Document Detail

Edema of the paretic hand in elderly post-stroke nursing patients.
MedLine Citation:
PMID:  16690145     Owner:  NLM     Status:  MEDLINE    
Post-stroke edema of the paretic hand constitutes an additional, functional, and esthetic nuisance for the patient. Although often encountered in daily practice, it is not even mentioned in the stroke chapters of the various textbooks. The phenomenon is far from being elucidated and various aspects are still obscure. In this study we tried to estimate the extent of post-stroke hand edema (PSHE) in a sample of elderly patients. The study group consisted of 188 elderly post-stroke nursing patients with hemi or only hand paresis. Seventy, age matched, non-paretic patients were examined as controls. The basis of comparison was the difference in circumference between the two arms at three sites: mid-finger, hand, and wrist as measured in the control group. Values above two standard deviations (S.D.) of the mean difference in circumference of the controls, at two or three sites, were considered as edema. Edema of the paretic hand was detected in 37% of post-stroke patients. Most (about three-quarters), could be classified as simple PSHE, while the rest may have had reflex sympathetic dystrophy (RSD).
Arthur Leibovitz; Yehuda Baumoehl; Yelena Roginsky; Zahava Glick; Beni Habot; Refael Segal
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Publication Detail:
Type:  Journal Article     Date:  2006-05-11
Journal Detail:
Title:  Archives of gerontology and geriatrics     Volume:  44     ISSN:  0167-4943     ISO Abbreviation:  Arch Gerontol Geriatr     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2006-11-20     Completed Date:  2007-02-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8214379     Medline TA:  Arch Gerontol Geriatr     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  37-42     Citation Subset:  IM    
Shmuel-Ha'Rofeh Hospital, Geriatric Medical Center, P.O. Box 2, 70350 Be'er-Ya'akov, Israel.
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MeSH Terms
Aged, 80 and over
Case-Control Studies
Edema / epidemiology*,  pathology
Hemiplegia / complications*,  pathology
Paresis / complications*,  pathology
Stroke / complications*,  nursing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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