In-Hospital and Post-Discharge Recovery after Acute Ischemic Stroke: a Nationwide Multicenter Stroke Registry-base Study
DC Field | Value | Language |
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dc.contributor.author | Jang, Min Uk | - |
dc.contributor.author | Kang, Jihoon | - |
dc.contributor.author | Kim, Beom Joon | - |
dc.contributor.author | Hong, Jeong-Ho | - |
dc.contributor.author | Yeo, Min Ju | - |
dc.contributor.author | Han, Moon-Ku | - |
dc.contributor.author | Lee, Byung-Chul | - |
dc.contributor.author | Yu, Kyung-Ho | - |
dc.contributor.author | Oh, Mi-Sun | - |
dc.contributor.author | Choi, Kyung-Chan | - |
dc.contributor.author | Lee, Sang-Hwa | - |
dc.contributor.author | Hong, Keun-Sik | - |
dc.contributor.author | Cho, Yong-Jin | - |
dc.contributor.author | Park, Jong-Moo | - |
dc.contributor.author | Cha, Jae Kwan | - |
dc.contributor.author | Kim, Dae-Hyun | - |
dc.contributor.author | Park, Tai Hwan | - |
dc.contributor.author | Lee, Kyung Bok | - |
dc.contributor.author | Lee, Soo Joo | - |
dc.contributor.author | Lee, Jun | - |
dc.contributor.author | Kim, Joon-Tae | - |
dc.contributor.author | Kim, Dong-Eog | - |
dc.contributor.author | Choi, Jay Chol | - |
dc.contributor.author | Lee, Juneyoung | - |
dc.contributor.author | Lee, Ji Sung | - |
dc.contributor.author | Gorelick, Philip B. | - |
dc.contributor.author | Bae, Hee-Joon | - |
dc.date.accessioned | 2021-09-01T05:50:45Z | - |
dc.date.available | 2021-09-01T05:50:45Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-09-23 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/62843 | - |
dc.description.abstract | Background: Using data from a large national stroke registry, we aimed to investigate the incidence and determinants of in-hospital and post-discharge recovery after acute ischemic stroke and the independence of their occurrence. Methods: In-hospital recovery was defined as an improvement of 4 points or > 40% in the National Institutes of Health Stroke Scale (NIHSS) score from admission to discharge. Post-discharge recovery was defined as any improvement in the modified Rankin Scale (mRS) score from discharge to 3 months after stroke onset. Two analytic methods (multivariate and multivariable logistic regression) were applied to compare the effects of18 known determinants of 3-month outcome and to verify whether in-hospital and post-discharge recovery occur independently. Results: During 54 months, 11,088 patients with acute ischemic stroke meeting the eligibility criteria were identified. In-hospital and post-discharge recovery occurred in 36% and 33% of patients, respectively. Multivariate logistic regression with an equality test for odds ratios showed that 7 determinants (age, onset-to-admission time, NIHSS score at admission, blood glucose at admission, systolic blood pressure, smoking, recanalization therapy) had a differential effect on in-hospital and post-discharge recovery in the way of the opposite direction or of the same direction with different degree (all Pvalues < 0.05). Both in-hospital and post-discharge recovery occurred in 12% of the study population and neither of them in 43%. The incidence of post-discharge recovery in those with in-hospital recovery was similar to that in those without (33.8% vs. 32.7%, respectively), but multivariable analysis showed that these 2 types of recovery occurred independently. Conclusion: Our findings suggest that, in patients with acute ischemic stroke, in-hospital and post-discharge recovery may occur independently and largely in response to different factors. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | - |
dc.subject | TISSUE-PLASMINOGEN ACTIVATOR | - |
dc.subject | EARLY NEUROLOGIC IMPROVEMENT | - |
dc.subject | INTRAVENOUS THROMBOLYSIS | - |
dc.subject | FUNCTIONAL OUTCOMES | - |
dc.subject | GENDER-DIFFERENCES | - |
dc.subject | MOTOR RECOVERY | - |
dc.subject | RISK-FACTORS | - |
dc.subject | SCALE SCORE | - |
dc.subject | SUBTYPE | - |
dc.subject | REHABILITATION | - |
dc.title | In-Hospital and Post-Discharge Recovery after Acute Ischemic Stroke: a Nationwide Multicenter Stroke Registry-base Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Juneyoung | - |
dc.identifier.doi | 10.3346/jkms.2019.34.e240 | - |
dc.identifier.scopusid | 2-s2.0-85072407073 | - |
dc.identifier.wosid | 000487319100004 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, v.34, no.36 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.title | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.volume | 34 | - |
dc.citation.number | 36 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002503411 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | TISSUE-PLASMINOGEN ACTIVATOR | - |
dc.subject.keywordPlus | EARLY NEUROLOGIC IMPROVEMENT | - |
dc.subject.keywordPlus | INTRAVENOUS THROMBOLYSIS | - |
dc.subject.keywordPlus | FUNCTIONAL OUTCOMES | - |
dc.subject.keywordPlus | GENDER-DIFFERENCES | - |
dc.subject.keywordPlus | MOTOR RECOVERY | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | SCALE SCORE | - |
dc.subject.keywordPlus | SUBTYPE | - |
dc.subject.keywordPlus | REHABILITATION | - |
dc.subject.keywordAuthor | Registries | - |
dc.subject.keywordAuthor | Stroke | - |
dc.subject.keywordAuthor | Brain Infarction: Recovery of Function | - |
dc.subject.keywordAuthor | Prognosis | - |
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