https://synapse.koreamed.org/search.php?where=aview&id=10.5535/arm.2017.41.2.204&code=1041ARM&vmode=FULL
Seok Beom Son, MD, Seong Yun Chung, MD, Seok Kang, MD and Joon Shik Yoon, MD, PhD | |
Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, Seoul, Korea. | |
Corresponding author: Joon Shik Yoon. Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea. Tel: +82-2-2626-1500, Fax: +82-2-2626-1513, | |
Received June 13, 2016; Accepted September 02, 2016. | |
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by- | |
Abstract
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Objective
To investigate the relationship between urinary retention and short-term functional recovery in subacute stage after stroke.
Methods
The medical records of 94 patients admitted to the rehabilitation
unit of Korea University Guro Hospital were reviewed retrospectively.
The postvoid residual urine (PVR) was measured at least once a day using
a bladder scan, and urinary retention (UR) was defined when the daily
PVR volume consistently checked more than 100 mL. Clinical data and
functional outcomes of patients in the rehabilitation ward were
collected. Functional outcomes were measured using the Mini-Mental State
Examination (MMSE), Berg Balance Scale (BBS), Functional Ambulation
Category (FAC) level, Fugl-Meyer Assessment (FMA), and Modified Barthel
Index (MBI) at admission (or transfer) and discharge. The data of
patients with and without urinary retention were compared and analyzed.
Results
Of the 94 participants, 25 patients were classified to the UR group
and 69 were classified to the non-UR group. At the initial stage of
rehabilitation, the scores of MMSE, BBS, FAC, MBI were significantly
worse in the UR group (p<0.05). Both groups showed significant
improvements of all functional outcomes after rehabilitation
(p<0.05). The non-UR group showed more prominent recovery of BBS,
FAC, MBI scores (p<0.05).
Conclusion
Urinary retention in post-stroke patients is significantly related to
the poor functional status at initial stage of rehabilitation, and also
to poor recovery after rehabilitation.
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