial Hospital of Traditional Chinese Medicine), Guangzhou 510120, Guangdong Province, China 3Department of Neurology, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine (Guangzhou Provincial Hospital of Traditional Chinese Medicine), Guangzhou 510120, Guangdong Province, China 2National Center for Training of Design, Measurement and Evaluation in Clinical Research, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China 

作者机构：Unit of Applied Clinical Epidemiology Hospital of Guangzhou University of Traditional Chinese Medicine Guangzhou Provincial Hospital of Traditional Chinese Medicine Guangzhou 510120 Guangdong Province China National Center for Training of Design Measurement and Evaluation in Clinical Research Guangzhou University of Tradiational Chinese Medicine Guangzhou 510405 Guangdong Province China Department of Neurology Hospital of Guangzhou University of Traditional Chinese Medicine Guangzhou Provincial Hospital of Traditional Chinese Medicine Guangzhou 510120 Guangdong Province China 

出 版 物：《Neural Regeneration Research》 (中国神经再生研究（英文版）)

年 卷 期：2006年第1卷第8期

页      面：710-713页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：the grants from National Tackle Key Science and Technology Program sduring the Ninth Five-Year Plan Period, No.96-903-01-11 the grants from State Administration of Traditional Chinese Medicine of People's Republic of China,No.00-01LP16 

主　　题：Outcome assessment of stroke convalescence using multiple scales based on different dimensions ADL 

摘      要：BACKGROUND: Convalescence is an important stage of stroke treatment. A lot of patients have somatic and mental disorders at various degrees. The primary standard can only reflect partial conditions of somatic disorder; in addition, multiple dimensions of patients at the phase of stroke convalescence are further observed by using a lot of standards, such as signs and symptoms of traditional Chinese medicine, daily activity and psychological status. OBJECTIVE: To analyze the outcome assessments of the cases of stroke convalescence measured with different criteria consisting of various dimensions by a cross-sectional investigation of the condition of stroke convalescent patients. DESIGN: Scale evaluation. SETTING: Departments of Clinical Epidemiology Exploratory Development and Neurology, the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine; National Center for Training of Design, Measurement and Evaluation in Clinical Research,Guangzhou University of Traditional Chinese Medicine. PARTICIPANTS: A total of 194 stroke convalescent patients treated in the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from July 26, 2000 to February 28, 2001 were taken as subjects of the study. There were 126 males and 68 females aged from 40 to 89 years, and the illness course ranged from 14 to 181 days. All patients met diagnosis-treatment criteria of stroke (the second version)[DTCS(V2.0)] and various kinds of diagnostic points of cerebrovascular diseases; moreover, all patients provided confirmed consents. METHODS: They were assessed by assessment methods including the following assessment instruments: DTCS(V2.0), self-designed scale of traditional Chinese medicine (TCM) symptoms (28 symptoms and physical signs were scored as 0, 1, 2 marks from none to severity), modified Edinburgh-Scandinavia stroke scale (a total of 45 marks, 0 to 15 marks as mild defect, 16 to 30 as moderate defect, 31 to 45 as severe defect), mod