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Long-term outcome after reperfusion-treated stroke.

Oscar Mühr1, Hanna C Persson, Katharina S Sunnerhagen

  • 1Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg , SE-41345 Gothenburg, Sweden. oscar.myhr@gmail.com.

Journal of Rehabilitation Medicine
|February 21, 2017
PubMed
Summary
This summary is machine-generated.

Long-term stroke recovery after reperfusion treatment shows good motor function and strength. However, persistent emotional and cognitive challenges require ongoing attention for stroke survivors.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Stroke Research

Background:

  • Stroke is a leading cause of long-term disability.
  • Reperfusion treatments like thrombectomy and thrombolysis aim to restore blood flow.
  • Understanding long-term outcomes is crucial for patient care.

Purpose of the Study:

  • To evaluate motor function, quality of life, and daily living activities 5-6 years post-stroke.
  • To assess the long-term impact of reperfusion treatments.
  • To compare outcomes with a matched reference group.

Main Methods:

  • Prospective study of 75 first-time stroke patients receiving reperfusion therapy.
  • Follow-up using questionnaires (Stroke Impact Scale) and clinical examinations at 5-6 years.
  • Comparison with an individually matched reference group.

Main Results:

  • 54 patients were alive at follow-up; 31 completed questionnaires, 16 underwent clinical examination.
  • Reperfusion-treated patients reported better strength and hand function than controls.
  • Emotional impact was significant; 44% had ADL dependence and 38% cognitive impairment.

Conclusions:

  • Long-term outcomes post-reperfusion treatment are relatively favorable regarding motor function.
  • Significant emotional and cognitive deficits persist, necessitating targeted interventions.
  • Reperfusion therapy improves strength and hand function compared to a non-treated reference group.