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Clinical predictors of functional recovery at six month post stroke
Last modified: 2014-02-03
Abstract
Aim:To investigate predictors of functional recovery at six-month among Nigerians with first-ever stroke.Methods:Sixty-five individuals with first ever stroke wererecruited at stroke-onset from the University College Hospital, Ibadan,Nigeria. Stroke severity was measured using the National Institute of HealthStroke-Scale. Stroke was classified using the results of the CT scan of thebrain. The weighted-standard values of Barthel Index and Frenchay ActivitiesIndex were combined to indicate Comprehensive Activities of Daily Living(CADL). Depression and Trunk-Control (TC) were measured using the Centre forEpidemiological Scale-Depression and the Postural Assessment-Scale forStroke-Patients respectively. Measurements were taken every month for sixmonths. Data were analyzed using linear regression and survival analysis atp=0.05.Results:Fifty-five(mean age = 57.4±14.8 years, 28 males) participants completed the study; tendied within a week of stroke. Twenty-six (47.3%) had ischaemic stroke and 29(52.7%) had haemorrhagic stroke. Forty of the 55 participants were married andof the 40, 31 reported spousal support. Type of stroke (β= 7.5) and age (β=-0.4) significantly predicted functional recovery after controlling forco-morbidity (β= -2.1), brainstem lesion (β= -0.2), stroke severity (β= -0.6)and TC (β= 0.7) and depression (β= -0.1). Conclusion: Functional recovery at six-monthis better in individuals who had haemorrhagic stroke. However, functionalrecovery decreases as age increases. The combination of haemorrhagic strokewith the presence of co-morbidity predicted death after stroke.
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