Medical complications after stroke

被引:564
作者
Kumar, Sandeep [1 ,2 ]
Selim, Magdy H. [1 ,2 ]
Caplan, Louis R. [1 ,2 ]
机构
[1] Beth Israel Deaconess Med Ctr, Stroke Div, Dept Neurol, Boston, MA 02215 USA
[2] Harvard Univ, Sch Med, Boston, MA 02215 USA
关键词
ACUTE ISCHEMIC-STROKE; ONSET FECAL INCONTINENCE; STRESS-ULCER PROPHYLAXIS; HEMIPLEGIC SHOULDER PAIN; MOLECULAR-WEIGHT HEPARIN; UPPER AIRWAY-OBSTRUCTION; URINARY-TRACT-INFECTION; BONE-MINERAL DENSITY; DEEP-VEIN THROMBOSIS; DAMAGE COOL AID;
D O I
10.1016/S1474-4422(09)70266-2
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Patients who have had a stroke are susceptible to many complications. These individuals commonly have comorbidities such as hypertension, diabetes, heart disease, or other ailments that increase the risks of systemic medical complications during stroke recovery However, several complications can arise as a direct consequence of the brain injury itself, from the ensuing disabilities or immobility, or from stroke-related treatments. These events have a substantial effect on the final outcome of patients with stroke and often impede neurological recovery. Cardiac complications, pneumonias, venous thromboembolism, fever, pain, dysphagia, incontinence, and depression are particularly common after a stroke and usually require specific interventions for their prevention and treatment. However, there are few data to guide the management of these complications. Systematic investigations are therefore needed to further study the effects of medical complications on stroke recovery and to improve interventions for the prevention and treatment of these events.
引用
收藏
页码:105 / 118
页数:14
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