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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Maximum Walking Speed at Discharge Could Be a Prognostic Factor for Vascular Events in Patients With Mild Stroke: A Cohort Study

http://hdl.handle.net/2237/00030425
http://hdl.handle.net/2237/00030425
65a7acf1-da97-4ed0-a8b8-6595471d20c0
名前 / ファイル ライセンス アクション
APMR_accepted.pdf APMR_accepted (1.9 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-06-12
タイトル
タイトル Maximum Walking Speed at Discharge Could Be a Prognostic Factor for Vascular Events in Patients With Mild Stroke: A Cohort Study
言語 en
著者 Kawajiri, Hiroyuki

× Kawajiri, Hiroyuki

WEKO 91923

en Kawajiri, Hiroyuki

Search repository
Mishina, Hiromi

× Mishina, Hiromi

WEKO 91924

en Mishina, Hiromi

Search repository
Asano, Sho

× Asano, Sho

WEKO 91925

en Asano, Sho

Search repository
Kono, Yuji

× Kono, Yuji

WEKO 91926

en Kono, Yuji

Search repository
Hayashi, Hironori

× Hayashi, Hironori

WEKO 91927

en Hayashi, Hironori

Search repository
Niwa, Jun-ichi

× Niwa, Jun-ichi

WEKO 91928

en Niwa, Jun-ichi

Search repository
Doyu, Manabu

× Doyu, Manabu

WEKO 91929

en Doyu, Manabu

Search repository
Kimura, Shinya

× Kimura, Shinya

WEKO 91930

en Kimura, Shinya

Search repository
Yamada, Sumio

× Yamada, Sumio

WEKO 91931

en Yamada, Sumio

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
キーワード
主題Scheme Other
主題 Prognosis
キーワード
主題Scheme Other
主題 Recurrence
キーワード
主題Scheme Other
主題 Rehabilitation
キーワード
主題Scheme Other
主題 Stroke
キーワード
主題Scheme Other
主題 Walking speed
抄録
内容記述 Objective: To identify the prognostic value of physical activity-related factors as well as known vascular risk factors for vascular events in mild ischemic stroke (MIS). Design: Single-center prospective cohort study. Setting: University hospital. Participants: Consecutive patients (N=255) (175 men, median age 70.0y) with acute ischemic stroke and transient ischemic attack (TIA) with modified Rankin scale scores ranging from 0 to 2 were enrolled in this study. Interventions: Not applicable. Main Outcome Measures: Enrolled patients were followed up for composite vascular events as primary outcomes up to 3 years postdischarge. Primary outcomes included stroke and cardiovascular death, hospitalization due to stroke or TIA recurrence, cardiovascular disease, and peripheral artery disease. During hospitalization, known vascular risk factors such as previous history of vascular events, stroke subtype, white matter lesions, and ankle-brachial index were assessed. Moreover, at the time of discharge, physical activity-related factors such as maximum walking speed (MWS), handgrip strength, knee extensor isometric muscle strength, anxiety, and depression were assessed as potential predictors. Results: The Kaplan-Meier estimates of cumulative risk of composite vascular events at 1, 2, and 3 years were 9.6%, 14.4%, and 15.2%, respectively. After multivariate analysis, cerebral white matter lesions of periventricular hyperintensity (PVH) (grade=3; hazard ratio: 2.904; 95% confidence interval: 1.160 to 7.266; P=.023) and MWS (<1.45m/s; hazard ratio: 2.232; 95% confidence interval: 1.010 to 4.933; P=.047) were identified as significant independent predictors of composite vascular events. Conclusions: The results of this study indicate that MWS could be an independent prognostic factor for composite vascular events in MIS.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2020-02-01
言語 ja
内容記述タイプ Other
出版者
言語 en
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.apmr.2018.05.025
ISSN(print)
収録物識別子タイプ PISSN
収録物識別子 0003-9993
書誌情報 en : Archives of Physical Medicine and Rehabilitation

巻 100, 号 2, p. 230-238, 発行日 2019-02
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