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Titre : | Factors Influencing Prognosis and Functional Outcome One Year After a First-Time Stroke in a Caribbean Population (2014) |
Auteurs : | Sophie Galanth ; Benoit Tressieres ; Annie Lannuzel |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/11, 2014) |
Article en page(s) : | p. 2134-2139 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Outcome assessment (health care) ; Quality of life ; Recovery of function ; Récupération fonctionnelle ; Stroke |
Résumé : |
Objective To evaluate functional outcome and quality of life 1 year poststroke in a Caribbean population. Design Prospective study of patients with a first hemispheric stroke admitted consecutively between December 2010 and February 2011. The patients were evaluated (1) in the emergency department, (2) when discharged from the hospital, and (3) 1 year poststroke. Setting A university hospital. Participants Of the 140 consecutive patients with stroke, 78 (42% women, 24.4% hemorrhagic stroke) were included in the study. Interventions None. Main Outcome Measures Patients were evaluated using the National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), FIM, and Medical Outcomes Study 36-Item Short-Form Health Survey. Results The mean age of the participants was 62.1+17.7 years; 70.5% of patients had hypertension, 29.4% had diabetes, and 23.6% had chronic renal failure. At 1 year poststroke, the mortality rate was 29.4%, and the recurrence rate 2.6%. We evaluated 39 of the 55 survivors (71%). Score evolution (emergency department vs 1y later) is as follows: for the NIHSS, it was 6.2+4.9 versus 3.3+3.9 (z=−3.578; P<.001 and for the mrs score it was versus p=".25)." fim on discharge from hospital year later multivariate analysis showed that aphasia hemianopia incontinence significantly influenced quality of life a patient-reported outcome measure health-related altered concerning vitality role physical emotional.> Conclusions One year after a first stroke, despite significant improvement of neurologic impairment, the level of dependency did not change and quality of life was altered. Aphasia, hemianopia, and incontinence significantly influenced functional state. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314008892 |