The profile of recovery from stroke and factors influencing outcome.

Abstract

The recovery from stroke of 154 survivors out of 255 stroke patients was analyzed. The outcomes documented were: discharge from hospital, activities of daily living (ADL) and return to work. A clear improvement in neurological and neuropsychological deficits was seen from the acute stage to three months, and this continued to twelve months, but to a lesser degree. 69% and 78% respectively, of the patients were at home three and twelve months after stroke. Independence in ADL increased from 32% acutely to 62% and 68% by three and twelve months, respectively. Of those gainfully employed prior to stroke, 55% had returned to work after twelve months. As a group, SAH patients seemed to recover better, but, for those that could be age-matched with infarction patients, there was no difference in outcome. Old age, acute stage hemiparesis, impairment of intelligence and memory, visuoperceptual deficits, nonadequate emotional reactions, and living alone all had a major negative influence on outcome. This study suggests that neurological and neuropsychological deficits, as well as emotional reactions, influence the outcomes after stroke, and all should be taken into consideration in prognosis.

Trends in Activities of Daily Living among Stroke Survivors: Analysis from the South London Stroke Register

“…The estimated completeness of case ascertainment in this population has been approximately 88% through a multinomial-logit capture recapture model 24 . Stroke severity at the time of maximum impairment was: 15.8%, 11.4% and 68.9% of patients had severe, moderate and mild unconsciousness [Glasgow coma scale (GCS) scores stratified into three: severe (3)(4)(5)(6)(7)(8), moderate (9)(10)(11)(12) and mild (13-15)] 19 , respectively; and 41.7% and 35.5% of patients had urinary incontinence and dysphagia, respectively. Structured questionnaires were used for initial registration and for follow-ups.…”

“…Stroke survivors have been reported as showing improvements in basic and instrumental ADL from stroke onset to 3 months and 1 year poststroke [6][7][8][9][10] . A number of studies have reported predictors of poor ADL at 3 months and 1 year post-stroke such as gender, age of stroke onset, marital status, living conditions, pre-stroke basic ADL, hemiparesis, motor impairment, urinary incontinence, visuoperceptual deficit, communication problem, intelligence/memory impairment and total anterior circulation infarction 8,[10][11][12][13] .…”

“…A number of studies have reported predictors of poor ADL at 3 months and 1 year post-stroke such as gender, age of stroke onset, marital status, living conditions, pre-stroke basic ADL, hemiparesis, motor impairment, urinary incontinence, visuoperceptual deficit, communication problem, intelligence/memory impairment and total anterior circulation infarction 8,[10][11][12][13] . In general, socio-economic status is found to be associated with ADL 14 , and further research on ADL trends over time in different socio-economic groups has been recommended 6,15 .…”

Prognostic Factors of Stroke: the review of factors related to patient

“…Kapral ve ark. 'nın 2005 yılında yayınlanan çalışmalarında ise, kadın ve erkek strok hastalarında tedavi yaklaşımı arasında farklılık gösterilmemiştir (15). Altı aylık prognozda kadınlarda kötü prognozun minimal daha belirgin olduğu belirtilmiştir.…”

Efficient non-viral transfection of adult neural stem/progenitor cells, without affecting viability, proliferation or differentiation

“…Many patients exhibit some spontaneous recovery of function following an ischemic brain lesion 33 . Resolution of tissue damage, including edema and inflammation, and spontaneous reperfusion can mediate recovery in the acute phase after a stroke 1,11 .…”