Factores pronósticos en el ictus. De la fase aguda a los tres años

Mata, Marina; Marzo, M. Molleda; Almazán, Cari; Badellino, J. Mallol; Padilla, V. Calderon

doi:10.1016/j.rh.2010.09.004

Cited by 11 publications

(9 citation statements)

References 18 publications

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“…Our results are consistent with those of other authors [33][34][35][36] : motor deficits affect BADL performance and therefore have an effect on the Barthel Index score at discharge and at 6 months among patients with or without hemiparesis. Thus, the greater the neurological deficit at admission, the more pronounced is the patient's level of disability.…”

Section: Variablesupporting

confidence: 93%

“…Other researchers [33][34][35][36] have observed differences in levels of functional dependence for different Activity Table 4 Comparison of each activity on the Barthel Index at discharge and at 6 months, difference in medians subtypes of stroke. We found that both better recovery and increased dependence were related to total anterior cerebral infarctions or strokes with intracerebral hemorrhaging.…”

Section: Discussionmentioning

confidence: 98%

“…Thus, the greater the neurological deficit at admission, the more pronounced is the patient's level of disability. [35][36][37][38] For communication deficits, these differences were detected in the scores at time of discharge only and not in scores at 6 months.…”

Section: Variablementioning

confidence: 89%

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Functional Status and Disability in Patients After Acute Stroke: A Longitudinal Study

López-Espuela

Pedrera‐Zamorano

Jiménez-Caballero

et al. 2016

American Journal of Critical Care

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Background Stroke is a major public health problem. Objective To use the Barthel Index to evaluate basic activities of daily living in stroke survivors and detect any predictors of functional outcome at 6 months after stroke. Methods In an observational longitudinal study, data were gathered on consecutive patients admitted to the comprehensive stroke unit at Hospital San Pedro de Alcantara, Cáceres, Spain. Sociodemographic and clinical data were obtained prospectively at hospital admission and during follow-up 6 months later. Information on type of stroke, score on the Barthel Index, findings from the neurological evaluation, and other relevant data were collected. Results Of 236 patients admitted, 175 participated in the study. Mean age was 69.60 (SD, 12.52) years, 64.6% were men, and mortality was 12.8%. Six months after experiencing a stroke, 84.8% of patients had returned to their own homes, 8.0% were institutionalized, and the others were residing at a family member’s home. Scores on the Barthel Index 6 months after stroke correlated with baseline scores on the National Institute of Health Stroke Scale (r = −0.424; P < .001) and with depressive mood 6 months after stroke (r = −0.318; P < .001). Age was negatively associated with Barthel Index scores at the time of hospital discharge and 6 months after stroke. Conclusions Functional status 6 months after stroke was influenced by age, sex, stroke severity, type of stroke, baseline status, mood, and social risk. Comorbid conditions, socioeconomic level, and area of residence did not affect patients’ functional status.

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Section: Variablesupporting

confidence: 93%

Section: Discussionmentioning

confidence: 98%

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Functional Status and Disability in Patients After Acute Stroke: A Longitudinal Study

López-Espuela

Pedrera‐Zamorano

Jiménez-Caballero

et al. 2016

American Journal of Critical Care

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“…The results in relation to age compared to other studies are very similar. Dura Mata et al [18] determined a mean age of 72.44 years with a standard deviation of 10.1 years; Sajobi et al [19] observed that the mean age was 68.1 years; Queralt-Tomas [16] of 71.9 years with a standard deviation of 12.3 years and Kaesmacher et al [20] determined an age of 72.9 years with a standard deviation of 13.9 years [2,16,19].…”

Section: Discussionmentioning

confidence: 99%

Autonomy Outcomes Measured with Barthel Index in Patients with Ischaemic Stroke during SARS-CoV-2 Pandemic. A Descriptive Study

Pego Pérez

2022

OAJNN

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Background: Acute stroke is the 3rd cause of mortality, the 1st in disability in the adult population, studies focused on the subacute stroke phase are less frequent, and those that focus on longer-term evolution are rare. Aim: To determine the functional repercussion in patients with ischemic stroke during the SARS-CoV-2 pandemic. Methods: A qualitative and retrospective study with a sample of 674 patients with acute ischaemic stroke that were selected. The outcomes were measured with Barthel index. Results: The distribution in the moderate and severe degrees has been higher for the year 2020, in the independent and mild degrees it has been higher in the years 2019 and 2021, for the degree of total dependence it has been higher in the years 2019 and 2021. No significant correlation was found between age and the result of the Barthel scale or between the year in which the stroke occurred and the result of the Barthel scale. Conclusion: No relationship is seen between the SARS-CoV-2 pandemic and worsening of functionality. The structural changes during the pandemic and the reduction in personnel have not affected the diagnosis and involvement of ischemic stroke. The effort of the staff, to maintain adequate care, has been decisive in the functional results of the patients.

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“…Por otro lado, predominaron las pesquisas realizadas con sobrevivientes que se encontraban en fase crónica; a diferencia de lo hallado por Durá et al, (2011), quienes plantean que la mayor atención de los estudios se centra en la fase aguda, en comparación con la cantidad de investigaciones realizadas en fase subaguda o crónica. En esta misma línea, los estudios analizados evidencian la influencia de la variable tiempo de evolución del ictus en la predicción de la CV, este dato es coherente con la conceptualización del constructo, ya que se trata de un fenómeno dinámico, en donde la percepción puede modificarse con el tiempo, debido a las experiencias vividas y a cambios que se pueden presentar en el contexto, razón por la cual se requieren estudios longitudinales para validar los resultados.…”

Section: Discussionunclassified

Revisión sobre el Estado Actual de la Calidad de Vida en Personas Sobrevivientes a Ictus

Mogollón

Macías

2020

RIP/IJP

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El presente artículo tuvo como objetivo conocer los hallazgos sobre la calidad de vida (CV) en pacientes sobrevivientes a ictus, mediante la revisión de estudios empíricos publicados en el periodo de 2012 a 2017, en las bases de datos de Sciencedirect y Proquest. Se llevó a cabo un estudio descriptivo de tipo documental, en el que se utilizaron como descriptores de búsqueda las palabras: calidad de vida, ictus y ACV. Se identificaron inicialmente 1679 artículos, de los cuales se seleccionaron 44 que cumplieron con los criterios de inclusión. De cada uno de los artículos se analizó el diseño metodológico, las características de los participantes, los instrumentos de medición de la CV, los principales resultados obtenidos y las limitaciones reportadas. De los 44 artículos revisados el 97% eran de corte cuantitativo, siendo el diseño observacional transversal con alcance relacional el más prevalente. El principal tema abordado en las investigaciones fue el de los factores asociados a la CV; siendo la funcionalidad, el estado neurológico y la depresión, las variables predictivas más reportadas. Se espera que a futuro la investigación sobre el tema se realice a través de investigaciones mixtas o con diseños observacionales longitudinales, que incluyan participantes con edades inferiores a los 18 años, que realicen evaluaciones con escalas específicas, y que profundicen sobre el efecto de variables cognitivas, psicológicas y del proceso de cuidado en la Calidad de vida.

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Factores pronósticos en el ictus. De la fase aguda a los tres años

Cited by 11 publications

References 18 publications

Functional Status and Disability in Patients After Acute Stroke: A Longitudinal Study

Functional Status and Disability in Patients After Acute Stroke: A Longitudinal Study

Autonomy Outcomes Measured with Barthel Index in Patients with Ischaemic Stroke during SARS-CoV-2 Pandemic. A Descriptive Study

Revisión sobre el Estado Actual de la Calidad de Vida en Personas Sobrevivientes a Ictus

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