Assessment of the Effects of Rehabilitation After Cerebrovascular Accident in Patients with Diabetes Mellitus and Hypertension as Risk Factors

Abstract

Aim:The aim of this study is to evaluate the results of rehabilitation, to determine the prevalence of major risk factors in cerebrovascular accident and their consequences, as well as to propose measures and procedures that will affect the better rehabilitation.Methods:The survey analyzed: age, sex, duration of rehabilitation, activities in daily life through the Barthel index at admission and at discharge, presence of risk factors HTA and DM. The study included a total of 116 patients, the majority of patients are older than 61 years. We had 49% of male patients and 51% of female patients and they spent 31-40 days at the rehabilitation.Results:The most common risk factor is HTA (83%) and diabetes (33%). Most of the patients at admission had a BI from 0 to 4 (32.7%), and at discharge BI in the range 17-20 (36.2%). Statistical analysis shows that there is a statistically significant correlation between the BI at admission, BI at discharge and risk factors of HTA and diabetes mellitus.Conclusions:the rehabilitation results in most patients is good results of rehabilitation. The most important risk factors in patients are HTA, DM and directly affect on results of rehabilitation. For the better results we should have energetic fight against risk factors for HTA and DM through primary and secondary prevention and patient education about early detection and treatment of these risk factors.

The role of cerebrovascular disease and the association between diabetes mellitus and dementia among aged medicare beneficiaries

“…Although the underlying mechanism between diabetes mellitus and dementia is still unclear, it is suggested that diabetes mellitus is a major risk factor for cerebrovascular disease, a disorder that significantly increases the dementia risk (Sasaki et al, 1995;Hennessey and Westrick, 1998;Tanovic et al, 2014). Recent studies further indicated that diabetes is a risk factor for cerebrovascular disease, such as stroke and hypertension, and both diabetes and cerebrovascular are predictors of dementia, this suggests that the association between diabetes mellitus and dementia is likely to be mediated through cerebrovascular disease (Rossi et al, 2006;Tseng, 2006;Banerjee et al, 2012;Khoury et al, 2013).…”

Reabilitação de acidente vascular encefálico: revisão de literatura

“…Quanto ao enfoque temático, pode-se observar em todos os artigos selecionados que as ações necessárias na reabilitação do paciente com AVE devem levar em consideração fatores sociais, condições pré-morbidas além de funções pós-AVE, indispensáveis na tomada de decisão para realizar a reabilitação 24 . É importante considerar ações direcionadas nos fatores de risco para HAS e DM por meio da prevenção primária e secundária, e educação do paciente sobre a detecção e tratamento precoce desses fatores de risco 21 .…”

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

“…They found that hypertensive patients who were on antihypertensive treatment prior to their stroke had better functional outcomes (modified Rankin Scale) post stroke compared to those who were not on treatment. Tanovic et al 22 evaluated the influence of hypertension on stroke patients, and found that those with hypertension had significantly poorer outcomes on the Barthel Index than those without.…”