Deans' stroke musings: Influence of age and hypertension on functional performance of stroke patients in 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, November 14, 2019

Influence of age and hypertension on functional performance of stroke patients in rehabilitation

My conclusion is that YOU have a lot more work to do to get the elderly 100% recovered. YOUR job and responsibility, not the patients job.

Kanakadurga R Poduri,1 Sara ,1 Sotto Ramon2 1Department of Physical and Rehabilitation Medicine, University of Rochester Medical Center, USA Pain, Physical Medicine and Rehabilitation, USA
Correspondence: Kanakadurga R Poduri, Department of Physical and Medicine and Rehabilitation University of Rochester Medical Center, 601 Elmwood Avenue, Box 664, Rochester, NY 14642, Tel (585) the-6344, (585) 208-0629, Email
Received: May 29, 2019 | Published: July 15, 2019

Abstract

Background: The effect of age and hypertension on the functional performance of stroke patients with inpatient rehabilitation has not been studied in the past.
Objective: To examine whether advanced age and hypertension influence the functional gains of stroke patients undergoing rehabilitation.
Methods: The charts of two hundred and seventy- two patients with thromboembolic strokes from an impatient rehabilitation unit divided into five age groups (<49, 50 to 59, 60 to 69, 70 to 79 and >80 years) were reviewed. The patients’ functional progress was measured by the Functional Independence Measure (FIM) at admission (A-FIM) and at discharge (D-FIM). The difference of D-FIM from A-FIM is the gain in FIM. This gain in FIM as a fraction of the Length of Stay (LOS) is the Efficiency Ratio (ER). The differences among the averages of the five age groups of the A-FIM, D-FIM, LOS and ER for the male-female and hypertensive-non-hypertensive groups were statistically analyzed separately through the Analysis of Variance (ANOVA), the F-ratios and the Student’s t-tests. Results: Patients younger than 60 years of age had statistically significant (p<0.00004) functional progress (ER) compared to patients older than 60. Similarly, nonhypertensives 60 and younger had higher functional gains than hypertensive patients (p< 0.05) while there was no significant difference among the patients over age 60 with or without hypertension. C
Conclusion: Younger non-hypertensive patients seem to show better progress with inpatient rehabilitation.