Neurologic and functional long-term outcome after carotid endarterectomy
| Autor: | Mirosław Stelągowski, Anna Kasielska-Trojan, Andrzej Glabinski, Piotr Kaźmierski, Katarzyna Bogusiak |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Health Status Life quality Carotid endarterectomy Modified Rankin Scale Risk Factors medicine Humans Carotid Stenosis cardiovascular diseases Internal carotid artery stenosis Stroke Endarterectomy Aged Nihss score Neurologic Examination Endarterectomy Carotid business.industry Stroke scale Rehabilitation Middle Aged medicine.disease Treatment Outcome Physical therapy Quality of Life Consciousness Disorders Surgery Female Neurology (clinical) Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 23(4) |
| ISSN: | 1532-8511 |
| Popis: | The aim of this research was to assess the neurologic status of patients a year after endarterectomy with the use of National Institutes of Health Stroke Scale (NIHSS) and the degree of disability using the modified Rankin Scale (mRS) and to examine the patients' subjective evaluation of their health.One hundred two patients with symptomatic internal carotid artery stenosis who underwent endarterectomy and attended a 1-year follow-up examination were enrolled in the study. The material comprised 72 (70.6%) men and 30 (29.4%) women. Before the surgery, the patients' neurologic status was assessed according to the NIHSS, and their functional status was rated with the mRS. Additionally, the patients were asked to assess their life quality on a 10-point Likert scale.The mean NIHSS score before the operation was 2.76 points (SD 2.47), whereas a year after it was 2.05 points (SD 1.84) (P.0001). The NIHSS scores that improved significantly a year after endarterectomy were level of consciousness-questions and commands, motor leg, and sensory (P.05).The patients' neurologic status assessed with the NIHSS improved significantly 1 year after carotid endarterectomy mostly because of the improvement in their verbal and motor communication ability, physical condition and agility, and reduction in sensory disturbances. The observed changes in the neurologic status were reflected in the functional status and subjective life quality assessment, which appeared to be significantly better a year after the surgical treatment. |
| Databáze: | OpenAIRE |
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