지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 753 - 760 (8page)
이용수
초록· 키워드
오류제보하기
Objective To determine the incidence and risk factors for medical complications in Korean patients suffering from stroke and the impact of such complications on post-stroke functional outcomes.Methods We assessed patients enrolled in a prospective cohort study. All recruited patients had suffered a first acute stroke episode and been admitted to nine university hospitals in Korea between August 2012 and June 2015. We analyzed patient and stroke characteristics, comorbidities, prevalence of post-stroke medical complications, and functional outcomes at time of discharge and 3, 6, and 12 months after stroke onset.Results Of 10,625 patients with acute stroke, 2,210 (20.8%) presented with medical complications including bladder dysfunction, bowel dysfunction, sleep disturbance, pneumonia, and urinary tract infection. In particular, complications occurred more frequently in older patients and in patients with hemorrhagic strokes, more co-morbidities, severe initial motor impairment, or poor swallowing function. In-hospital medical complications were significantly correlated with poor functional outcomes at all time points.Conclusion Post-stroke medical complications affect functional recovery. The majority of complications are preventable and treatable; therefore, the functional outcomes of patients with stroke can be improved by providing timely, appropriate care. Special care should be provided to elderly patients with comorbid risk factors.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Brott T / 1989 / Measurements of acute cerebral infarction: a clinical examination scale / Stroke 20 : 864 ~ 870
Chang WH / 2015 / Korean Stroke Cohort for functioning and rehabilitation (KOSCO): study rationale and protocol of a multi-centre prospective cohort study / BMC Neurol 15 : 4
Charlson M / 1994 / Validation of a combined comorbidity index / J Clin Epidemiol 47 : 1245 ~ 1251
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40 : 373 ~ 383
Crum RM / 1993 / Population-based norms for the Mini-Mental State Examination by age and educational level / JAMA 269 : 2386 ~ 2391
Chang WH / 2015 / Korean Stroke Cohort for functioning and rehabilitation (KOSCO): study rationale and protocol of a multi-centre prospective cohort study / BMC Neurol 15 : 4
Charlson M / 1994 / Validation of a combined comorbidity index / J Clin Epidemiol 47 : 1245 ~ 1251
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40 : 373 ~ 383
Crum RM / 1993 / Population-based norms for the Mini-Mental State Examination by age and educational level / JAMA 269 : 2386 ~ 2391
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