Comparison studies on recovery outcomes in ischemic (IS) and hemorrhagic strokes (HS) have yielded mixed results. In this retrospective observational study of consecutive IS and HS patients, we aimed at evaluating functional outcomes at discharge from an intensive rehabilitation hospital, comparing IS vs. HS, analyzing possible predictors. Modified Rankin Scale (mRS) at discharge was the main outcome. Out of the 229 patients included (mean age 72.9 +/- 13.9 years, 48% males), 81 had HS (35%). Compared with IS (n = 148), HS patients were significantly younger (75 +/- 12.5 vs. 68.8 +/- 15.4 years, p = 0.002), required longer hospitalizations both in acute (23.9 +/- 36.7 vs. 35.2 +/- 29.9 days, p = 0.019) and rehabilitation hospitals (41.5 +/- 31.8 vs. 77.2 +/- 51.6 days, p = 0.001), and had more severe initial clinical deficit (mean number of neurological impairments: 2.0 +/- 1.1 vs. 2.6 +/- 1.4, p = 0.001) and mRS scores at admission (p = 0.046). At discharge, functional status change, expressed as mRS, was not significantly different between IS and HS (F = 0.01, p = 0.902), nor was the discharge destination (p = 0.428). Age and clinical severity were predictors of functional outcome in both stroke types. On admission in an intensive rehabilitation hospital, HS patients presented a worse functional and clinical status compared to IS. Despite this initial gap, the two stroke types showed an overlapped trajectory of functional recovery, with age and initial stroke severity as the main prognostic factors.

Comparison between Ischemic and Hemorrhagic Strokes in Functional Outcome at Discharge from an Intensive Rehabilitation Hospital / E. Salvadori, G. Papi, G. Insalata, V. Rinnoci, I. Donnini, M. Martini, C. Falsini, B. Hakiki, A. Romoli, C. Barbato, P. Polcaro, F. Casamorata, C. Macchi, F. Cecchi, A. Poggesi. - In: DIAGNOSTICS. - ISSN 2075-4418. - 11:1(2020), pp. 38.1-38.12. [10.3390/diagnostics11010038]

Comparison between Ischemic and Hemorrhagic Strokes in Functional Outcome at Discharge from an Intensive Rehabilitation Hospital

E. Salvadori
Primo
;
2020

Abstract

Comparison studies on recovery outcomes in ischemic (IS) and hemorrhagic strokes (HS) have yielded mixed results. In this retrospective observational study of consecutive IS and HS patients, we aimed at evaluating functional outcomes at discharge from an intensive rehabilitation hospital, comparing IS vs. HS, analyzing possible predictors. Modified Rankin Scale (mRS) at discharge was the main outcome. Out of the 229 patients included (mean age 72.9 +/- 13.9 years, 48% males), 81 had HS (35%). Compared with IS (n = 148), HS patients were significantly younger (75 +/- 12.5 vs. 68.8 +/- 15.4 years, p = 0.002), required longer hospitalizations both in acute (23.9 +/- 36.7 vs. 35.2 +/- 29.9 days, p = 0.019) and rehabilitation hospitals (41.5 +/- 31.8 vs. 77.2 +/- 51.6 days, p = 0.001), and had more severe initial clinical deficit (mean number of neurological impairments: 2.0 +/- 1.1 vs. 2.6 +/- 1.4, p = 0.001) and mRS scores at admission (p = 0.046). At discharge, functional status change, expressed as mRS, was not significantly different between IS and HS (F = 0.01, p = 0.902), nor was the discharge destination (p = 0.428). Age and clinical severity were predictors of functional outcome in both stroke types. On admission in an intensive rehabilitation hospital, HS patients presented a worse functional and clinical status compared to IS. Despite this initial gap, the two stroke types showed an overlapped trajectory of functional recovery, with age and initial stroke severity as the main prognostic factors.
functional recovery; hemorrhagic stroke; ischemic stroke; rehabilitation; stroke
Settore MED/26 - Neurologia
Settore M-PSI/02 - Psicobiologia e Psicologia Fisiologica
2020
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1008734
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