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Revista Uruguaya de Medicina Interna

versão impressa ISSN 2393-6797versão On-line ISSN 2393-6797


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.


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.


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.


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).


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

Palavras-chave : stroke; stroke units; rehabilitation..

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