Objectives

We aimed to determine if achieving a 10-m walk target within the first week of stroke onset correlates with independent outdoor walking at discharge and discharge to home for patients with stroke.

Materials and methods

This study included 226 patients transferred to the subacute rehabilitation hospital (SRH) between January 2018 and March 2021. Data obtained from hospital records included age, sex, stroke type, lesion side, body mass index, presence of acute treatment, length of days from onset to physical therapy intervention, National Institutes of Health Stroke Scale, length of hospital stay, Functional Independence Measure score, and the ability to complete the 10 m walk target within the first week of stroke onset. The primary outcomes were independent outdoor walking ability and discharge destination from the SRH. A logistic regression analysis was performed to determine if the 10 m walking ability correlated with the outdoor walking ability and discharge destination.

Results

Compared with the inability to walk 10 m, walking 10 m independently walking within the first week of stroke onset correlated with the ability to walk independently outdoors at discharge (odds ratio [OR]: 4.38, p = 0.003) and being discharged home (OR: 4.52, p = 0.002), whereas, walking 10 m with assistance was associated with being discharged home (OR: 3.09, p = 0.043).

Conclusions

The ability to walk 10 m within the first week of stroke onset may be a helpful marker for prognosis.

中文翻译：

---

能够在中风的第一周内步行 10 m 预示着独立的户外步行和目的地

目标

我们的目的是确定在卒中发作的第一周内实现 10 米步行目标是否与卒中患者出院和出院回家时的独立户外行走相关。

材料和方法

本研究纳入了 2018 年 1 月至 2021 年 3 月期间转入亚急性康复医院 (SRH) 的 226 名患者。从医院记录中获得的数据包括年龄、性别、中风类型、病变侧、体重指数、是否接受急性治疗、住院时间长短物理治疗干预、美国国立卫生研究院卒中量表、住院时间、功能独立性测量评分以及在卒中发作第一周内完成 10 m 步行目标的能力。主要结果是独立的户外行走能力和 SRH 的出院目的地。进行逻辑回归分析以确定 10 m 步行能力是否与户外步行能力和出院目的地相关。

结果

与无法行走 10 m 相比，卒中发作第一周内独立行走 10 m 与出院时在户外独立行走的能力相关（优势比 [OR]：4.38，p = 0.003）和出院回家（OR ：4.52，p = 0.002），而在协助下步行 10 m 与出院回家有关（OR：3.09，p = 0.043）。

结论

在卒中发作的第一周内步行 10 米的能力可能是一个有用的预后指标。