Factors associated with functional disability after ischemic stroke

被引:0
|
作者
Sales, Rilary Silva [1 ]
Moraes, Mariana de Almeida [1 ]
Muniz, Ludimila Santos [2 ]
de Jesus, Pedro Antonio [1 ]
Ribeiro, Lais Silva [1 ]
Mussi, Fernanda Carneiro [1 ]
机构
[1] Univ Fed Bahia, Salvador, BA, Brazil
[2] Hosp Univ Prof Edgar Santos, Empresa Brasileira Serv Hosps, Salvador, BA, Brazil
关键词
Disability persons; Functional status; Activities of daily living; Stroke; BARTHEL INDEX; BRAZIL;
D O I
10.37689/acta-ape/2024AO0006011
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: To assess the functional disability level and identify associated factors in people after Ischemic Cerebral Vascular Accident.Methods: A prospective cohort, carried out in a reference hospital in neurology with 224 people with ischemic stroke. Data collection took place between March and October 2019. Participants were followed up during hospitalization, when sociodemographic and clinical variables were collected using specific instruments and contacted after 90 days, by telephone call, to apply the Modified Barthel Index. In the analysis, descriptive statistics and Pearson's chi-square test were applied. Statistical significance of 5% was adopted.Results: Most had some degree of functional disability (58.5%), with 29.5% having moderate dependence and 29.0% having severe dependence. The variables being female (p=0.011), time of arrival at the reference hospital greater than or equal to 4.5 hours (p=0.017), previous stroke (p=0.031), not having undergone thrombolysis (p=0.023), having high blood pressure (p=0.032) and greater severity estimated by the National Institute of Health Stroke Scale (p=0.000) were associated with a higher disability level.Conclusion: Moderate to severe dependence predominated. The severity of the event, previous event, hypertension, non-submission to thrombolysis, delay in arriving at the hospital and female gender were associated with a higher functional disability level.
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页数:9
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