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CMH Lahore Medical College and Institute of Dentistry CMH Lahore Medical College and Institute of Dentistry The Aga Khan University CMH Lahore Medical College and Institute of Dentistry The Aga Khan University CMH Lahore Medical College and Institute of Dentistry King Khaled Hospital Hail King Khaled Hospital Hail Mediciti Institute of Medical Sciences Health Promotion Bureau, Minstry of Health, Sri Lanka Queen Elizabeth Hospital King's Lynn Barnsley Hospital NHS Foundation Trust English Division of Medical University of Łódź Queen Alexandra Hospital Portsmouth Royal Hampshire County Hospital Winchester Children Hospital & The Institute of Child Health, Lahore Abstract Background Incidence of stroke is persistently increasing followed by effective medical treatment resulting in high number of stroke survivors. Post stroke recovery is critical necessitating sufficient knowledge, effective prevention and control of chronic diseases, pre-existing complications, and potential risk factors. Objective This study aimed to identify and evaluate potential risks and prognostic factors that can negatively influence post stroke rehabilitation in order to prevent, readily diagnose, and promptly manage the most common manifestations of stroke. Study Design Cross-sectional observational study conducted at Stroke Rehabilitation Center, Lahore, Pakistan with the sample size of 120 patients, selected by using convenient sampling. Results One hundred and twenty stroke survivors admitted in neurorehabilitation center (Age Mean±SD 56.9±12.2) were classified into 4 groups based on Modified Rankin scale: Mild (17.5%), Moderate (26.6%), Moderate to severe (39.1%), and severe impairment (16.6%). The major modifiable post stroke complications included depression (91%) and anxiety (84%). Acute infections (RTI n=69, 58%, UTI n=78, 65%) and poorly managed chronic disorders such as DM (n=59, 49.1%, 95% CI 0.5-2.5), HTN (n=34, 28%, 95% CI 1.7-2.5), and Kidney failure (n=12, 10%, 95% CI 0.4-3.5) were strongly associated with poor prognosis. Conclusion Incidence of stroke was found to be more common in adults (Age: Range=44-69 years, Mean=56.9) with no gender predominance. Most common post stroke complications were depression and anxiety, significantly influencing the recovery process. The severity of the post stroke neurological deficit was positively associated with the frequency of complications and poor neurorehabilitation. Knowledge of post stroke recovery process and effects of various factors on it is essential for the implication of effective clinical and rehabilitation interventions to minimize morbidity and subsequent post stroke disability. Keywords: brain injury. stroke recovery, neurorehabilitation, disability, stroke management |
