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Updated: Jun 15, 2026
Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke
Published on: February 22, 2020
Predictors of functional disability in people with ischemic stroke: two to three years after the stroke
Brenda Silva Cunha1, Mariana de Almeida Moraes1, Liane de Assis Campos Medeiros1
1Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brazil.
Objective:
To analyze clinical and sociodemographic factors associated with functional disability in people with ischemic stroke (IS) between 2 and 3 years after the event.
Method:
Prospective cohort with 241 participants. Instruments for sociodemographic and clinical characterization, the Rankin-m Scale, and a telephone call protocol were used. Data were analyzed using Pearson's Chi-square or Fisher's Exact tests and a robust Poisson model, with a significance level of 5%.
Results:
Of the participants, 62.6% had a Rankin of 0 to 2. Multivariate analysis showed that greater neurological deficit (6-13 and ≥14) was 2.35 (95% CI 1.13;4.05) and 4.4 (95% CI 2.09;6.83) times more associated with moderate to severe disability; failure to perform thrombolysis and ischemic stroke recurrence were, respectively, 3.02 (95% CI: 1.32;3.74) and 3.82 times (95% CI: 1.49;3.47) more associated with moderate to severe disability.
Conclusion:
The event impacted functional capacity, with greater neurological deficit, non-performance of thrombolysis, and stroke recurrence as the main predictors of disability. Strategies such as expanded thrombolysis, early care, ongoing rehabilitation, and risk factor control can reduce disability.
