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Functional outcome in young strokes

K H Kong1, K F Chan, E S Tan

  • 1Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore.

Annals of the Academy of Medicine, Singapore
|January 1, 1995
PubMed
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Young stroke patients showed significant functional recovery after rehabilitation. Key predictors for better outcomes include higher initial function, younger age, and shorter rehabilitation stays.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Young stroke (stroke in patients ≤45 years) presents unique etiological profiles and rehabilitation challenges.
  • Understanding risk factors and predicting functional outcomes in this demographic is crucial for targeted interventions.

Purpose of the Study:

  • To identify the underlying risk factors and aetiologies of stroke in young patients.
  • To evaluate the functional outcomes following a structured rehabilitation program.
  • To determine factors associated with better functional recovery in this population.

Main Methods:

  • Prospective assessment of 57 young stroke patients (age ≤45 years) admitted to a rehabilitation center.
  • Data collection included patient demographics, stroke aetiology, risk factors, and functional status (Activities of Daily Living - ADL, mobility) at admission and discharge.

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  • Statistical analysis to identify predictors of functional outcome.

    • Main Results:

    • Hypertension was the most common risk factor (49.1%). Vascular abnormalities and cardiogenic embolism were also significant causes.
    • Significant improvement in functional status (mean Functional Status score decreased from 9.76 to 5.07, P < 0.01) was observed post-rehabilitation.
    • Factors associated with better outcomes included higher admission ADL/mobility, motor power ≥ grade 3, absence of dysphasia, left hemiplegia, age < 40 years, and rehabilitation stay < 28 days.

    Conclusions:

    • Young stroke patients experience substantial functional gains through rehabilitation.
    • Early identification of predictive factors can guide personalized rehabilitation strategies for improved outcomes in young stroke survivors.