Medical complications after stroke - Multicenter study
Medical complications after stroke - Multicenter study
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DOI：
10.1161/01.str.31.6.1223
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发表时间：
2000-06-01
期刊：
影响因子：
8.3
通讯作者：
Murray, G
中科院分区：
文献类型：
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作者：
Langhorne, P;Stott, DJ;Murray, G
背景和目的：本前瞻性、多中心研究采用预先定义的并发症定义，确定卒中后30个月内症状性并发症的发生率。研究护士回顾了他们的进展，每周一次，直到出院，并再次在6，18和30个月后stroke.Results-complications在住院期间记录在265（85%）的中风患者。具体并发症如下：神经系统复发性卒中（9%的患者），癫痫发作（3%）;感染-尿路感染（24%），胸部感染（22%），其他（19%）;活动相关-福尔斯（25%），严重损伤的福尔斯（5%），压疮（21%）;血栓栓塞-深静脉血栓形成（2%），肺栓塞（1%）;疼痛-肩痛（9%），其他疼痛（34%）;和心理抑郁（16%），焦虑（14%），情绪化（12%），和混乱（56%）。在随访期间，感染、福尔斯、“昏厥”、疼痛以及抑郁和焦虑的症状仍然很常见。并发症在所有3个医院网站，他们的频率与患者的依赖性和持续时间stroke. Conclusions，我们的前瞻性队列研究证实，中风后并发症，特别是感染和福尔斯，是常见的。然而，我们也发现了与疼痛和认知或情感症状相关的并发症，这些并发症可能是可以预防的，但以前可能被低估了。
Background and Purpose-This prospective, multicenter study was performed to determine the frequency of symptomatic complications up to 30 months after stroke using prespecified definitions of complications.Methods-We recruited 311 consecutive stroke patients admitted to hospital. Research nurses reviewed their progress on a weekly basis until hospital discharge and again at 6, 18, and 30 months after stroke.Results-Complications during hospital admission were recorded in 265 (85%) of stroke patients. Specific complications were as follows: neurological-recurrent stroke (9% of patients), epileptic seizure (3%); infections-urinary tract infection (24%), chest infection (22%), others (19%); mobility related-falls (25%), falls with serious injury (5%), pressure sores (21%); thromboembolism-deep venous thrombosis (2%), pulmonary embolism (1%); pain-shoulder pain (9%), other pain (34%); and psychological-depression (16%), anxiety (14%), emotionalism (12%), and confusion (56%). During follow-up, infections, falls, "blackouts," pain, and symptoms of depression and anxiety remained common. Complications were observed across all 3 hospital sites, and their frequency was related to patient dependency and duration after stroke.Conclusions-Our prospective cohort study has confirmed that poststroke complications, particularly infections and falls, are common. However, we have also identified complications relating to pain and cognitive or affective symptoms that are potentially preventable and may previously have been underestimated.