How Many Patients Become Functionally Dependent after a Stroke? A 3-Year Population-Based Study in Joinville, Brazil.

Autor: de Campos LM; Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil., Martins BM; Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil., Cabral NL; Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.; Joinville Stroke Registry, University of Joinville Region, Joinville, Santa Catarina, Brazil., Franco SC; Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil., Pontes-Neto OM; Department of Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., Mazin SC; Department of Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., Dos Reis FI; Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2017 Jan 20; Vol. 12 (1), pp. e0170204. Date of Electronic Publication: 2017 Jan 20 (Print Publication: 2017).
DOI: 10.1371/journal.pone.0170204
Abstrakt: The decrease in stroke mortality will increase the burden of survivors with functional dependence (FD). The aim of this study was to evaluate how many patients become functionally dependent over 3 years after an incident event in Joinville, Brazil. The proportion of FD (defined as a modified Rankin score 3 to 5) among stroke survivors from the Joinville Stroke Registry was assessed using a validated telephone interview. Incidence of FD after stroke in Joinville in one year was 23.24 per 100,000 population. The overall proportion of FD among stroke survivors at discharge was 32.7%. Of 303 patients with first-ever ischaemic stroke (IS), one-third were FD at discharge, and 12%, 9% and 8%, respectively at 1, 2 and 3 years. Among 37 patients with haemorrhagic stroke (HS), 38% were dependent at discharge, 16% after 1 and 2 years and 14% after 3. Among 27 patients with subarachnoid haemorrhage (SAH), 19% were dependent at discharge and 4% from 1 to 3 years. Among IS subtypes, cardioembolic ones had the worst risk of FD. (RR 19.8; 95% CI: 2.2 to 175.9). Our results showed that one-third of stroke survivors have FD during the first year after stroke in Brazil. Therefore, a city with half a million people might expect 120 new stroke patients with FD each year.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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