Monitoring after the acute stage of stroke: a prospective study

Details

Serval ID
serval:BIB_86590900F493
Type
Article: article from journal or magazin.
Collection
Publications
Title
Monitoring after the acute stage of stroke: a prospective study
Journal
Stroke
Author(s)
Rocco A., Pasquini M., Cecconi E., Sirimarco G., Ricciardi M. C., Vicenzini E., Altieri M., Di Piero V., Lenzi G. L.
ISSN
1524-4628 (Electronic)
ISSN-L
0039-2499
Publication state
Published
Issued date
04/2007
Peer-reviewed
Oui
Volume
38
Number
4
Pages
1225-8
Language
english
Notes
Rocco, Andrea
Pasquini, Marta
Cecconi, Emanuella
Sirimarco, Gaia
Ricciardi, Maria C
Vicenzini, Edoardo
Altieri, Marta
Di Piero, Vittorio
Lenzi, Gian L
eng
Stroke. 2007 Apr;38(4):1225-8. doi: 10.1161/01.STR.0000259659.91505.40. Epub 2007 Feb 22.
Abstract
BACKGROUND AND PURPOSE: In the early stage of stroke, the occurrence of neurologic and medical complications is associated with clinical deterioration. Previous studies were focused on the first week after stroke onset. The aim of this study was to evaluate the impact of complications on clinical outcome in patients with stroke in the early subacute stage. METHODS: We prospectively evaluated the influence on the outcome of complications feasible (MC) and not feasible for monitoring (NMC) in all patients with stroke admitted consecutively in our subacute stroke unit. Patients were divided into three classes according to stroke severity evaluated by the National Institutes of Health Stroke Scale score. A change in the National Institutes of Health Stroke Scale score group from admission to discharge was considered clinically significant. RESULTS: We included 261 patients. Sixty percent of patients had complications (105 MC, 118 NMC). Hyperthermia (OR=14.12; 95% CI: 6.01 to 33.20), urinary infections (OR=4.92; 95% CI: 2.19 to 11.04), hypertension (OR=2.86; 95% CI: 1.21 to 6.76), hypoxia (OR=15.75; 95% CI: 6.73 to 36.84), and neuroradiologic damage progression (OR=58.31; 95% CI, 19.48 to 174.55) were associated with a change to a more severe class at discharge and with a higher risk of mortality. CONCLUSIONS: A high percentage of patients can develop both MC and NMC during this subacute stage of stroke. The occurrence of complications influences outcome and raises the question about the need for a prolonged stay in a dedicated ward for patients with stroke.
Keywords
Acute Disease, Aged, Aged, 80 and over, Comorbidity, Disease Progression, Female, Fever/diagnosis/epidemiology, Humans, Hypertension/diagnosis/epidemiology, Hypoxia/diagnosis/epidemiology, Intensive Care Units/standards/*statistics & numerical data/*trends, Length of Stay/statistics & numerical data/trends, Male, Middle Aged, Monitoring, Physiologic/standards/*statistics & numerical data/*trends, Mortality, Prospective Studies, Risk Factors, Stroke/*mortality, Urinary Tract Infections/diagnosis/epidemiology
Pubmed
Open Access
Yes
Create date
28/02/2018 14:47
Last modification date
20/08/2019 14:45
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