Sunday, August 10, 2014

Estimates of the Prevalence of Acute Stroke Impairments and Disability in a Multiethnic Population

Look at all the impairments post-stroke that I bet your doctors have no stroke protocols for. Ask them before your next stroke if they have anything at all to help you recover. And writing 3 prescriptions of E.T.( Evaluate and Treat to your physical therapist, occupational therapist and speech therapist are not really helping at all.  You really are completely on your own. And they are missing fatigue, spasticity, and central post stroke pain.
http://stroke.ahajournals.org/content/32/6/1279/T3.expansion.html
Table 3.
Age-Adjusted Prevalence Rates of Impairment and Disability by Pathological and Bamford Subtype of Stroke
Impairment TACI n=189 PACI n=250 POCI n=142 LACI n=283 PICH n=170 SAH n=77
Gaze paresis 42 (35–50) 7 (4–11) 25 (17–32) 4 (1–7) 29 (21–37) 46 (37–65)
Visual field defect 94 (90–98) 21 (16–26) 32 (24–39) 35 (26–44) 25 (0–54)
Visual neglect 67 (59–74) 25 (19–31) 17 (11–24) 31 (22–39) 48 (40–56)
Sensory inattention1 91 (86–97) 35 (29–42) 18 (11–25) 33 (23–42) 38 (38–38)
Upper limb motor deficit 100 78 (73–83) 54 (46–62) 88 (85–92) 79 (73–86) 66 (53–79)
Lower limb motor deficit 99 (98–100) 63 (57–69) 50 (42–58) 84 (80–89) 76 (69–82) 66 (53–79)
Upper limb sensory deficit 72 (65–79) 38 (31–44) 22 (15–29) 33 (28–38) 39 (31–48) 32 (9–55)
Lower limb sensory deficit 68 (60–75) 34 (28–41) 21 (14–28) 27 (21–32) 36 (28–44) 32 (9–55)
Dysphagia 81 (75–86) 33 (28–39) 34 (26–41) 26 (20–31) 62 (54–70) 68 (56–81)
Dysarthria1 85 (78–91) 49 (42–55) 44 (35–53) 54 (48–60) 54 (45–64) 5 (0–12)
Dysphasia 51 (43–58) 45 (38–51) 10 (5–15) 29 (21–37) 25 (0–53)
Urinary incontinence 87 (82–92) 37 (31–43) 38 (30–45) 25 (20–30) 70 (63–78) 71 (57–85)
Urinary catheterisation1 66 (60–73) 22 (16–27) 25 (18–33) 12 (8–15) 52 (44–60) 61 (46–77)
MMSE <241 89 (84–95) 64 (58–71) 51 (41–60) 50 (44–56) 78 (70–86) 85 (72–99)
GCS <15 69 (63–75) 37 (31–43) 35 (27–42) 15 (11–19) 63 (55–70) 82 (70–93)
GCS <9 23 (17–28) 3 (1–5) 12 (7–18) 3 (1–6) 36 (29–43) 67 (55–80)
7-d BI <202 100 80 (74–85) 77 (70–84) 73 (68–78) 96 (93–99) 94 (92–97)
7-d BI <152 95 (93–98) 59 (53–66) 54 (46–62) 50 (44–56) 87 (81–92) 90 (83–97)
7-d BI <102 90 (85–94) 35 (29–41) 36 (27–44) 32 (27–38) 70 (62–78) 76 (59–95)
  • Values are % (95% CI).
  • 1 For gaze paresis, sensory inattention, dysarthria, urinary catheterisation and MMSE were not assessed for 70 patients.
  • 2 For BI, 208 died by day 7.

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