Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke

Memis, Derya; Kozanoğlu, Erkan; Kelle, Bayram; Goncu, Mustafa K.

doi:10.17712/nsj.2016.4.20160212

Cited by 8 publications

(7 citation statements)

References 26 publications

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“…A cross-sectional clinical study of 126 strokes in Turkey was unable to detect a significant difference between mRS scores in those with hemorrhagic stroke and IS, although there was poorer functional status (measured with modified BI) among those with hemorrhagic stroke than IS. 6 We found no difference in disability between those with IS and ICH; however, the number of people with ICH was small.…”

Section: Discussioncontrasting

confidence: 56%

Long-term disability after stroke in Iran: Evidence from the Mashhad Stroke Incidence Study

Farzadfard

Andalibi

Thrift

et al. 2018

International Journal of Stroke

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Background Accurate information about disability rate after stroke remains largely unclear in many countries. Population-based studies are necessary to estimate the rate and determinants of disability after stroke. Methods Patients were recruited from the Mashhad Stroke Incidence Study and followed for five years after their index event. Disability was measured using the modified Rankin scale and functional dependency was measured using the Barthel index. Results Among 684 patients registered in this study, 624 were first-ever strokes. In total, 69.0% (n = 409) of patients either died or remained disabled at five-year follow-up. Among the first-ever stroke survivors, 18.5% (n = 69) at one year and 15.9% (n = 31) at five years required major assistance in their daily activities. Patients with a history of stroke (before the study period) compared with first-ever strokes were more likely to be disabled at one year (modified Rankin scale>2 in 40.0% vs. 19.1%; P < 0.001). Advanced age, severity of stroke at the time of admission, diabetes mellitus, and educational level (<12 years) were independently associated with greater disability and functional dependency. Conclusion We found that significant disability and functional dependency after stroke in Northeast Iran were largely attributable to the effects of stroke severity and prior dependency.

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Section: Discussioncontrasting

confidence: 56%

Long-term disability after stroke in Iran: Evidence from the Mashhad Stroke Incidence Study

Farzadfard

Andalibi

Thrift

et al. 2018

International Journal of Stroke

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“…25 Stroke reduces mobility in more than half of stroke survivors age 65 and over. 26 Memis and colleagues 27 found in their study that age had no effect on functional status and disability of stroke patients. Feigin et al 28 described the global impact of stroke and its consequences emphasizing the need for more efficient prevention strategies.…”

Section: Discussionmentioning

confidence: 95%

Influence of age and hypertension on functional performance of stroke patients in rehabilitation

Poduri¹,

Salim²,

Ramon³

2019

IPMRJ

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Background: The effect of age and hypertension on the functional performance of stroke patients with inpatient rehabilitation has not been studied in the past. Objective: To examine whether advanced age and hypertension influence the functional gains of stroke patients undergoing rehabilitation. Methods: The charts of two hundred and seventy-two patients with thromboembolic strokes from an impatient rehabilitation unit divided into five age groups (<49, 50 to 59, 60 to 69, 70 to 79 and >80 years) were reviewed. The patients' functional progress was measured by the Functional Independence Measure (FIM) at admission (A-FIM) and at discharge (D-FIM). The difference of D-FIM from A-FIM is the gain in FIM. This gain in FIM as a fraction of the Length of Stay (LOS) is the Efficiency Ratio (ER). The differences among the averages of the five age groups of the A-FIM, D-FIM, LOS and ER for the male-female and hypertensive-non-hypertensive groups were statistically analyzed separately through the Analysis of Variance (ANOVA), the F-ratios and the Student's t-tests. Results: Patients younger than 60 years of age had statistically significant (p<0.00004) functional progress (ER) compared to patients older than 60. Similarly, nonhypertensives 60 and younger had higher functional gains than hypertensive patients (p< 0.05) while there was no significant difference among the patients over age 60 with or without hypertension. Conclusion: Younger non-hypertensive patients seem to show better progress with inpatient rehabilitation.

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“…Accurate prognosis concerning the outcome can help to plan the rehabilitation process and determine the need for care of caregivers. Many factors including demographic features, clinical scales and biochemical parameters have been assessed until the present according to their usefulness as predictors [1,2,3].…”

Section: Introductionmentioning

confidence: 99%

“…It has many limitations which can over-or underestimate the possibility of independent functioning by stroke patients. Despite that, BI can be useful as a measure which can predict the long-term outcome after ischemic, hemispheric stroke [2,11,12].…”

Section: Introductionmentioning

confidence: 99%

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Clinical and biochemical predictors of late-outcome in patients after ischemic stroke

Bielewicz

Kurzepa

Kamieniak

et al. 2020

Ann Agric Environ Med.

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Objective. The aim of this study is to evaluate neurological scales, as well as biochemical and radiological parameters measured on day 10 after ischemic stroke (IS), according to their value as predictors of the long-term outcome. Materials and method. 45 patients were assessed according to the Barthel Index (BI) and National Institute of Health Stroke Scale (NIHSS) on day 10, and according to Modified Rankin Scale (mRS) 3 months after the onset of IS. On day 10 of IS, the serum level of C-reactive protein (CRP), albumin, D-dimers (DD), S100BB and Tau proteins was measured and the volume of ischemic focus assessed with the use of Computed Tomography (CT). The patients were divided into groups with good outcome (GO) and mRS 0-2, and with bad outcome (BO) and mRS 3-6. Results. NIHSS and BI scores (p<0.001), the volume of ischemic focus (p<0.01), CRP (p<0.01) and albumin level (p<0.05), but not DD, S100BB and Tau protein levels evaluated on day 10, correlated with mRS after 3 months since IS onset. Patients from the BO group were observed to have lower BI (p=0.001), higher NIHSS (p<0.01) and CRP levels (p<0.05), and bigger volume of ischemic focus (p<0.05) measured on day 10 of IS. In the GO group, there were more patients with atherosclerotic etiology (p=0.02 x2=7.856). Regression analysis showed that only the BI score assessed on day 10 of IS can predict the outcome after 3 months assessed by mRS (OR=1.102, 95%, CI:1.01-1.203; p=0.001). Conclusions. BI assessed on day 10 has a predictive value for the outcome evaluated by mRS 3 months after the onset of IS.

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Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke

Cited by 8 publications

References 26 publications

Long-term disability after stroke in Iran: Evidence from the Mashhad Stroke Incidence Study

Long-term disability after stroke in Iran: Evidence from the Mashhad Stroke Incidence Study

Influence of age and hypertension on functional performance of stroke patients in rehabilitation

Clinical and biochemical predictors of late-outcome in patients after ischemic stroke

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