Developing a Clinical Prediction Rule for Gait Independence at Discharge in Patients with Stroke: A Decision-Tree Algorithm Analysis

To develop a clinical prediction rule (CPR) for gait independence at discharge in patients with stroke, using the decision-tree algorithm and to investigate the usefulness of CPR at admission to the rehabilitation ward. We included 181 subjects with stroke during the postacute phase. The Chi-squared...

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Vydáno v:Journal of stroke and cerebrovascular diseases Ročník 31; číslo 6; s. 106441
Hlavní autoři: Inoue, Yu, Imura, Takeshi, Tanaka, Ryo, Matsuba, Junji, Harada, Kazuhiro
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.06.2022
Témata:
Algorithms
Clinical Decision Rules
Clinical prediction rule
Decision Trees
Decision-tree algorithm analysis
Delirium
Disability Evaluation
Gait
Humans
Independence
Patient Discharge
Stroke
Stroke - diagnosis
Stroke - psychology
Stroke - therapy
Stroke Rehabilitation
Toileting
Stroke
Toileting
Clinical prediction rule
Gait
CPR
RW
CHAID
Independence
ROC
ADL
FIM
Decision-tree algorithm analysis
AUC
QOL
NLR
PLR
95% CI
ISSN:1052-3057, 1532-8511, 1532-8511
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Shrnutí:To develop a clinical prediction rule (CPR) for gait independence at discharge in patients with stroke, using the decision-tree algorithm and to investigate the usefulness of CPR at admission to the rehabilitation ward. We included 181 subjects with stroke during the postacute phase. The Chi-squared automatic interaction detection analysis method with 10-fold cross-validation was used to develop two CPRs; CPR 1 using easily obtainable data available at admission; CPR 2 using easily obtainable data available 1 month after admission, for prediction of gait independence at discharge. The degree of independence of toileting was extracted as a first node in the development of two CPRs to predict gait independence at discharge. CPR 1 included the presence of delirium. CPR 2 included problem-solving abilities. The accuracy and area under the curve of CPR 1 were 84.5% and 0.911, respectively; those of CPR 2 were 89.0% and 0.958, respectively. Toileting independence is a key factor in predicting the gait independence for the discharge of patients with stroke during the postacute phase. Early intervention, during the acute phase, for delirium and cognitive decline, as well as for toileting, increases the possibility of gait independence at discharge.
Bibliografie:ObjectType-Article-1
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ISSN:1052-3057
1532-8511
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2022.106441