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Advisor(s)
Abstract(s)
Foreseeing functional recovery after stroke plays a
crucial role in planning rehabilitation programs.
Objectives: To assess differences over time in functional recovery
assessed through the Barthel Index (BI) rate of change (BIRC) between
admission and discharge in stroke patients.
Methods: This is a retrospective hospital-based study of consecutive
patients with acute stroke admitted to a hospital in the Northeast
Portugal between 2010 and 2014. BIRC was computed as the
difference between the admission and discharge BI scores divided
by time in days between these assessments. General linear model
analysis stratiied by gender was used to know whether there was
an increase in BIRC during time period under study. Adjusted regression
coeficients and respective 95% conidence interval (95%CI)
were obtained.
Results: From 483 patients included in this analysis 59% (n = 285)
were male. Among women, mean BIRC was 1.8 (± 1.88) units/
day in 2010 and reached 3.7 (± 2.80) units/day in 2014. Among
men the mean BIRC in 2010 and in 2014 were similar being 3.2
(± 3.19) and 3.1 (± 3.31) units/day, respectively. After adjustment
for age, BI at admission, type and laterality of stroke we observed
an increase in BIRC over time among women such that mean BIRC
in 2014 was 0.82 (95%: 0.48; 3.69) units higher than the one observed
in 2010. No such increase in BIRC over time was observed
among men.
Conclusions: We observed an improvement in functional recovery
after stroke but only among women. Our results suggest differences
over time in clinical practice toward rehabilitation of women after
stroke.
Description
Keywords
Stroke Gender Barthel Index Change.
Citation
Gomes, Maria José; Teixeira, Cristina; Banrezes, Susana (2016). Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal. Atención Primaria. ISSN 0212-6567. 48 (espec. cong 1), p. 96-96
Publisher
Elsevier