Factors influencing outcomes in patients with stroke

Milinavičienė, Eglė; Rastenytė, Daiva; Kriščiūnas, Aleksandras

doi:10.3390/medicina43040033

Cited by 6 publications

(3 citation statements)

References 51 publications

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“…Rehabilitation post stroke has been found to be beneficial in facilitating recovery and improving quality of life [ 6 , 7 ]. A multidisciplinary approach [ 8 ] which includes, physiotherapy, occupational therapy and speech therapy has been found to improve functional outcomes of individuals post stroke.…”

Section: Introductionmentioning

confidence: 99%

Provision of inpatient rehabilitation and challenges experienced with participation post discharge: quantitative and qualitative inquiry of African stroke patients

Rhoda

Cunningham

Azaria

et al. 2015

BMC Health Serv Res

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BackgroundThe provision of rehabilitation differs between developed and developing countries, this could impact on the outcomes of post stroke rehabilitation. The aim of this paper is to present provision of in-patient stroke rehabilitation. In addition the challenges experienced by the individuals with participation post discharge are also presented.MethodsQualitative and quantitative research methods were used to collect data. The quantitative data was collected using a retrospective survey of stroke patients admitted to hospitals over a three- to five-year period. Quantitative data was captured on a validated data capture sheet and analysed descriptively. The qualitative data was collected using interviews from a purposively and conveniently selected sample, audio-taped and analysed thematically. The qualitative data was presented within the participation model.ResultsA total of 168 medical folders were reviewed for a South African sample, 139 for a Rwandan sample and 145 for a Tanzanian sample. The mean age ranged from 62.6 (13.78) years in the South African sample to 56.0 (17.4) in the Rwandan sample. While a total of 98 % of South African stroke patients received physiotherapy, only 39.4 % of Rwandan patients received physiotherapy. From the qualitative interviews, it became clear that the stroke patients had participation restrictions. When conceptualised within the Participation Model participation restrictions experienced by the stroke patients were a lack of accomplishment, inability to engage in previous roles and a perception of having health problems.DiscussionWith the exception of Rwanda, stroke patients in the countries studied are admitted to settings early post stroke allowing for implementation of effective acute interventions. The participants were experiencing challenges which included a lack of transport and the physical geographic surroundings in the rural settings not being conducive to wheelchair use.ConclusionStroke patients admitted to hospitals in certain African countries could receive limited in-patient therapeutic interventions. With the exception of barriers in the physical environment, stroke patients in developing countries where resources are limited experience the same participation restrictions as their counterparts in developed countries where resources are more freely available. Rehabilitation interventions in these developing countries should therefore be community-based focussing on intervening in the physical environment.

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Section: Introductionmentioning

confidence: 99%

Provision of inpatient rehabilitation and challenges experienced with participation post discharge: quantitative and qualitative inquiry of African stroke patients

Rhoda

Cunningham

Azaria

et al. 2015

BMC Health Serv Res

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“…In the recent years information relating to outcomes of stroke patients admitted to other levels of healthcare in the Western Cape have been published (Rhoda et al 2011;Rouillard et al 2012), but no published literature is available regarding the outcomes of patients dis charged from a tertiary hospital which has a stroke unit in the Western Cape. Milinaviciene et al (2007) stated that for effective utilization of rehabilitation resources, identifying various factors affecting functional outcome is impor tant. The aim of the current study was therefore to determine the functional outcomes and factors affecting these outcomes of stroke patients admitted to a tertiary acute care hospital in the Western Cape, South Africa.…”

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confidence: 99%

Functional Outcomes of Stroke Patients Admitted to a Tertiary Hospital in the Western Cape, South Africa

Parekh

Rhoda

2013

South African Journal of Physiotherapy

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“…It is also well-established that improvement in cognitive status positively affects all other affected areas including motor and emotional dysfunctions, therefore, cognitive functioning is considered foremost importance when it comes to the rehabilitation of stroke survivors. 6 , 18 Keeping in view the current tragic situation regarding the assessment and management of cerebrovascular accidents in Pakistan the current research was planned to take an initiative by initially focusing on the sound assessment of Post Stroke Cognitive Impairments (PSCI).…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of Neuro-Cognitive Assessment Battery for Stroke Patients (NCABS) in Pakistan

Mahmood

Bashir

2018

Pak J Med Sci

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Background & Objective:Post Stroke Cognitive Impairments (PSCI) occur frequently in stroke survivors resulting in devastating consequences affecting daily living of survivors. Currently, there exists scarcity of sound assessment tools for the evaluation of PSCI as most of the commonly used scales offer a number of clinical (requires motor and linguistic skills) and cultural limitations (requires academic exposure). Therefore, current study was aimed at evaluating the efficacy of Neuro-Cognitive Assessment Battery for Stroke patients (N-CABS) in Pakistan.Methods:The participants were randomized in two groups including clinical and non-clinical group. N-CABS was administered on 61 clinical and 60 non-clinical participants (mean age=45 years; SD=5.55). Both groups were matched on all demographic variables including; age, gender, education and occupation. The psychometric properties of N-CABS were established through a number of robust measures of validity (construct, concurrent and discriminant validity) and reliability (internal consistency and test retest reliability).Results:The factor analysis suggested a two-factor solution (labeled as Verbal Cognitive Abilities and Visual Cognitive Abilities) for N-CABS explaining 67% of total variance. A significant test-retest reliability was found (α = 0.92, ***p<0.001). The findings of concurrent validity recommended a significant correlation between N-CABS and Montreal Cognitive Assessment (MoCA) (α = 0.82, ***p<0.001). Similarly, discriminant validity also revealed significant group differences to exist on N-CABS (***p<0.001) suggesting N-CABS be able to discriminate between patients and healthy controls.Conclusion:The results of the current study favor N-CABS as a psychometrically strong screening instrument to screen PSCI in our culture.

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Factors influencing outcomes in patients with stroke

Cited by 6 publications

References 51 publications

Provision of inpatient rehabilitation and challenges experienced with participation post discharge: quantitative and qualitative inquiry of African stroke patients

Provision of inpatient rehabilitation and challenges experienced with participation post discharge: quantitative and qualitative inquiry of African stroke patients

Functional Outcomes of Stroke Patients Admitted to a Tertiary Hospital in the Western Cape, South Africa

Development and Validation of Neuro-Cognitive Assessment Battery for Stroke Patients (NCABS) in Pakistan

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