Functional impact of the stroke in the patients of the Central Military Hospital between october 2010 and may 2011
Keywords:
stroke, disability evaluation.Abstract
Introduction: cerebrovascular event (CVE) is a common pathology in our medium causing multiple squeals social, work and family conditions, significantly impacts our health system due the treatment requested.
Objective: to measure objectively the functional impact generated by CVE across scales NIHSS and Barthel, determining the degree of functional dependence in patients who suffered, determining factors to forecasts and risk in that population.
Materials and methods: descriptive evaluated 50 patients whit CVE in central military hospital Bogotá, in order to identify and forecast risk factors using scales reflect the real impact during initial phase (NIHSS within 72 hours. Barthel to 8 days).
Results: 38% of patients had greater initial severity as NISHH scale, showing severe functional dependence or total Barthel functional scale apply a week later, 8% had functional independence with Barthel scale , 16 % died during hospitalization for direct or indirect causes, the functional limitations most often was to make transfers chair. Bed and walking (26%) the 20% had altered the bladder and dowel control.
Conclusion: the initial measurement of a cerebrovascular event identifies aspects of greater affection, set goals ad facilitates individual rehabilitation and follow the natural evolution of the disease, a week after the 92% of stroke patients have some functional dependence for both goals should be clear and individualized for greater long term gain of rehabilitation.
Author Biographies
Andersson L. Rozo A., Universidad Militar Nueva Granada. Hospital Militar Central de Bogotá.
Ana María Mendoza V., Universidad CES.
References
2. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: The World Health Organization; 2001. [cited 30 Apr 2010]. Available from url: http:// www.who.int/classifications/icf/en/
3. Scottish Intercollegiate Guidelines Network (SIGN). Management of patients with stroke or TIA: Assessment, investigation, immediate management and secondary prevention. Edinburgh: SIGN; 2008. (SIGN publication no. 108). [cited 30 Apr 2010]. Available from url: http://www.sign.ac.uk
4. Sánchez B. Predictive Model of functional independence in stroke patients admitted to a ehabilitation programme. Clin Rehabil. 1999;13:464-75.
5. Counsell Counsell C et al. Predicting functional outcome in acute C et al. Predicting functional outcome in acute stroke: comparison of a six variable model with other predictive systems and informal clinical prediction. J J Neurol Neurol Neurosurg Neurosurg Psychiatry Psychiatry. 2004;75:351 y 2004;75:351-52.
6. Shah S, Vanclay F, Cooper B. Efficiency, effectiveness, and duration of stroke rehabilitation. Stroke 1990;21:241-46.
7. Meijer R. Prognostic factors for ambulation and activities of daily living in the subacute, phase after stroke. A systematic review of the literature. Clin Rehabil 2003; 17:119-29.
8. Bogousslavsky J, Janzer RC. Pathophysiology, and neuropathology of ischemic stroke subtypes. In: Gorelick PB, ed. Atlas of cerebrovascular disease. Current Medicine
1996;4,1 y 4,27.
9. Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association, 2011;42:227-76.
10. Rehabilitación del ACV: evaluación, pronóstico y tratamiento. Galicia Clin 2009; 70(3):25-40
11. Guía de manejo. Rehabilitación de las secuelas de enfermedad cerebro vascular. Servicio de Medicina Física y Rehabilitación, Hospital Militar Central, 2010
12. Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. A national clinical guideline. June 2010.
