Deans' stroke musings: Multimorbidity as a predictor of functional outcomes for stroke rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 7, 2023

Multimorbidity as a predictor of functional outcomes for stroke rehabilitation

The only goal in stroke is still the same; 100% RECOVERY! Don't let your doctor use this as an excuse not to have 100% recovery protocols for you.

Multimorbidity as a predictor of functional outcomes for stroke rehabilitation

Pag. 49-50

Melnic Adrian¹², Pascal Oleg¹², Chihai Victoria¹, Cîrîm Mihail¹

¹ ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
² Diomid Gherman Institute of Neurology and Neurosurgery

Proiect:
20.80009.8007.39 Tulburări cognitive majore (demență) la pacienții cu patologie neurodegenerativă și vasculară

Disponibil în IBN: 4 decembrie 2023

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Rezumat

Introduction:

Multimorbidity, characterized by the coexistence of multiple chronic conditions, presents a significant challenge in the rehabilitation of stroke survivors. Understanding the impact of multimorbidity on functional outcomes is crucial for optimizing post-stroke care(NOT RECOVERY OR RESULTS!). This study aimed to investigate the association between multimorbidity and functional outcomes in stroke survivors undergoing rehabilitation.

Materials and Methods:

Descriptive statistics were employed to analyze data from 270 stroke survivors. Multimorbidity was assessed based on the count of chronic conditions, and its influence on functional outcomes was evaluated using the Barthel Index scores. The reported statistics included means, 95% confidence intervals, and standard deviations.

Results:

Among the stroke survivors, 95.2% had multimorbidity, with 54.4% falling into the group with fewer than four chronic conditions and 49.6% in the group with four or more conditions. The mean Barthel Index score for stroke survivors with greater than four comorbidities was 60.74 (SD ± 13.08), with a 95% confidence interval ranging from 58.51 to 62.98. In comparison, stroke survivors with fewer than four comorbidities had a mean Barthel Index score of 71.06 (SD ± 9.47), with a 95% confidence interval ranging from 69.45 to 72.67.

Conclusions:

The high prevalence of multimorbidity among stroke survivors underscores its potential negative impact on post-stroke rehabilitation outcomes. The findings suggest that stroke survivors with a greater number of comorbidities tend to have lower functional scores, indicating poorer rehabilitation outcomes.