Main Parameters of the Rehabilitation Prognosis in Stroke Patients
Study objective: to define objective parameters for assessment of rehabilitation prognosis in patients with acute cerebrovascular events (ACVE).
Design: a prospective study.
Materials and methods. An extensive analysis of clinical and instrumental investigation data of 203 stroke patients was conducted.
Data of 133 patients (65.5%) with hemispheric ischemic stroke, 40 (19.7%) with brainstem ischemic stroke, and 30 (1.8%) with hemispheric intracerebral hematoma were analyzed.
Results. This is the first time when rehabilitation subgroups of patients with ACVE were defined by the main risk factors. The significance of each risk factor for the patients with ischemic and hemorrhagic stroke was ranked. Factors that influence recovery of such patients significantly during rehabilitation were described: age, presence or absence of chronic pain, education level, date and type of stroke, place and spread of the lesion, scope of the focal changes, cerebral atrophy, leukoaraiosis, presence and degree of stenosis in the internal carotid artery circulation contra- and ipsilateral to the lesion, history of surgeries of the main head arteries, abnormal focal electroencephalographic findings, presence or absence of perifocal brain edema associated with displacement of medial structures during the acute stroke phase, and the number of the strokes.
Conclusion. Selection of rehabilitation subgroups allows differentiating approach to the assessment of recovery prognosis after stroke.
A. N. Razumov — I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia. Moscow Scientific Practical Centre of Medical Rehabilitation, Restorative and Sports Medicine of Moscow Department of Healthcare. E-mail: firstname.lastname@example.org
E. A. Melnikova — I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia. Moscow Scientific Practical Centre of Medical Rehabilitation, Restorative and Sports Medicine of Moscow Department of Healthcare. E-mail: email@example.com
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