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Functional outcomes among stroke patients in Alagoas, Brazil: observational study
Baggio, Jussara Almeida de Oliveira; Farias, Dandhara Henrique de; Albuquerque, Lizanilda Leite de Gusmão; Melo, Bianca Cardoso de; Silva, Valquíria da; Bassi-Dibai, Daniela; Rocha, Letícia Januzi de Almeida.
  • Baggio, Jussara Almeida de Oliveira; Universidade Federal de Alagoas. Arapiraca. BR
  • Farias, Dandhara Henrique de; Centro Universitário Tiradentes. Maceió. BR
  • Albuquerque, Lizanilda Leite de Gusmão; Centro Universitário Tiradentes. Maceió. BR
  • Melo, Bianca Cardoso de; Centro Universitário Tiradentes. Maceió. BR
  • Silva, Valquíria da; Centro Universitário Tiradentes. Maceió. BR
  • Bassi-Dibai, Daniela; Universidade Ceuma. São Luís. BR
  • Rocha, Letícia Januzi de Almeida; Universidade Federal de Alagoas. Faculdade de Medicina. Maceió. BR
São Paulo med. j ; 139(2): 156-162, Mar.-Apr. 2021. tab
Article in English | LILACS | ID: biblio-1181005
ABSTRACT
ABSTRACT

BACKGROUND:

Stroke is the principal cause of disability around the world and the ensuing functional dependence (FD) can be correlated with different factors.

OBJECTIVE:

To determine how demographic factors and clinical characteristics after stroke distinguish patients who achieve functional independence from those who do not. DESIGN AND

SETTING:

Observational study at specialized neurovascular clinic in Alagoas, Brazil.

METHODS:

FD was classified according to the modified Rankin scale (mRs) 0 to 2 points were classified as independent (FD-), and 3 to 5 points were classified as dependent (FD+). Logistic regression analysis included age, sedentary lifestyle, the Center for Epidemiological Studies - Depression Scale (CES-D) and the National Institutes of Health Stroke Scale (NIHSS). The Mann-Whitney test and χ2 test were used to compare groups.

RESULTS:

We included 190 stroke patients with a mean age of 60.02 ± 14.22 years. We found that 34.8% of the patients were classified as FD+. Lower NIHSS and CES-D scores were more associated with achieving functional independence. Most of the patients had access to physical therapy, and the mean duration of rehabilitation therapy was 65.2 minutes per week. Females had higher prevalence of depressive symptoms (P = 0.005) and rehabilitation time was shorter for hemorrhagic stroke (P = 0.02).

CONCLUSION:

We found a FD rate four times greater than in another Brazilian study. Lower stroke severity and fewer depressive symptoms were associated with achieving functional independence. Less than half of the patients were referred to a rehabilitation service at hospital discharge and few had access to multidisciplinary treatment.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Stroke / Stroke Rehabilitation Type of study: Observational study / Risk factors Limits: Aged / Female / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Centro Universitário Tiradentes/BR / Universidade Ceuma/BR / Universidade Federal de Alagoas/BR

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Full text: Available Index: LILACS (Americas) Main subject: Stroke / Stroke Rehabilitation Type of study: Observational study / Risk factors Limits: Aged / Female / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Centro Universitário Tiradentes/BR / Universidade Ceuma/BR / Universidade Federal de Alagoas/BR