Document Detail


Medical and neurological complications during inpatient stroke rehabilitation.
MedLine Citation:
PMID:  8303745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: We sought to assess the type, frequency, and clinical predictors of neuromedical complications occurring during inpatient rehabilitation after stroke. METHODS: One hundred consecutive patient records were reviewed. All medical and neurological complications requiring a physician's order for further evaluation or treatment were recorded. RESULTS: Complications were urinary tract infection (44 cases), depression (33), musculoskeletal pain (31), urinary retention (25), falls (25), fungal dermatitis (24), hypotension (19), diabetes mellitus (16), hypertension (15), and other neuromedical problem (194). The mean +/- SD numbers of medical and neurological complications per patient were 3.6 +/- 2 and 0.6 +/- 0.8, respectively. Complications were independently related to both the severity of functional disability as judged by Barthel score (r = -.42, P < .001) and length of rehabilitation hospital stay (r = .54, P < .001). Cardiac complications were predicted by New York Heart Association class 3 or 4 symptomatology on admission (P < .05). The age, sex, interval from stroke to rehabilitation hospital admission, and ischemic versus hemorrhagic etiology of the stroke were unrelated to the number of complications observed. Thirteen patients required transfer back to an acute-care hospital, one of whom died within 24 hours of transfer. There were no deaths on the rehabilitation unit. CONCLUSIONS: We have defined the type and frequency of neuromedical complications during inpatient rehabilitation after stroke. Their frequency varies with the severity of stroke, cardiovascular comorbidity, and length of stay.
Authors:
A Dromerick; M Reding
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  25     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-03-08     Completed Date:  1994-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  358-61     Citation Subset:  IM    
Affiliation:
Cornell University Medical College, Burke Rehabilitation Hospital, White Plains, NY.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Aged
Cerebrovascular Disorders / complications*,  physiopathology,  rehabilitation*
Dermatomycoses / complications
Diabetes Complications
Female
Humans
Hypotension / complications
Inpatients
Male
Nervous System Diseases / complications
Pain / physiopathology
Retrospective Studies
Urinary Retention / etiology
Urinary Tract Infections / complications
Comments/Corrections
Comment In:
Stroke. 1994 Oct;25(10):2096   [PMID:  8091458 ]

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


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