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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004517naa a2200685 4500
001oai:gup.ub.gu.se/318805
003SwePub
008240528s2022 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/3188052 URI
024a https://doi.org/10.1161/jaha.121.0254252 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Chye, A.4 aut
2451 0a Repeated Measures of Modified Rankin Scale Scores to Assess Functional Recovery From Stroke: AFFINITY Study Findings
264 1b Ovid Technologies (Wolters Kluwer Health),c 2022
520 a BACKGROUND: Function after acute stroke using the modified Rankin Scale (mRS) is usually assessed at a point in time. The analytical implications of serial mRS measurements to evaluate functional recovery over time is not completely understood. We compare repeated-measures and single-measure analyses of the mRS from a randomized clinical trial. METHODS AND RESULTS: Serial mRS data from AFFINITY (Assessment of Fluoxetine in Stroke Recovery), a double-blind placebo randomized clinical trial of fluoxetine following stroke (n=1280) were analyzed to identify demographic and clinical associations with functional recovery (reduction in mRS) over 12 months. Associations were identified using single-measure (day 365) and repeated-measures (days 28, 90, 180, and 365) partial proportional odds logistic regression. Ninety-five percent of participants experienced a reduction in mRS after 12 months. Functional recovery was associated with age at stroke <70 years; no prestroke history of diabetes, coronary heart disease, or ischemic stroke; prestroke history of depression, a relationship partner, living with others, independence, or paid employment; no fluoxetine intervention; ischemic stroke (compared with hemorrhagic); stroke treatment in Vietnam (compared with Australia or New Zealand); longer time since current stroke; and lower baseline National Institutes of Health Stroke Scale & Patient Health Questionnaire-9 scores. Direction of associations was largely concordant between single-measure and repeated-measures models. Association strength and variance was generally smaller in the repeated-measures model compared with the single-measure model. CONCLUSIONS: Repeated-measures may improve trial precision in identifying trial associations and effects. Further repeated-measures stroke analyses are required to prove methodological value.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a cerebrovascular disease
653 a functional outcomes
653 a modified Rankin Scale
653 a partial proportional odds
653 a repeated measures
653 a stroke
653 a ischemic-stroke
653 a disability
653 a outcomes
653 a recommendations
653 a rehabilitation
653 a association
653 a validation
653 a prediction
653 a trials
653 a Cardiovascular System & Cardiology
700a Hackett, M. L.4 aut
700a Hankey, G. J.4 aut
700a Lundstrom, E.4 aut
700a Almeida, O. P.4 aut
700a Gommans, J.4 aut
700a Dennis, M.4 aut
700a Jan, S.4 aut
700a Mead, G. E.4 aut
700a Ford, A. H.4 aut
700a Beer, C. E.4 aut
700a Flicker, L.4 aut
700a Delcourt, C.4 aut
700a Billot, L.4 aut
700a Anderson, C. S.4 aut
700a Stibrant Sunnerhagen, Katharina,d 1957u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience4 aut0 (Swepub:gu)xstika
700a Yi, Q. L.4 aut
700a Bompoint, S.4 aut
700a Nguyen, T. H.4 aut
700a Lung, T.4 aut
710a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap4 org
773t Journal of the American Heart Association (JAHA)d : Ovid Technologies (Wolters Kluwer Health)g 11:16q 11:16x 2047-9980
8564 8u https://gup.ub.gu.se/publication/318805
8564 8u https://doi.org/10.1161/jaha.121.025425

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