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2014, Number 2

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Rev cubana med 2014; 53 (2)

Complications in hemiplegic stroke patients

Lombillo LLM, Martínez SS, Serra VY, Rodríguez ML

Language: Spanish
References: 19
Page: 134-143
PDF size: 115.77 Kb.


ABSTRACT

Introduction: stroke is the third leading cause of death and the first cause of disability in developed world. The motor sequelae are the leading cause of disability and hemiplegia is its most common form. Complications may exacerbate motor sequelae.
Objective: to identifie complications in hemiplegic stroke patients and their behavior in relation to the associated clinical factors.
Methods: 110 patients with a diagnosis of stroke and hemiplegia as main sequel were studied. Independent variables were considered (demographics, states associated comorbidity, type of stroke, duration, severity of neurological damage and disability) as well as dependent variables (presence and types of complications). The information was processed by the mean for quantitative variables and percentages for qualitative variables. 95 % Ic was worked and the chi-square method was used for the analysis of statistical significance.
Results: 73.63 % of the patients suffered some kind of complications. The most frequent were depression, shoulder pain, epilepsy, and musculoskeletal contractures. The main factors associated with the presence of complications were stroke type and degree of disability.
Conclusions: complications in hemiplegic patient due to stroke are frequent and invalidating. It is important to prevent possible complications and to recognize other less preventable, so as to implement the appropriate therapeutic measures. They stand as associated clinical factors, stroke type and degree of disability.


REFERENCES

  1. Lisabeth LD, Howard G. The current state and future of stroke: introduction. Stroke. 2013 Jun.;44(6 Suppl 1):S122.

  2. República de Cuba. Minsap. Anuario Estadístico de Salud Pública. Cuba, 2004. [citado 5 Abr. 2014]. Disponible en: http://www.sld.cu/sitios/dne/temas.php?idv=3264

  3. Buergo MA, Fernández Concepción O. Guía de práctica clínica. Enfermedad cerebrovascular. La Habana: Editorial Ciencias Médicas; 2009.

  4. Alberdi Odriozola F, Iriarte Ibarrarán M, Mendía Gorostidi A, Murgialdai A, Marco Garde P. Prognosis of the sequels after brain injury. Med Intensiva. 2009 May.;33(4):171-81.

  5. Yashin A, Akushevich I, Ukraintseva S, Akushevich L, Arbeev K, Kulminski A. Trends in survival and recovery from stroke: evidence from the National Long-Term Care Survey/Medicare data. Stroke. 2010 Mar.;41(3):563-5.

  6. Pinedo S, Miguel de la Villa F. Valor de la clasificación MSH en el paciente hemipléjico tras un ictus. Rev Neurol. 2000;31(12):1151-4.

  7. Prescott RJ. Predicting functional outcome following acute stroke using a standard clinical examination. Stroke. 1982;13:641-7.

  8. Abubakar SA, Isezuo SA. Health related quality of life of stroke survivors: experience of a stroke unit. Int J Biomed Sci. 2012 Sep.;8(3):183-7.

  9. Pezzini A, Grassi M, Del Zotto E, Giossi A, Volonghi I, Costa P, et al. Complications of acute stroke and the occurrence of early seizures. Cerebrovasc Dis. 2013;35(5):444-50.

  10. Hennerici MG, Shinohara Y. Comparison of Stroke Guidelines: Similarities and Differences between Japanese and European Recommendations for the Management and Prevention of Acute Ischemic and Hemorrhagic Strokes. Cerebrovasc Dis. 2013;35(5):399-401.

  11. Laurent K, De Sèze MP, Delleci C, Koleck M, Dehail P, Orgogozo JM, et al. Assessment of quality of life in stroke patients with hemiplegia. Ann Phys Rehabil Med. 2011 Sep.;54(6):376-90.

  12. Verheyden GS,Weerdesteyn V,Pickering RM, Kunkel D,Lennon S, Geurts ACh, et al. Interventions for preventing falls in people after stroke. Cochrane Database Syst Rev. 2013 May.;31(5). CD008728.

  13. Hama S, Yamashita H, Yamawaki S, Kurisu K. Post-stroke depression and apathy: Interactions between functional recovery, lesion location, and emotional response. Psychogeriatrics. Mar. 2011;11(1):68-76.

  14. Smith M. Management of hemiplegic shoulder pain following stroke. Nurs Stand. 2012 Jul. 4-10;26(44):35-44.

  15. Viana R, Pereira S, Mehta S, Miller T, Teasell R. Evidence for therapeutic interventions for hemiplegic shoulder pain during the chronic stage of stroke: a review. Top Stroke Rehabil. 2012 Nov.-Dic.;19(6):514-22.

  16. Rodríguez Mutuberría L, Serra Valdés Y, Pérez Parra S, Palmero Camejo R. La espasticidad como secuela de la enfermedad cerebrovascular. Rev Cubana Med [revista en la Internet]. 2004 Jun. [citado 21 Dic. 2013];43(2-3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232004000200008&lng=es

  17. Flaster M, Meresh E, Rao M, Biller J. Central poststroke pain: current diagnosis and treatment. Top Stroke Rehabil. 2013 Mar.-Abr.;20(2):116-23.

  18. Bender del Busto JE, Álvarez González E, Rodríguez Mutuberría L. Enfermedad cerebrovascular y epilepsia. Análisis casuístico del CIREN. Rev Mex Neuroci. 2006;7(4):325-9.

  19. Mencías Hurtado AB, Ruiz Fernández MA. El ictus, factor de riesgo de fracturas. JANO 11-17 may. 2007. No. 1.651: [citado 5 Abr. 2014]. Disponible en: http://test.elsevier.es/ficheros/sumarios/1/0/1651/39/1v0n1651a13102177 pdf001.pdf




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