The Barthel index as predictor of handicap in stroke survivors: a prospective study in Benin City

Abstract

Aim: Handicap post stroke is likely to be more relevant to patients and family than impairment or disability. The purpose of this study was to assess the Barthel index as a predictor of handicap

Method: One hundred and twelve participants with a diagnosis of stroke were prospectively enrolled. Fifteen clinical variables, the National Institutes of Health Stroke Scale (NIHSS) score on admission, and the barthel index at 7^th day were the independent variables. The modified Rankin scale at 6 weeks was the outcome variable. Multiple regression models were used to analyze predictors of handicap

Results: After adjusting for other variables, the multivariable analysis showed that handicap in stroke is significantly associated with the Barthel index (p<0.05) and atrial fibrillation (p<0.05).

Conclusion: Barthel index is an important predictor of handicap following stroke. Atrial fibrillation should also be considered in the interpretation of handicap in stroke.

Keywords: Stroke, Barthel index, handicap, modified Rankin scale