Avaliação da funcionalidade de indivíduos acometidos por Acidente Vascular Encefálico

Polese, Janaíne Cunha; Tonial, Aline; Jung, Fabíola Kotz; Mazuco, Rafael; Oliveira, Sheila Gemelli de; Schuster, Rudolf M.

doi:10.34024/rnc.2008.v16.8628

Cited by 38 publications

(37 citation statements)

References 15 publications

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“…Entende-se que nem a toda a dose dos medicamentos esta relacionada ao peso do paciente, porém ressalta-se a importância das informações antropométricas constarem nos prontuários dos pacientes. Através da coleta dos dados, via prontuários, verificou-se que a grande maioria dos casos de AVC registrados no período abordado, foram diagnosticados por processos isquêmicos, o que pode ser confirmado a partir da literatura, a qual refere que cerca de 80% dos casos de AVC's podem ser caracterizados como isquêmicos, principalmente, decorrentes de oclusões dos vasos arteriais, por placas de ateroma ou embolias secundárias 16 .…”

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“…Dentre os principais fatores de risco para o AVC, destacam-se a hipertensão arterial sistêmica (HAS) que aparece em primeiro lugar, seguida de doenças cardíacas como as embolias, diabetes mellitus (DM), hipercolesterolemia, obesidade, consumo de álcool e fumo 16,17 . Quanto à incidência, esta duplica a cada década após os 55 anos, porém, cerca de 3/4 de todos os AVC's ocorrem após os 65 anos.…”

Section: Introductionunclassified

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Profile of patients hospitalized with Stroke in a hospital of Vale do Taquari/RS

Sá

Grave

Périco

2014

RNC

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original RESUMO Objetivo. O objetivo do estudo foi caracterizar o perfil de pacientes com Acidente Vascular Cerebral (AVC) internados via Sistema Único de Saúde (SUS) em hospital de médio porte do Vale do Taquari/RS entre 2010 a 2013. Método. Pesquisa causal, quantitativa, descritiva, transversal de censo, realizada através da coleta de dados dos prontuários de internações por AVC, considerando-se o tipo, principais doenças associadas, faixa etária acometida, manifestações clínicas e tempo de internação. Para análise estatística foi utilizada a correlação de Spearman e o teste de Qui-Quadrado. Resultados. Foram identificados 125 pacientes com diagnóstico de AVC, dos quais 6,4% com Ataque Isquêmico Transitório, 78,4% com AVC Isquêmico e 15,2% com AVC Hemorrágico, sendo 50,4% do sexo feminino e 49,6% do sexo masculino. Entre as principais doenças associadas destacam-se Hipertensão Arterial Sistêmica, Diabetes Mellitus e Insuficiência Cardíaca Congestiva. Conclusões. Observou-se maior incidência do AVC isquêmico, sendo a principal sequela motora a hemiplegia esquerda, não havendo diferenciação de sexo dos pacientes acometidos. Unitermos. Perfil Epidemiológico, Hospitalização, Acidente Vascular Cerebral Citação. Sá BP, Grave MTQ, Périco E. Perfil de pacientes internados por Acidente Vascular Cerebral em hospital do Vale do Taquari/RS. ABSTRACTObjective. The aim of the study was to characterize the profile of patients with stroke admitted via the Sistema Único de Saúde (SUS) in medium size hospital in the Valley Taquari/ RS from 2010 to 2013. Method. Causal research, quantitative, descriptive, cross-sectional census, conducted by collecting data from records of admissions for stroke, considering the type, main diseases associated, age distribution, clinical manifestations, and hospitalization time. For statistical analysis, Spearman correlation and the Chi-square test was used. Results. Was identified 125 patients with a diagnosis of stroke, of which 6.4% with Transient Ischemic Attack, Ischemic Stroke with 78.4% and 15.2% with Hemorrhagic Stroke, with 50.4% female and 49.6% of males. Among the major diseases associated highlight Hypertension, Diabetes Mellitus, and Congestive Heart Failure. Conclusion. We observed a higher incidence of stroke, being the main driving sequel left hemiplegia, with no difference of sex of affected patients.

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Section: Introductionunclassified

Profile of patients hospitalized with Stroke in a hospital of Vale do Taquari/RS

Sá

Grave

Périco

2014

RNC

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“…For patients over 50 years of age, the incidence increases at every extra decade of life, bearing more severe sequelae and higher mortality rate. 2 The growth in the life expectancy, and consequently the aging of the population, combined with the developments of technology in the health area have outcome in an increase in life time of patients with stroke. Therefore, a larger number of patients, after hospitalization, return to the society with functional incapacities and dependence of care of others for performing the activities of daily living (ADL).…”

Section: Introductionmentioning

confidence: 99%

Level of functional independence of patients after stroke assisted by a multidisciplinary team in a rehabilitation unit

2016

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Objective: Evaluating the functional recovery of stroke patients assisted by multidisciplinary team in a Continuous Care Unit (UCCI) and identifying factors associated with the functionality gains. Methods: It is a cross-sectional study using secondary data from 34 patients assisted during one year in a rehabilitation unit, in which the team works in a comprehensive and humane way, providing functionality gains and rescuing autonomy. The medical records were investigated for sociodemographic data, lifestyle, type of stroke, duration of hospitalization and level of functional independence at the time of admission and of discharge based on the Barthel Index. Results: Most of the patients at admission presented whole or severe dependence (55.9%); at discharge, most patients presented mild dependence or full independence (55.9%). About total dependence, there was a significant decrease in the percentage of patients with such degree of dependence (p < 0.001). No relationship was observed between the functionality gain and the variables studied. Conclusion: The results showed that the proposed rehabilitation program has brought a positive outcome on functionality and the functionality gains were not associated with the variables studied.

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“…Fifteen million people worldwide suffer a stroke (CVA) every year, and its incidence grows drastically with age, representing the number three cause of death in the world and the number one in Brazil. 1,2 Its pathology consists of a focal neurological deficit with sudden onset caused by an interruption of the blood flow to a determined brain area that lasts more than 24 hours, being able to cause a variety of neurological damages, with hemiparesis being the most frequent. 3,4 A stroke is one of the leading causes of permanently debilitating sequelae.…”

Section: Introductionmentioning

confidence: 99%

Addressing functional activities and the influence of environmental factors in post-stroke hemiparetic patients before and after physical therapy

Lopes¹,

Castaneda²,

Sobral³

2012

Acta Fisiátrica

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Stroke is the leading cause of neurological disability and hemiparesis is its most common sequelae. The physical and functional limitations combined with the influence of environmental factors directly affect an individual's functionally. For an effective neurological rehabilitation, it is essential that physiotherapists know the patient's functional profile in order to plan the treatment to meet his/her real needs. Objective: To analyze the functional activities and influence of environmental factors in poststroke hemiparetic patients before and after physical therapy. Method: Twelve post-stroke hemiparetic patients were evaluated before and after 20 physical therapy sessions with the Barthel Index (BI) and an evaluation model based on an abbreviated core set of the International Classification of Functioning, Disability and Health (ICF) for stroke, based in the generic qualifiers system of the ICF. Results: There was significant improvement for the activities walk (d450) (p = 0.0033), dress (d540) (p = 0.018) and eat (d550) (p = 0.018) for the evaluation model based on the ICF. According to the BI, significant improvement was detected for the activities of feed (p = 0.0341), dress (p = 0.0277), toilet (p = 0.0117), and up/ down stairs (p = 0.0077). The environment factors immediate family and health professionals were the most positive influence on the health status of patients. Conclusion: Physical therapy was effective for improving the condition of patients since, according to the patients, some daily activities can be performed with more ease at the end of the physical therapy treatment. To meet their needs, it is important to develop an individual treatment plan, emphasizing the context in which he/she is inserted, in order to address the real limitations on activities and restrictions to participation.

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Avaliação da funcionalidade de indivíduos acometidos por Acidente Vascular Encefálico

Cited by 38 publications

References 15 publications

Profile of patients hospitalized with Stroke in a hospital of Vale do Taquari/RS

Profile of patients hospitalized with Stroke in a hospital of Vale do Taquari/RS

Level of functional independence of patients after stroke assisted by a multidisciplinary team in a rehabilitation unit

Addressing functional activities and the influence of environmental factors in post-stroke hemiparetic patients before and after physical therapy

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