Red Cell Distribution Width as a Predictor of Functional Outcome in Rehabilitation of Older Stroke Patients

Eduard Zalyesov; Inna Shugaev; Yanna Prokopov; Ron Shahory; Stefan Chirmicci; Efraim Aizen

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저자정보: Eduard Zalyesov (Fliman Geriatric Rehabilitation Hospital Haifa Israel) Inna Shugaev (Fliman Geriatric Rehabilitation Hospital Haifa Israel) Yanna Prokopov (Fliman Geriatric Rehabilitation Hospital Haifa Israel) Ron Shahory (Fliman Geriatric Rehabilitation Hospital Haifa Israel) Stefan Chirmicci (Fliman Geriatric Rehabilitation Hospital Haifa Israel) Efraim Aizen (Fliman Geriatric Rehabilitation Hospital Haifa Israel)

저널정보: 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.24 No.3

발행연도: 2020.1

수록면: 211 - 217 (7page)

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Background: Red cell distribution width (RDW) is a prognostic marker in vascular diseases. While increased RDW predicts mortality and outcomes after ischemic stroke, evidence regarding its prognostic significance in stroke rehabilitation is lacking. Thus, the present study investigated the relationship of RDW with stroke, orthopedic, and deconditioning rehabilitation outcomes. Methods: This prospective comparative study included three groups (stroke, orthopedic, and deconditioning) of older adult patients hospitalized for rehabilitation. The patients in each group were divided into two subgroups according to whether they had high (>14.5%) or normal (≤14.5%) RDW levels on admission. Functional outcome was assessed by total and motor FIM (Functional Independence Measure) score changes and efficiency at admission and on discharge. Results: Of the 234 eligible patients, 108 (46.2%) had high RDW. Of the 50 stroke rehabilitation patients, 13 (26%) had high RDW. FIM change and efficiency scores were significantly lower in patients with high RDW only in the stroke rehabilitation group. However, multiple linear regression analysis showed that high RDW was not independently associated with total and motor FIM gain or total and motor FIM efficiency. Conclusion: High RDW levels on admission to rehabilitation were associated with poor rehabilitation outcome in stroke patients but were not an independent risk factor for rehabilitation outcomes.

#Stroke #Red cell distribution width #Rehabilitation #Recovery of function

참고문헌 (25)

참고문헌 신청

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Means RT Jr / 2009 / Higher red blood cell distribution width was associated with increased risk of mortality in adults > or =45 years of age / Evid Based Med 14:151

Lippi G / 2009 / Clinical usefulness of measuring red blood cell distribution width on admission in patients with acute coronary syndromes / Clin Chem Lab Med 47:353~357

Lippi G / 2008 / Relationship between red blood cell distribution width and kidney function tests in a large cohort of unselected outpatients / Scand J Clin Lab Invest 68:745~748

Lippi G / 2009 / Relation between red blood cell distribution width and inflammatory biomarkers in a large cohort of unselected outpatients / Arch Pathol Lab Med 133:628~632

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