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Factors affecting daily activities of patients with cerebral infarction
Peng Liu1, Cheng-Ye Zhou1, Ying Zhang1
1Encephalopathy Center, First Affiliated Hospital of Wenzhou Medical College, 325000 Wenzhou, China.
Insights
Initial plasma glucose, white blood cell count, and National Institute of Health Stroke Scale scores impact daily activities after cerebral infarction. Urinary tract infections also affect long-term recovery.
Area of Science:
- Neurology
- Rehabilitation Medicine
Background:
- Stroke, specifically cerebral infarction, is a primary cause of mortality and long-term disability.
- Understanding factors affecting daily activities is crucial for timely interventions.
Purpose of the Study:
- To identify factors influencing the daily activities of patients with cerebral infarction.
- To inform early interventional strategies for improving patient outcomes.
Main Methods:
- Prospective study of 149 first-episode cerebral infarction patients.
- Collected baseline data, laboratory markers (WBC, PG), infection status, NIHSS, and GCS scores.
- Assessed daily activity using the Barthel Index (BI) at 2 weeks and 3 months.
Main Results:
- Initial plasma glucose (PG), white blood cell (WBC) count, and initial National Institute of Health Stroke Scale (NIHSS) scores significantly correlated with BI at 2 weeks and 3 months.
- Urinary tract infection on admission was also a significant factor for BI at 3 months.
Conclusions:
- Controlling initial PG, WBC count, and NIHSS scores is essential for improving daily activities post-cerebral infarction.
- Addressing urinary tract infections is important for long-term functional recovery.
Background:
Stroke is the leading cause of death and long-term disability. This study was undertaken to investigate the factors influencing daily activities of patients with cerebral infarction so as to take interventional measures earlier to improve their daily activities.
Methods:
A total of 149 patients with first-episode cerebral infarction were recruited into this prospective study. They were admitted to the Encephalopathy Center, Department of Neurology, the First Affiliated Hospital of Wenzhou Medical College in Zhejiang Province from August 2008 to December 2008. The baseline characteristics of the patients and cerebral infarction risk factors on the first day of admission were recorded. White blood cell (WBC) count, plasma glucose (PG), and many others of laboratory targets were collected in the next morning. Barthel index (BI) was calculated at 2 weeks and 3 months respectively after onset of the disease at the outpatient clinic or by telephone call. Lung infection, urinary tract infection and atrial fibrillation if any were recorded on admission. The National Institute of Health Stroke Scale (NIHSS) scores and the GCS scores were recorded within 24 hours on and after admission, at the second week, and at the third month after the onset of cerebral infarction respectively.
Results:
The factors of BI at 2 weeks and 3 months after onset were the initial PG level, WBC count and initial NIHSS scores. Besides, urinary tract infection on admission was also the factor for BI at 3 months.
Conclusion:
Active measures should be taken to control these factors to improve the daily activities of patients with cerebral infarction.
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