Functional Outcome After Common Poststroke Complications Occurring in the First 90 Days

Rohweder, Gitta; Ellekjær, Hanne; Salvesen, Øyvind; Naalsund, Eirik; Indredavik, Bent

doi:10.1161/strokeaha.114.006667

Cited by 73 publications

(70 citation statements)

References 48 publications

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“…(7,(24)(25)(26) Likewise, the patients with higher tachycardia burden also were more likely to be old, had higher initial NIHSS score and higher incidence of fever and pneumonia. However, tachycardia burden still showed significant association with poor functional outcome after adjusting for covariates described above.…”

Section: Discussionmentioning

confidence: 99%

Tachycardia burden in stroke unit is associated with functional outcome after ischemic stroke

Jeong

Kim

et al. 2016

International Journal of Stroke

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Section: Discussionmentioning

confidence: 99%

Tachycardia burden in stroke unit is associated with functional outcome after ischemic stroke

Jeong

Kim

et al. 2016

International Journal of Stroke

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“…Patients were included regardless of discharge destination, and they received no therapeutic interventions in this context. The frequency and type of the complications and their association with functional outcome have previously been published [13, 14]. The hospital records of 243 of these 244 patients with follow-up data were subjected to a review after 10 years.…”

Section: Methodsmentioning

confidence: 99%

“…Other, nonvascular post-stroke morbidity is less defined in the stroke-literature and also not addressed with preventive measures. The aim of this study was to examine the readmissions and the case fatality in a 10 year follow-up of a stroke cohort acutely treated in a stroke unit and previously studied for acute and subacute complications [13, 14], and to focus on the frequency, causes and timing of the readmissions.…”

Section: Introductionmentioning

confidence: 99%

Hospital readmission within 10 years post stroke: frequency, type and timing

et al. 2017

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BackgroundThe aim of this study was to examine the hospital readmissions in a 10 year follow-up of a stroke cohort previously studied for acute and subacute complications and to focus on their frequency, their causes and their timing.MethodsThe hospital records of 243 patients, 50% of a cohort of 489 patients acutely and consecutively admitted to our stroke unit in 2002/3, were subjected to review 10 years after the incidental stroke and all acute admissions were examined. The main admitting diagnoses were attributed to one of 18 predefined categories of illness. Additionally, the occurrence of death was registered.ResultsAfter 10 years 68.9% of patients had died and 72.4% had been readmitted to the hospital with a mean number of readmissions of 3.4 (+15.1 SD). 20% of the readmissions were due to a vascular cause, 17.3% were caused by infection, 9.3% by falls with (6.1%) and without fracture, 5.7% by a hemorrhagic event. The readmission rate was highest in the first 6 months post stroke with a rate of 116.2 admissions/100 live patient-years. Falls with fractures occurred maximally 3–5 years post stroke.ConclusionsHospital readmissions over the 10 years following stroke are caused by vascular events, infections, falls and hemorrhagic events, where the first 6 months are a period of particular vulnerability. The magnitude and the spectrum of these long-term complications suggest the need for a more comprehensive approach to post stroke prophylaxis.

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“…27 This has significant implications for clinical care and research that considers pneumonia as a trial endpoint and recent consensus diagnostic criteria have been proposed to address this. 28 Patients developing pneumonia are more likely to die or survive dependent on others, 24,29,30 and have a longer stay in hospital. As compared to alternative settings, care on a stroke unit compared to alternative settings reduces the frequency of pneumonia (odds ratio 0.60; 95% CI 0.42 to 0.87).…”

Section: Complications Of Psdmentioning

confidence: 99%

Post-stroke dysphagia: A review and design considerations for future trials

Cohen

Roffe

Beavan

et al. 2016

International Journal of Stroke

338

227

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Post-stroke dysphagia (a difficulty in swallowing after a stroke) is a common and expensive complication of acute stroke and is associated with increased mortality, morbidity, and institutionalization due in part to aspiration, pneumonia, and malnutrition. Although most patients recover swallowing spontaneously, a significant minority still have dysphagia at six months. Although multiple advances have been made in the hyperacute treatment of stroke and secondary prevention, the management of dysphagia post-stroke remains a neglected area of research, and its optimal management, including diagnosis, investigation and treatment, have still to be defined.

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Functional Outcome After Common Poststroke Complications Occurring in the First 90 Days

Cited by 73 publications

References 48 publications

Tachycardia burden in stroke unit is associated with functional outcome after ischemic stroke

Tachycardia burden in stroke unit is associated with functional outcome after ischemic stroke

Hospital readmission within 10 years post stroke: frequency, type and timing

Post-stroke dysphagia: A review and design considerations for future trials

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