Naslov
Outcome of acute rehabilitation after stroke

Autori
Kadojić, Mira ; Kadojić, Dragutin

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Acta Neuropsychiatrica / Malhi, G. S. - Oxford, 2009, 81-81

Skup
International Neuropsychiatric Pula Congress

Mjesto i datum
Pula, Hrvatska, 17.06.2009. - 20.06.2009

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
acute rehabilitation; acute stroke; recovery

Sažetak
INTRODUCTION Stroke takes the second place at mortality scale and is the leading cause of invalidity in the Republic of Croatia and other developed countries in the world. Rehabilitation plays an important role in recovery of damaged functions, decrease of invalidity and patient reintegration to the community. During the evaluation of effects after stroke, various estimation scales are used. One of the most commonly used is Barthel index (BI) scale. It is designed to help estimation of the degree of patients’ independence and his/ her motoric functions that include: self-care activities, activities in bed, motion and climbing activities as well as invalid chair activities. The aim of this research was to identify the outcome of the acute rehabilitation after the stroke and to analyze a degree of recovery in certain age groups. PATIENTS AND METHODS Our retrospective analysis included 517 patients treated after the first stroke at Department for physical medicine and rehabilitation in Bizovac, University Hospital Osijek, Croatia in 2005 and 2006. Research group consisted of 273 female and 244 male patients. The average age of questioned subjects was 68.42 years while the average rehabilitation period was 11.97 days. Degree of functional recovery and the success of rehabilitation procedures were observed by using Barthel Index scale at the beginning and at the end of rehabilitation program. Impairment degree of tested activities was estimated through the score number where 0 to 20 meant full dependence, 21 to 60 severe dependence, 61 to 90 medium dependence, 91 to 99 minimum dependence and score of 100 meant full independence in everyday living activities. Difference between the initial and final rehabilitation values was named Delta value and it is the rehabilitation progress indicator. RESULTS Average value of BI in all examinees at the beginning of rehabilitation was 52.99 and in the end it was 65.77. Average Delta value of improvement level was 12.78. 15 patients suffered the first stroke at the age less than 44, average BI value at admission was 69.4 and 78.4 at discharge, while Delta value was 9.0. In the age group 45 – 54 years there were 56 patients, average BI value at admission was 62.7 and 75.82 at discharge, while Delta value was 13.25. In the age group 55 – 64 years there were 77 patients, average BI value at admission was 55.81 and 68.57 at discharge, while Delta value was 12.92. In the age group 65 – 74 there were 202 patients, average BI value at admission was 51.23 and 64.26 at discharge, while Delta value was 13.2. In the age group 75 – 84 years there were 158 patients, average BI at admission was 49.69 and 62.34 at discharge, while Delta value was 12.6. In the age group over 85 years there were 9 patients, average BI value at admission was 34.44 and 49.22 at discharge, Delta value was 14.77 (Table 1). CONCLUSION After conducted acute rehabilitation in all age groups significant recovery of functional deficit was obvious as well as improvement in everyday living activities. Average value of Barthel Index at the admission to the rehabilitation was at the level of severe dependence in all age groups while at the discharge all patients showed improvement and were placed in the group of medium dependence. The value of Barthel Index decreased with age while functional recovery, which was expressed through Delta value, was equal in all age groups. The highest degree of dependence was noticed in patients who were 85 years old or more and one remained the same. Barthel index represents the useful instrument for the evaluation of dependence degree in the activities of everyday living. It also enables quantified assessment of motoric functions recovery and it gives strong basis for further planning of rehabilitation activities.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA