SciELO - Scientific Electronic Library Online

 
vol.2 issue2Cohort study of pacients with venous thromboembolic disease assisted in ambulatory care.Study of sporadic ataxias of adult onset in Hospital de Clínicas de Montevideo - Uruguay author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797

Abstract

LOPEZ, Leticia et al. Functional Results and Complications in Assisted Patients in UDA-ACV Rehabilitation Institute of Neurology - Hospital de Clínicas. Rev. Urug. Med. Int. [online]. 2017, vol.2, n.2, pp.33-42. ISSN 2393-6797.

Introduction:

stroke is an important health problem due to its high morbidity and mortality; In Uruguay it represents the first cause of disability in the adult. Attention in interdisciplinary stoke units (SU), is associated with a decrease in morbi-mortality and improvement in independence at hospital discharged.

Objective:

evaluation of the impact of an early, protocolized and sustained rehabilitation program, at the stroke unit where rehabilitation team take part.

Material and method:

We carried out a prospective, descriptive, cohort study; with a group of SU patients (n = 79) versus historical group (HG) assisted in general hospital (n = 77). The following indicators were taken: hospitalization days, complications and functional impact of stroke.

Results:

Both samples were statistically comparable, considering α<0.05. In SU modality there was a frank reduction of extra-neurological complications (21.5% vs 58% of GH), especially of the urinary tract infections (3.8% vs. 21.8% HG) and respiratory infections (17.7% vs 27.3% HG); Mortality (5.06% vs 10.4% HG) and days of hospitalization (17.2 days vs 33.5 days of HG). The patients presented better functional results at hospital discharge requiring less prescription of technical aids: wheelchair (18% vs. 45.9% HG), walker or walking stick (18% vs 21.6% HG).

Conclusions:

the approach through an exhaustive SU modality has positive effects in patient independence, assistance quality, care and social costs.

Keywords : stroke; stroke units; rehabilitation..

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )