75岁以上患者的中风：结局与预测因素
Stroke in patients aged over 75 years: outcome and predictors.
作者信息
Kalra L, Smith D H, Crome P
机构信息
Department of Medicine for Elderly People, Bromley Hospital, UK.
出版信息
Postgrad Med J. 1993 Jan;69(807):33-6. doi: 10.1136/pgmj.69.807.33.
The outcome and predictors of stroke rehabilitation were studied prospectively in 96 patients (mean age 81.3 +/- 5.4 years) admitted to geriatric wards from a well-defined area over one year. Of these, 32 (33%) died (median survival 11 days), 52 (54%) returned home (median hospital stay 69 days) and 12 (13%) required long-term care (median hospital stay 164 days). Deaths and discharges showed a bimodal pattern; nearly 40% of the patients died or were discharged within 2 weeks of admission. Early death correlated with level of consciousness (P = 0.02), neurological deficit (P = 0.01) and prestroke Barthel scores (P = 0.04) on admission. Patients with right- rather than left-sided hemiparesis (P = 0.02), good motor power (P = 0.002) and without sensory deficit/inattention (P = 0.002) were discharged early. Discharge home was adversely affected by poor awareness of deficit (P = 0.02), hemianopia (P = 0.03) and incontinence (P = 0.02) assessed at 2 weeks. Stroke survivors with Barthel score < 6 and Mental Test Score < 4 at 2 weeks after stroke required long-term care.
对来自一个明确区域的老年病房收治的96例患者（平均年龄81.3±5.4岁）进行了为期一年的前瞻性中风康复结局及预测因素研究。其中，32例（33%）死亡（中位生存期11天），52例（54%）回家（中位住院时间69天），12例（13%）需要长期护理（中位住院时间164天）。死亡和出院呈现双峰模式；近40%的患者在入院后2周内死亡或出院。早期死亡与入院时的意识水平（P = 0.02）、神经功能缺损（P = 0.01）和中风前Barthel评分（P = 0.04）相关。右侧偏瘫而非左侧偏瘫的患者（P = 0.02）、运动能力良好的患者（P = 0.002）以及无感觉障碍/注意力不集中的患者（P = 0.002）较早出院。出院回家受到2周时评估的对功能缺损认知差（P = 0.02）、偏盲（P = 0.03）和失禁（P = 0.02）的不利影响。中风后2周时Barthel评分<6且精神测试评分<4的中风幸存者需要长期护理。
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