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1.
Ann-Helen Patomella Anders Kottorp Kerstin Tham 《Scandinavian journal of occupational therapy》2013,20(3):184-192
The aim of this study was to explore and describe awareness of driving disability in people with driving difficulties after stroke. The study comprised a consecutive sample of 38 participants with stroke who showed difficulties in a technically advanced, interactive driving simulator. Driving ability in the simulator was measured using Performance Analysis of Driving Ability (P-Drive). Awareness of driving disability was measured using a modified version of Assessment of Awareness of Disability (AAD), measuring the discrepancy between observed driving actions and self-reported disability after a driving evaluation in a simulator. A majority of the participants (n=36) demonstrated driving ability that was below the cut-off criterion for P-Drive. Furthermore, a majority of the items measuring awareness of driving disability were scored low, indicating that participants with stroke who did not pass a driving evaluation also had limited awareness of driving disability. A General Linear Model analysis indicated that awareness of driving disability and cognitive screening outcome explained 74% of the variance in driving ability. This study indicated that a majority of the people with stroke who fail a driving evaluation also have limited awareness of their disability, which indicates the need to address awareness in driving evaluations. 相似文献
2.
《Evidence-based Healthcare》2004,8(4):227-229
QuestionDoes intravenous magnesium sulphate improve survival or disability outcomes if given within 12 hours of stroke onset?Study designMulticentre randomised controlled trial.Main resultsIntravenous magnesium sulphate did not significantly improve survival or disability outcomes at 90 days compared with placebo in people with stroke (see Table 1).
Table 1 Survival and disability outcomes at 90 days in people with stroke. | ||||
Placebo (N=1198) | Magnesium Sulphate (N=1188) | Odds Ratio (95% CI) | P value | |
Combined outcome of death and disability | Not reported | Not reported | 0.95 (0.80 to 1.13) | 0.59 |
Death | 196 (16.4%) | 227 (19.1%) | 1.22 (0.98 to 1.53) | 0.07 |
Barthel score <95 | 787 (65.7%) | 775 (65.2%) | 0.99 (0.83 to 1.19) | 0.92 |
Barthel score <60 | 445 (37.1%) | 449 (37.8%) | 1.03 (0.86 to 1.24) | 0.74 |
Modified Rankin score >1 | 858 (71.6%) | 826 (69.5%) | 0.91 (0.75 to 1.09) | 0.30 |