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Prognostic factors of functional recovery from a stroke at one year

J.A. Moreno-Palacios, I. Moreno-Martínez, A. Bartolomé-Nogués, E. López-Blanco, R. Juárez-Fernández, I. García-Delgado [REV NEUROL 2017;64:55-62] PMID: 28074998 DOI: https://doi.org/10.33588/rn.6402.2016199

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Volumen 64 | Number 02 | Nº of views of the article 10.616 | Nº of PDF downloads 979 | Article publication date 16/01/2017

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ABSTRACT

INTRODUCTION Recovery of the ability to walk and independence is fundamental for any patient who suffers a stroke, and it can be influenced by a number of factors.

AIM To determine what variables are more important to achieve a good functional recovery at one year after the stroke.

PATIENTS AND METHODS An observational, longitudinal prospective study was conducted with 231 patients diagnosed with a stroke in the year 2013. An analysis was performed of the clinical characteristics, socio-demographic data, neurological situation at the time of hospitalisation National Institute of Health Stroke Scale (NIHSS), functional situation (Rankin Scale and Barthel Index) and ability to walk, both on hospitalisation and on discharge from rehabilitation and at one year.

RESULTS The mean age was 74.26 ± 13.1 years, and 55.4% were males. The mean length of stay in hospital was 16.24 days. 68.9% followed rehabilitation therapy, with an average of 95.5 sessions. Good functional capacity was recovered by 51.7% at one year (Rankin < 2 and Barthel > 85), and 63.5% regained the ability to walk independently. The factors that had the most significant influence on functional and gait recovery at one year were: lower age, NIHSS score < 10 in the first week, the type of stroke (small vessel), the absence of atrial fibrillation and better previous functional situation. CONCLUSION. At one year of having suffered a stroke, most of the patients recover the capacity for independent gait and to a lesser extent independence in activities of daily living. KeywordsActivities of daily living Functional recovery Independent gait Prognostic factors Rehabilitation Stroke CategoriesPatología vascular

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Original

Prognostic factors of functional recovery from a stroke at one year