Level of motor, sensory and functional impairment from stroke at admission and hospital discharge in Brazil
Level of motor, sensory and functional impairment from stroke at admission and hospital discharge in Brazil
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巴西入院和出院时中风导致的运动、感觉和功能障碍程度
DOI：
10.1080/02699052.2019.1642515
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发表时间：
2019
期刊：
影响因子：
1.9
通讯作者：
Aíla M. S. Bezerra
中科院分区：
文献类型：
--
作者：
Candice Simões Pimenta de Medeiros;T. B. F. Pacheco;F. Cavalcanti;R. O. Cacho;Aíla M. S. Bezerra
摘要主要目的：比较巴西卒中单元住院患者入院时的运动、感觉和功能障碍水平与出院时观察到的特征。设计：观察性和纵向结果研究。方法和程序：采用美国国立卫生研究院卒中量表（NIHSS）、Fugl-Meyer体力活动量表（FM）、功能独立性量表（FINS）和改良兰金量表（mRS）对41例缺血性脑卒中患者在入院和出院时进行评估，并将其分为溶栓治疗组和未溶栓治疗组。使用了威尔科克森和斯皮尔曼检验。结果如下：入院和出院评估之间存在显著差异（p <0.0001），表明接受溶栓治疗的个体临床改善。观察到总FM和总FM（ρ = 0.729; p值<.0001）、总FM和运动功能障碍（ρ = 0.705; p值<.0001）中度相关; NIHSS和总FM中度负相关（ρ =-0.709; p值<.0001）。还观察到运动神经元和总神经元之间的强相关性（ρ = 0.972; p值<.0001）。结论：临床严重程度沿着住院时间的延长而降低。临床，运动，感觉和功能表征扩大了对中风后遗症的理解，除了监测巴西这一人群的缺陷和残疾程度。
ABSTRACT Primary Objective: To compare the level of motor, sensory and functional impairment of individuals hospitalized in a stroke unit in Brazil at the time of admission and the profile observed at hospital discharge. Design: Observational and longitudinal outcome study. Methods and Procedure: We assessed 41 patients with ischemic stroke at admission and hospital discharge by using the National Institute of Health Stroke Scale (NIHSS), Fugl-Meyer Physical Performance Scale (FM), Functional Independence Measure (FIM) and Modified Rankin Scale (mRS) and divided in the group that received or not the thrombolytic therapy. Were used wilcoxon and spearman tests. Results: Significant differences were found between admission and hospital discharge assessment (p < .0001) indicating clinical improvement for individuals submitted to thrombolytic treatment. A moderate correlation was observed for total FM and total FIM (ρ = 0.729; p value<.0001); total FM and motor FIM (ρ = 0.705; p value<.0001); and a moderate negative correlation for NIHSS and total FM (ρ = −0.709; p value<.0001). Strong correlation between motor FIM and total FIM was also observed (ρ = 0.972; p value<.0001). Conclusions: Clinical severity was softened along the hospitalization period. The clinical, motor, sensory and functional characterization enlarges the understanding of the stroke sequelae, besides monitoring the deficits and the level of disability in this population in Brazil.
影响因子：
8.3
作者：
Stinear, Cathy M.;Byblow, Winston D.;Smith, Marie-Claire
通讯作者：
Smith, Marie-Claire