Inoue et al reported 2 decision-tree analyses for predicting gait independence after stroke. These can help to identify a patient at greater risk for disability. The authors are from Kibi International University, Hiroshima University, Hiroshima Cosmopolitan University, Tokyo University of Science and Heisei Hospital (Kurashiki).
Patient selection: status post stroke, on admission
Parameters
(1) functional independence measure (FIM) for toileting, from 1 (totally dependent) to 7 (totally independence)
(2) cognitive impairment
(3) delirium
(4) long-term necessary before stroke
Toilet FIM
Cognitive Impairment
Delirium
Long-Term Care
Gait Independence
<= 2
no
NA
NA
35%
<= 2
yes
NA
NA
10%
3 or 4
NA
no
NA
88%
3 or 4
NA
yes
NA
38%
5 to 7
NA
NA
no
98%
5 to 7
NA
NA
yes
60%
Performance:
• The area under the ROC curve is 0.85.
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