Publication
Neurorehabilitation and its impact on functional status in patients who have suffered a stroke
| dc.contributor.author | Salselas, Susana | |
| dc.contributor.author | Lopez-Espuela, Fidel | |
| dc.contributor.author | Gomes, Maria José | |
| dc.contributor.author | Preto, Leonel | |
| dc.contributor.author | Rico-Martin, Sergio | |
| dc.date.accessioned | 2022-01-20T11:59:30Z | |
| dc.date.available | 2022-01-20T11:59:30Z | |
| dc.date.issued | 2020 | |
| dc.date.updated | 2022-01-04T15:53:03Z | |
| dc.description.abstract | Stroke represents the main cause of functional dependence and in the Portuguese adult population. Objective: To analyse the impact of rehabilitation on functional state and basic activities of daily life (ABVD), 8 weeks following a stroke, in a population of elderly people in north-western Portugal. Methodology: Observational, longitudinal and retrospective study. The patients were grouped into 3 groups according to the rehabilitation treatment received: non-rehabilitation (NR), light rehabilitation (RL) and intense rehabilitation (RI). Sociodemographic data, clinical variables (on stroke), hospital stay, rehabilitative treatment, and functional status (Barthel index) were collected. Results: 350 patients, with a mean age of 75.83 (± 8.02) years. The hospital stay was longer in the group of RL (19.7 [± 8.69]), RI (17.67 [± 10.05]) and of those who did not undergo rehabilitation (10.97 [± 6.96]) (P = .001). A significant increase (P < .001) was observed in the Barthel index scores from admission to 8 weeks after the stroke. Age (P = .003) and hospital stay (P = .013) were shown as risk factors for functional dependence. Similarly, taking as a reference the patients who did not undergo rehabilitation, the subjects who underwent light rehabilitation (OR: 6.37; 95% CI: 1.74-23.25; P = .005) and intensive rehabilitation (OR: 2.28; 95% CI: 1.08-4.82; P = .030), had a significantly higher risk of presenting functional dependence Conclusion: Undergoing intensive rehabilitation improves functional state and ABVD compared to light rehabilitation, 8 weeks following a stroke in elderly patients. | pt_PT |
| dc.description.abstract | El ictus representa la principal causa de dependencia funcional y en la poblaciónadulta Portuguesa.Objetivo: Aanalizar el impacto de la rehabilitación en el estado funcional y en las actividadesbásicas de la vida diaria (ABVD), tras 8 semanas de sufrir un ictus, en una población de ancianosdel noroeste de Portugal.Metodología: Estudio observacional, longitudinal y retrospectivo. Los pacientes fueron agrupa-dos en 3 grupos de acuerdo con el tratamiento rehabilitador recibido: No rehabilitación (NR),rehabilitación ligera (RL) y rehabilitación intensa (RI).Se recogieron datos sociodemográficos, variables clínicas (sobre el ictus), estancia hospita-laria, tratamiento rehabilitador, y estado funcional (Índice Barthel).Resultados: 350 pacientes con edad media de 75,83 (±8,02) a˜nos. La estancia hospitalaria fuemayor en el grupo de RL (19,7(±8,69)), RI (17,67(±10,05)) y del que no realizó rehabilitación(10,97(±6,96)), (p = 0,001).Se observó un aumento significativo (p < 0.001) en las puntuaciones del índice de Bartheldesde el ingreso hasta las 8 semanas tras el ictusLa edad (p = 0,003) y la estancia hospitalaria (p = 0,013) se presentaron como factores deriesgo de presentar dependencia funcional. De igual manera, teniendo como referencia a lospacientes que no se sometieron a rehabilitación, aquellos sujetos que realizaron rehabilitaciónligera (OR (IC 95%): 6,37 (1,74−23,25), p = 0,005) y rehabilitación intensa (OR (IC 95%): 2,28(1,08−4,82, p = 0,030), tuvieron un riesgo significativamente mayor de presentar dependenciafuncionalConclusión: la realización de una rehabilitación intensa mejora el estado funcional y las ABVDcon respecto a la rehabilitación ligera, a las 8 semanas de sufrir un ictus en pacientes ancianos. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.doi | 10.1016/j.sedene.2020.01.003 | pt_PT |
| dc.identifier.issn | 2013-5246 | |
| dc.identifier.slug | cv-prod-2103814 | |
| dc.identifier.uri | http://hdl.handle.net/10198/24794 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | Elderly | pt_PT |
| dc.subject | Dependency | pt_PT |
| dc.subject | Disability | pt_PT |
| dc.subject | Stroke | pt_PT |
| dc.subject | Neurorehabilitation | pt_PT |
| dc.title | Neurorehabilitation and its impact on functional status in patients who have suffered a stroke | pt_PT |
| dc.title.alternative | Neurorrehabilitación y su impacto en el estado funcional en pacientes que han sufrido un ictus | |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Espanha | pt_PT |
| oaire.citation.title | Revista Científica de la Sociedad Española de Enfermería Neurológica | pt_PT |
| person.familyName | Gomes | |
| person.familyName | Preto | |
| person.givenName | Maria José | |
| person.givenName | Leonel | |
| person.identifier.ciencia-id | A610-FE92-8B8B | |
| person.identifier.ciencia-id | 451C-C9C6-C5D6 | |
| person.identifier.orcid | 0000-0001-9825-8293 | |
| person.identifier.orcid | 0000-0002-8126-7051 | |
| person.identifier.rid | M-7528-2016 | |
| person.identifier.scopus-author-id | 56465995600 | |
| rcaap.cv.cienciaid | A610-FE92-8B8B | Maria José Almendra Rodrigues Gomes | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | cbdedae1-1fe4-46df-804f-51bf91b40655 | |
| relation.isAuthorOfPublication | eb6fe9f4-f8fd-495d-84f3-f49309168f95 | |
| relation.isAuthorOfPublication.latestForDiscovery | eb6fe9f4-f8fd-495d-84f3-f49309168f95 |