Bell's palsy. A prospective, longitudinal, descriptive, and observational analysis of prognosis factors for recovery in Mexican patients
| Autor: | Laura, Sánchez-Chapul, Susana, Reyes-Cadena, José Luis, Andrade-Cabrera, Irma A, Carrillo-Soto, Saúl R, León-Hernández, Rogelio, Paniagua-Pérez, Hiram, Olivera-Díaz, Teresa, Baños-Mendoza, Gabriela, Flores-Mondragón, Norma A, Hernández-Campos |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Adolescent Meteorological Concepts Electric Stimulation Therapy Comorbidity Rehabilitation Centers Young Adult Risk Factors Bell Palsy Humans Prospective Studies Child Mexico Physical Therapy Modalities Aged Aged 80 and over Academies and Institutes Recovery of Function Middle Aged Prognosis Exercise Therapy Treatment Outcome Socioeconomic Factors Child Preschool Female Follow-Up Studies |
| Zdroj: | Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion. 63(4) |
| ISSN: | 0034-8376 |
| Popis: | To determine the prognosis factors in Mexican patients with Bell's palsy.We designed a prospective, longitudinal, descriptive, and observational analysis. Two hundred and fifty one patients diagnosed with Bell's palsy at the National Institute of Rehabilitation were included. We studied the sociodemographic characteristics, seasonal occurrence, sidedness, symptoms, and therapeutic options to determine the prognostic factors for their recovery.Thirty-nine percent of patients had a complete recovery and 41.5% had an incomplete recovery. Marital status, gender, etiology, symptoms, sidedness, House-Brackmann grade, and treatments did not represent significant prognostic factors for recovery. Age40 years (OR = 2.4, IC 95% 1.3-4.3, p = 0.002) and lack of physical therapy (OR = 6.4, IC 95% 1.4-29.6, p = 0.006) were significant prognostic factors for incomplete recovery. Familial palsy resulted to be a protective prognostic factor against an incomplete recovery (OR = 0.54, IC 95% 0.28-1.01, p = 0.039). This protection factor was only significant in female patients (OR = 0.41, p = 0.22) but not in male patients (OR = 1.0, p = 0.61).The proportion of cases with incomplete recovery was high. The age40 years and lack of physical therapy were the only significant prognostic factors for an incomplete recovery. |
| Databáze: | OpenAIRE |
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