Mandip S. Dhamoon|Yumin Moon|Myunghee Cho Paik|Bernadette Boden?Albala|Tatjana Rundek|Ralph L. Sacco|Mitchell S.V. Elkind
Long-Term Functional Recovery After First Ischemic Stroke
Columbia University|University of Miami|The Neurological Institute|Columbia University|University of Miami|The Neurological Institute|Columbia University|University of Miami|The Neurological Institute|Columbia University|University of Miami|The Neurological Institute|Columbia University|University of Miami|The Neurological Institute|Columbia University|University of Miami|The Neurological Institute|Columbia University|University of Miami|The Neurological Institute
background purpose several factors predict functional status stroke studies included hospitalized patients limited followup hypothesized patients ischemic stroke experience functional decline 5 years independent recurrent stroke risk factors methods populationbased northern manhattan study patients 40 years age incident ischemic stroke prospectively followed using barthel index 6 months annually 5 years baseline stroke severity categorized mild national institutes health stroke scale lt6 moderate 6 13 severe 14 followup censored death recurrent stroke myocardial infarction generalized estimating equations provided ors 95 cis predictors favorable barthel index 95 versus unfavorable barthel index lt95 functional status adjusting demographic medical risk factors results 525 patients mean age 686124 years 455 male 547 hispanic 547 medicaidno insurance 351 moderate stroke proportion barthel index 95 declined time 091 95 ci 084 099 changes barthel index insurance status confirmed significant interaction term interaction0167 p 0034 medicaidno insurance declined 084 p 0003 whereas medicareprivate insurance 099 p 092 conclusions proportion patients functional independence stroke declines annually 5 years effects greatest medicaid health insurance decline independent age stroke severity predictors functional decline occurs even among without recurrent stroke myocardial infarction