engleski

Stroke outcomes in Croatian patients measured by modified Rankin scale

Th e objective of this study was to measure functional outcomes in stroke patients undergoing rehabilitation at a Croatian rehabilitation center using modifi ed Rankin scale (mRS). Data on 90 stroke patients treated in 2010 and 2011 were analyzed according to gender, age at stroke, days from stroke to the initiation of rehabilitation, type, side and severity of stroke, length of stay, comorbidity and program of rehabilitation. Initial and fi nal mRS scores and change (progress) in the patients’ functional abilities were recorded and compared. Patients presented with mRS scores at rehabilitation initiation (4.07±1.00) indica-tive of high dependence, and it was higher in patients aged >65 (4.21±0.97), hemiplegic patients (4.94±0.25) and those with two or more comorbidities (4.27±0.79). Th e length of stay was longer than 21 days in patients with higher initial mRS scores (4.61±0.64). Th e mRS score at the end of rehabilitation was 3.10±1.18, with signifi cant functional improvement of 0.97±0.66 in mRS score. All subgroups of patients improved in mRS score, too. Th e length of stay of hemiplegic patients (44±11 days) was appropriately longer than in hemi-paretic patients (29±12 days) (p<0.001) achieving similar mRS improvement as in hemiparetic patients (p=0.06), although slightly more in favor of hemiparetic patients (1.03±0.66 vs. 0.69±0.60). In conclusion, rehabilitation eff orts were indicated on time and to the extent of the individual rehabilitation needs, and were useful in all patients regardless of age, comorbidity, type and severity of stroke.

outcome ; modified Rankin scale ; stroke

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