Evolución funcional tras un ictus en mayores de 85 años

Palacios, Juan Antonio Moreno; Martínez, I. Moreno; Ojeda, A. Pintor; Estebez, M.E. Nuño; Blanco, C. Casado; López, J. Moreno

doi:10.1016/j.rh.2017.10.001

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…Age is associated with a poorer prognosis after suffering from stroke, especially in the elderly over 85 years of age, where comorbidities are greater and their previous functional status is further impaired than in younger patients. 26 In our study age was shown to be a risk factor of functional dependence 8 weeks after the stroke both in the univariate analysis (OR: 1.07; 95% CI: 1.02−1.12) and in the multivariate analysis (OR: 1.09; 95% CI: 1.04−1.15). Some studies 27,28 demonstrate a lower recovery in older patients, leading in some cases to the indication to participate in specific rehabilitation programmes.…”

Section: Discussionsupporting

confidence: 46%

Neurorehabilitation and its impact on functional status in patients who have suffered a stroke

Salselas

López-Espuela²,

Gomes

et al. 2021

Revista Científica de la Sociedad de Enfermería Neurológica (En

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Stroke represents the main cause of functional dependence and in the Portuguese adult population. Objective: to analyse the impact of rehabilitation on functional state and basic activities of daily life (ABVD), 8 weeks following a stroke, in a population of elderly people in north-western Portugal. Methodology: Observational, longitudinal and retrospective study. The patients were grouped into 3 groups according to the rehabilitation treatment received: Non-rehabilitation (NR), light rehabilitation (RL) and intense rehabilitation (RI).Sociodemographic data, clinical variables (on stroke), hospital stay, rehabilitative treatment, and functional status (Barthel Index) were collected. Results: 350 patients, with a mean age of 75.83 (±8.02) years. The hospital stay was longer in the group of RL (19.7 (±8.69)), RI (17.67 (±10.05)) and of those who did not undergo rehabilitation (10.97 (±6.96)), (p = .001).A significant increase (p < .001) was observed in the Barthel index scores from admission to 8 weeks after the stroke.Age (p = .003) and hospital stay (p = .013) were shown as risk factors for functional dependence. Similarly, taking as a reference the patients who did not undergo rehabilitation, the subjects who underwent light rehabilitation (OR (95% CI): 6.37 (1.74−23.25), p = .005) and intensive rehabilitation (OR (95% CI): 2.28 (1.08−4.82, p = .030), had a significantly higher risk of presenting functional dependence

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Section: Discussionsupporting

confidence: 46%

Neurorehabilitation and its impact on functional status in patients who have suffered a stroke

Salselas

López-Espuela²,

Gomes

et al. 2021

Revista Científica de la Sociedad de Enfermería Neurológica (En

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“…Estudio realizado por Soto y col. en Chile recibieron en un hospital regional de alta complejidad, pacientes con ACV isquémico, el 30,4% presentaron una puntuación al ingreso ≥7 según la escala de NIHSS (28); Moreno Palacios y col. encontraron en pacientes con ACV isquémico mayores de 80 años un valor medio del NIHSS de 11,2 en la primera semana (29).…”

Section: Discussionunclassified

Clinical characteristics of patients with ischemic stroke admitted during the therapeutic window period in the Emergency Department of the Hospital de Clinicas

Rodríguez

Galeano

2022

An. Fac. Cienc. Méd. (Asunción)

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Características clínicas de los pacientes con accidente cerebrovascular de tipo isquémico admitidos durante el periodo de ventana terapéutica en el Servicio de Urgencias del Hospital de Clínicas Clinical characteristics of patients with ischemic stroke admitted during the therapeutic window period in the Emergency Department of the Hospital de Clinicas ARTÍCULO ORIGINAL RESUMEN Introducción: Las enfermedades cardiovasculares son la primera causa de muerte. El accidente cerebrovascular isquémico es un problema de salud pública. Objetivos: Determinar las características clínicas de los pacientes con accidente cerebrovascular de tipo isquémico admitidos durante el periodo de ventana terapéutica en el Servicio de Urgencias del Hospital de Clínicas en el periodo 2018 -2020. Materiales y métodos: Estudio observacional, descriptivo, retrospectivo, transversal. Los sujetos fueron los pacientes de sexo masculino y femenino, mayores de 18 años admitidos en la Unidad de Ictus del Servicio de Urgencias del Hospital de Clínicas en el periodo de ventana terapéutica comprendido entre junio del año 2018 y septiembre del año 2020. Resultados: Se incluyó en el estudio 512 pacientes. La media de edad fue 65 ± 12,1 años. El sexo más frecuente fue el masculino con (58,7%) y la mayoría proceden del Departamento Central (61,3%). Los factores de riesgo más frecuentes fueron la hipertensión arterial (83,3%), el sobrepeso (34,7%) y la diabetes mellitus tipo 2 (27,3%). Presentaron infarto moderado (41,8%) y la trombólisis fue realizada en el (16%) de los pacientes. Conclusión: Los pacientes que presentaron accidente cerebrovascular de tipo isquémico admitidos en el periodo de ventana terapéutica fueron en su mayoría del sexo masculino, edad media de 65 años, los factores de riesgo cardiovasculares más frecuentes fueron la hipertensión arterial, el sobrepeso y la diabetes mellitus tipo 2, el infarto moderado fue la más frecuente y escasa cantidad recibieron trombólisis.

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Neurorrehabilitación y su impacto en el estado funcional en pacientes que han sufrido un ictus

Salselas

López-Espuela²,

Gomes

et al. 2021

Revista Científica de la Sociedad Española de Enfermería Neurol

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Stroke represents the main cause of functional dependence and in the Portuguese adult population. Objective: to analyse the impact of rehabilitation on functional state and basic activities of daily life (ABVD), 8 weeks following a stroke, in a population of elderly people in northwestern Portugal. Methodology: Observational, longitudinal and retrospective study. The patients were grouped into 3 groups according to the rehabilitation treatment received: Non-rehabilitation (NR), light rehabilitation (RL) and intense rehabilitation (RI). Sociodemographic data, clinical variables (on stroke), hospital stay, rehabilitative treatment, and functional status (Barthel Index) were collected. Results: 350 patients, with a mean age of 75.83 (±8.02) years. The hospital stay was longer in the group of RL (19.7 (±8.69)), RI (17.67 (±10.05)) and of those who did not undergo rehabilitation (10.97 (±6.96)), (p = .001). A significant increase (p < .001) was observed in the Barthel index scores from admission to 8 weeks after the stroke. Age (p = .003) and hospital stay (p = .013) were shown as risk factors for functional dependence. Similarly, taking as a reference the patients who did not undergo rehabilitation, the subjects who underwent light rehabilitation (OR (95% CI): 6.37 (1.74−23.25), p = .005) and intensive rehabilitation (OR (95% CI): 2.28 (1.08−4.82, p = .030), had a significantly higher risk of presenting functional dependence

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Evolución funcional tras un ictus en mayores de 85 años

Cited by 3 publications

References 31 publications

Neurorehabilitation and its impact on functional status in patients who have suffered a stroke

Neurorehabilitation and its impact on functional status in patients who have suffered a stroke

Clinical characteristics of patients with ischemic stroke admitted during the therapeutic window period in the Emergency Department of the Hospital de Clinicas

Neurorrehabilitación y su impacto en el estado funcional en pacientes que han sufrido un ictus

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