Faculdade de Medicina, Universidade de São Paulo, Brasil.
Cad Saude Publica. 2012 Aug;28(8):1581-90. doi: 10.1590/s0102-311x2012000800016.
We evaluated the functional dependence of stroke survivors from the Study of Stroke Mortality and Morbidity, using the Rankin Scale. Out of 355 ischemic stroke survivors (with a mean age of 67.9 years), 40% had some functional dependence at 28 days and 34.4% had some functional dependence at 6 months. Most predictors of physical dependence were identified at 28 days. These predictors were: low levels of education [illiterate vs. ≥ 8 years of education, multivariate odds ratio (OR) = 3.7; 95% confidence interval (95%CI): 1.60-8.54] and anatomical stroke location (total anterior circulation infarct, OR = 16.9; 95%CI: 2.93-97.49). Low levels of education and ischemic brain injury influenced functional dependence in these stroke survivors. Our findings reinforce the necessity of developing strategies for the rehabilitation of stroke patients, more especially in formulating specific strategies for care and treatment of stroke survivors with low socioeconomic status.
我们使用 Rankin 量表评估了来自卒中死亡率和发病率研究的卒中幸存者的功能依赖性。在 355 例缺血性卒中幸存者(平均年龄 67.9 岁)中,28 天时 40%存在一定程度的功能依赖,6 个月时 34.4%存在一定程度的功能依赖。大多数躯体依赖的预测因素在 28 天时就已确定。这些预测因素是:低教育水平(文盲与≥8 年教育,多变量比值比[OR] = 3.7;95%置信区间[95%CI]:1.60-8.54)和解剖性卒中部位(全前循环梗死,OR = 16.9;95%CI:2.93-97.49)。低教育水平和缺血性脑损伤影响了这些卒中幸存者的功能依赖性。我们的研究结果强调了为卒中患者制定康复策略的必要性,尤其是在制定针对社会经济地位较低的卒中幸存者的特定护理和治疗策略方面。