@article{oai:kanazawa-u.repo.nii.ac.jp:00013327,
 author = {八幡, 徹太郎 and 立野, 勝彦 and 染矢, 富士子 and 高橋, 友哉},
 issue = {12},
 journal = {The Japanese Journal of Rehabilitation Medicine = リハビリテーション医学},
 month = {Dec},
 note = {当院にて急性期治療をうけたクモ膜下出血患者141例を対象に,発症3カ月目のADLをBarthel Indexで評価し,自立群(85点以上)と介助群(80点以下)に分類した.今回,その予測が超急性期に可能かどうかの検討を目的とし,超急性期に判明しているパラメータとして重症度・年齢・性別・発症部位の4つを挙げ,予測因子としての意義を分析した。その結果,WFNS分類に基づく自立群の割合はI:88%(30/34例),II:80%(36/45例),III:75%(12/16例),IV:48%(12/25例),V:29%(6/21例)であり,重症度間の割合の差は有意であった(p<0.0001)。H&K分類でも類似する結果であった.超急性期の重症度には,今回の目的を満たす予測因子として意義があると考えられた.一方,年齢・性別・発症部位については,今回の目的を満たさないパラメータと考えられた。 Although aneurysmal subarachnoid hemorrhage (SAH) is considered a subtype of stroke, functional outcome is not always predictable. The purpose of this study was to analyze the relevance of some acute-phase parameters for predicting the types of activities of daily living (ADL) three months after SAH One hundred forty-one of 165 consecutive patients who were admitted to Kanazawa University Hospital between 1989 and 2001 were analyzed retrospectively. All patients were classified into two groups based on the Barthel Index (BI) three months after SAH. The Independent-group with BI≧85 comprised 96 patients, and the Dependent-group with BI≦80 comprised 45 patients. Severity was assessed using the World Federation of Neurosurgical Societies' grading system (WFNS) and the Hunt and Kosnik classification (H&K). WFNS showed ratings of the Independent-group of 88% for I, 80% for II, 75% for III, 48% for IV and 29% for V H&K analysis showed a similar pattern. Differences in ratings were closely related to differences in grades for each severity scale (p<0.0001). The patients ranged in age from 36 to 89 years. Mean ages were 60.5 years in the Independent-group and 62.0 years in the Dependent-group. No significant differences were found in age analyses between the two groups. As for sex and hemorrhage site, there were also no significant differences between the two groups. None of the sites showed a characteristic pattern of patient distributions based on severity grades. We conclude that severity grades are predictable factors of functional outcome to some extent, but age, sex and site are not relevant., 金沢大学医薬保健研究域保健学系},
 pages = {824--832},
 title = {クモ膜下出血発症3カ月目におけるADL自立介助の予測因子 : 超急性期のパラメータによる予測の可否について},
 volume = {40},
 year = {2003}
}