STROKE IN PATIENTS AGED OVER 75 YEARS - OUTCOME AND PREDICTORS

被引:71
作者
KALRA, L
SMITH, DH
CROME, P
机构
[1] BROMLEY HOSP, DEPT MED ELDERLY PEOPLE, BROMLEY, ENGLAND
[2] UNIV LONDON KINGS COLL, SCH MED, DEPT HLTH CARE ELDERLY PEOPLE, LONDON WC2R 2LS, ENGLAND
关键词
D O I
10.1136/pgmj.69.807.33
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The outcome and predictors of stroke rehabilitation were studied prospectively in 96 patients (mean age 81.3 +/- 5.4 years) admitted to geriatric wards from a well-defined area over one year. Of these, 32 (33%) died (median survival 11 days), 52 (54%) returned home (median hospital stay 69 days) and 12 (13%) required long-term care (median hospital stay 164 days). Deaths and discharges showed a bimodal pattern; nearly 40% of the patients died or were discharged within 2 weeks of admission. Early death correlated with level of consciousness (P = 0.02), neurological deficit (P = 0.01) and prestroke Barthel scores (P = 0.04) on admission. Patients with right- rather than left-sided hemiparesis (P = 0.02), good motor power (P = 0.002) and without sensory deficit/inattention (P = 0.002) were discharged early. Discharge home was adversely affected by poor awareness of deficit (P = 0.02), hemianopia (P = 0.03) and incontinence (P = 0.02) assessed at 2 weeks. Stroke survivors with Barthel score < 6 and Mental Test Score < 4 at 2 weeks after stroke required long-term care.
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页码:33 / 36
页数:4
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