It is your doctor's responsibility to prevent all these complications with EXACT STROKE PROTOCOLS. They've had decades to come up with protocols, not doing so is pure incompetence. The tables at the bottom are what your doctor needs to prevent.
Spectrum of Medical Complications During Stroke Rehabilitation and its Associated Risk Factors
Authors:
Muhammad Shoaib Anwar, Ammar Khalid, Muhammad Zohaib Anwar, Muhammad Ali Sameer,
Suleman Yousaf, Muhammad Obaid Ullah Choudry, Imran khan, Roohi Khan, Abhiram Rao Damera,
Dehiwattage Eroma Gayani Fernando, Bisni Basheer Nambipunnilath, Roaa Mohamed Ali Elbashir,
Mitrasweetha A.Selvarajuh, MD Faijul Islam, Mehnaj Noor, Misha Anam
CMH Lahore Medical College and Institute of Dentistry
CMH Lahore Medical College and Institute of Dentistry
The Aga Khan University
CMH Lahore Medical College and Institute of Dentistry
The Aga Khan University
CMH Lahore Medical College and Institute of Dentistry
King Khaled Hospital Hail
King Khaled Hospital Hail
Mediciti Institute of Medical Sciences
Health Promotion Bureau, Minstry of Health, Sri Lanka
Queen Elizabeth Hospital King's Lynn
Barnsley Hospital NHS Foundation Trust
English Division of Medical University of Łódź
Queen Alexandra Hospital Portsmouth
Royal Hampshire County Hospital Winchester
Children Hospital & The Institute of Child Health, Lahore
Corresponding Author:
Misha Anam
Children Hospital & The Institute of Child Health, Lahore
Muhammad Shoaib Anwar, Ammar Khalid, Muhammad Zohaib Anwar, Muhammad Ali Sameer,
Suleman Yousaf, Muhammad Obaid Ullah Choudry, Imran khan, Roohi Khan, Abhiram Rao Damera,
Dehiwattage Eroma Gayani Fernando, Bisni Basheer Nambipunnilath, Roaa Mohamed Ali Elbashir,
Mitrasweetha A.Selvarajuh, MD Faijul Islam, Mehnaj Noor, Misha Anam
CMH Lahore Medical College and Institute of Dentistry
CMH Lahore Medical College and Institute of Dentistry
The Aga Khan University
CMH Lahore Medical College and Institute of Dentistry
The Aga Khan University
CMH Lahore Medical College and Institute of Dentistry
King Khaled Hospital Hail
King Khaled Hospital Hail
Mediciti Institute of Medical Sciences
Health Promotion Bureau, Minstry of Health, Sri Lanka
Queen Elizabeth Hospital King's Lynn
Barnsley Hospital NHS Foundation Trust
English Division of Medical University of Łódź
Queen Alexandra Hospital Portsmouth
Royal Hampshire County Hospital Winchester
Children Hospital & The Institute of Child Health, Lahore
Corresponding Author:
Misha Anam
Children Hospital & The Institute of Child Health, Lahore
ABSTRACT:
Background: Incidence of stroke is persistently increasing followed by effective medical treatment resulting in high number of stroke survivors. Post stroke recovery is critical necessitating sufficient knowledge, effective prevention and control of chronic diseases, pre-existing complications, and potential risk factors. Objective: This study aimed to identify and evaluate potential risks and prognostic factors that can negatively influence post stroke rehabilitation in order to prevent, readily diagnose, and promptly manage the most common manifestations of stroke. Study Design: Cross-sectional observational study conducted at Stroke Rehabilitation Center, Lahore, Pakistan with the sample size of 120 patients, selected by using convenient sampling. Results: One hundred and twenty stroke survivors admitted in neurorehabilitation center (Age Mean±SD 56.9±12.2) were classified into 4 groups based on Modified Rankin scale: Mild (17.5%), Moderate (26.6%), Moderate to severe (39.1%), and severe impairment (16.6%). The major modifiable post stroke complications included depression (91%) and anxiety (84%). Acute infections (RTI n=69, 58%, UTI n=78, 65%) and poorly managed chronic disorders such as DM (n=59, 49.1%, 95% CI 0.5-2.5), HTN (n=34, 28%, 95% CI 1.7-2.5), and Kidney failure (n=12, 10%, 95% CI 0.4-3.5) were strongly associated with poor prognosis. Conclusion: Incidence of stroke was found to be more common in adults (Age: Range=44-69 years, Mean=56.9) with no gender predominance.
Most common post stroke complications were depression and anxiety, significantly influencing the recovery process. The severity of the post stroke neurological deficit was positively associated with the frequency of complications and poor neurorehabilitation. Knowledge of post stroke recovery process and effects of various factors on it is essential for the implication of effective clinical and rehabilitation interventions to minimize morbidity and subsequent post stroke disability.
Background: Incidence of stroke is persistently increasing followed by effective medical treatment resulting in high number of stroke survivors. Post stroke recovery is critical necessitating sufficient knowledge, effective prevention and control of chronic diseases, pre-existing complications, and potential risk factors. Objective: This study aimed to identify and evaluate potential risks and prognostic factors that can negatively influence post stroke rehabilitation in order to prevent, readily diagnose, and promptly manage the most common manifestations of stroke. Study Design: Cross-sectional observational study conducted at Stroke Rehabilitation Center, Lahore, Pakistan with the sample size of 120 patients, selected by using convenient sampling. Results: One hundred and twenty stroke survivors admitted in neurorehabilitation center (Age Mean±SD 56.9±12.2) were classified into 4 groups based on Modified Rankin scale: Mild (17.5%), Moderate (26.6%), Moderate to severe (39.1%), and severe impairment (16.6%). The major modifiable post stroke complications included depression (91%) and anxiety (84%). Acute infections (RTI n=69, 58%, UTI n=78, 65%) and poorly managed chronic disorders such as DM (n=59, 49.1%, 95% CI 0.5-2.5), HTN (n=34, 28%, 95% CI 1.7-2.5), and Kidney failure (n=12, 10%, 95% CI 0.4-3.5) were strongly associated with poor prognosis. Conclusion: Incidence of stroke was found to be more common in adults (Age: Range=44-69 years, Mean=56.9) with no gender predominance.
Most common post stroke complications were depression and anxiety, significantly influencing the recovery process. The severity of the post stroke neurological deficit was positively associated with the frequency of complications and poor neurorehabilitation. Knowledge of post stroke recovery process and effects of various factors on it is essential for the implication of effective clinical and rehabilitation interventions to minimize morbidity and subsequent post stroke disability.
No comments:
Post a Comment