دورية أكاديمية
[Functional prognosis of stroke in countries in the process of development: Senegal].
العنوان: | [Functional prognosis of stroke in countries in the process of development: Senegal]. |
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عنوان ترانسليتريتد: | Pronostic fonctionnel des accidents vasculaires cérébraux dans les pays en voie de développement: Sénégal. |
المؤلفون: | Sène Diouf F; Service de neurologie, CHN de Fann, Dakar, Sénégal. kinsene@hotmail.com, Basse AM, Ndao AK, Ndiaye M, Touré K, Thiam A, Ndiaye MM, Diop AG, Ndiaye IP |
المصدر: | Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique [Ann Readapt Med Phys] 2006 Apr; Vol. 49 (3), pp. 100-4. Date of Electronic Publication: 2005 Dec 09. |
نوع المنشور: | Journal Article |
اللغة: | French |
بيانات الدورية: | Publisher: Elsevier Masson Country of Publication: Netherlands NLM ID: 8701687 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0168-6054 (Print) Linking ISSN: 01686054 NLM ISO Abbreviation: Ann Readapt Med Phys Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Amsterdam : Elsevier Masson Original Publication: Amsterdam, The Netherlands : Elsevier, |
مواضيع طبية MeSH: | Activities of Daily Living* , Stroke Rehabilitation*, Stroke/*mortality, Adult ; Aged ; Aged, 80 and over ; Female ; Hemiplegia/etiology ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Outpatients ; Prognosis ; Senegal ; Severity of Illness Index ; Survival Analysis |
مستخلص: | Objective: To evaluate the functional outcome in patients followed in the department of neurology of Dakar for stroke. Materials and Method: Prospective longitudinal observational study from August 2003 to May 2005 included inpatients or outpatients with stroke one month or less from entry confirmed by computed tomography scan. Patients were followed monthly for 12 months. At each visit, data on functional autonomy measured by the Barthel index and the treatments received were collected. Results: One hundred and seventy patients aged 25 to 90 years (mean 61+/-13 years) were evaluated. The sex ratio was 0.68. A total of 64.7% of strokes involved ischemic cerebral vascular accidents and 35.3% hemorrhagic vascular accidents. Right hemiplegia was present in 55.9%, left hemiplegia in 42.9% and bilateral paresis in 1.2% of patients. A total of 28.8% of patients died between d0 and d30, 50.6% within one year. At entry, the Barthel score was greater than 60 in only 4.7% of patients. After one-year follow-up, 58.3% of the patients had a Barthel score greater than 60, 19.1% had a score between 20 and 40 and 22.6% a score between 40 and 60. Only 53.5% received rehabilitation care. The parameters significantly associated with a functional recovery were age less than 55 years (P<0.05), hemorrhagic vascular accident as opposed to ischemic vascular accident (P<0.05), and earlier rehabilitation care under qualified personnel (P<0.01). Discussion: Our study shows an important rate of mortality during the first year following stroke and the rather young age of our population. The parameters associated with a better functional recovery are comparable to most of the data in the literature. The results of our study suggest that it is possible to improve functional prognosis after stroke by setting measures of prevention of the risk factors and rehabilitation in the early management of hemiplegia. |
تواريخ الأحداث: | Date Created: 20060103 Date Completed: 20060503 Latest Revision: 20161128 |
رمز التحديث: | 20240628 |
DOI: | 10.1016/j.annrmp.2005.11.006 |
PMID: | 16387385 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0168-6054 |
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DOI: | 10.1016/j.annrmp.2005.11.006 |