[Morbidity in hospital admission for stroke]
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Published on: May 22, 2019
J R Rodríguez-Alvarez1, M C Amigo, E Cebrián
1Unidad de Neurología, Hospital Montecelo, Pontevedra, España. Jrra@arrakis.es
Insights
Systemic complications during hospitalization negatively impact functional recovery for stroke patients. These complications also extend hospital stays, affecting long-term outcomes.
Area of Science:
- Neurology
- Vascular Medicine
- Rehabilitation
Context:
- Ischemic vascular disease remains a leading cause of disability and prolonged hospitalization.
- Hospitalization can introduce complications that negatively affect patient morbidity and mortality.
- Stroke (ictus) patients are particularly vulnerable to these hospital-acquired issues.
Purpose:
- To investigate the impact of systemic complications during hospitalization on the functional recovery of stroke patients.
- To analyze the relationship between in-hospital complications, neurological deficit, and patient outcomes.
- To assess functional recovery using the Barthel Index and neurological status via the Canadian Scale.
Summary:
- A prospective study evaluated 47 stroke patients, assessing functional recovery (Barthel Index) and neurological status (Canadian Scale).
- Patients experiencing systemic complications during hospitalization showed significantly worse functional recovery at discharge and 3 months post-discharge compared to those without complications.
- No significant differences were observed in age, admission glycemia, or initial neurological severity between groups.
Impact:
- Systemic complications acquired during hospitalization adversely affect functional recovery in stroke patients.
- These complications are associated with prolonged hospital stays.
- Findings emphasize the importance of preventing and managing in-hospital complications to improve stroke patient outcomes.
Introduction:
In spite of advances in the prevention and treatment of ischemic vascular disease, this continues to be one of the main causes of disablement and prolonged hospitalization in developed countries. Also, hospitalization itself leads to complications which have a negative effect on the morbi-mortality of these patients during the time spent in hospital.
Objective:
We decided to study the effect of systemic complications during the period of hospital stay, on the functional recovery of patients which ictusl.
Material And Methods:
A prospective study was made of 47 patients admitted to our unit for neurological deficit of more than 24 hours evolution and of cerebrovascular aetiology. Functional recovery was evaluated by means of the index of Barthel on discharge and after a period of 3 months with respect to the degree of neurological involvement (Canadian scale on admission), glycemia on admission, time spent in hospital and the occurrence of systemic complications in hospital.
Results:
These were no differences between the groups of patients with and without systemic complications regarding age, glycemia and Canadian scale on admission. Nor wes there any difference between the groups regarding the number of patients with significant deterioration of their neurological condition (decrease > 20% in the EC). Functional recovery on hospital discharge was worse in the group with systemic complications (IB: 43.05 +/- 34.1: as compared with IB: 72.8 +/- 22.7 in the group without complications). This difference persisted after 3 months.
Conclusions:
Systemic complications related to hospitalization have a negative effect on the functional recovery of patient with ictus and also prolong the time spent in hospital.
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