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Outcome of Ischemic Stroke: A Five-Year Follow-Up Study

Dragutin Kadojić
Sanja Mišević
Ivanka Bradvica
Boško Barac
Davor Jančuljak
Mira Kadojić

Puni tekst: engleski, pdf (68 KB) str. 277-280 preuzimanja: 237* citiraj
APA 6th Edition
Kadojić, D., Mišević, S., Bradvica, I., Barac, B., Jančuljak, D. i Kadojić, M. (2000). Outcome of Ischemic Stroke: A Five-Year Follow-Up Study. Acta clinica Croatica, 39 (4), 277-280. Preuzeto s https://hrcak.srce.hr/14987
MLA 8th Edition
Kadojić, Dragutin, et al. "Outcome of Ischemic Stroke: A Five-Year Follow-Up Study." Acta clinica Croatica, vol. 39, br. 4, 2000, str. 277-280. https://hrcak.srce.hr/14987. Citirano 18.11.2019.
Chicago 17th Edition
Kadojić, Dragutin, Sanja Mišević, Ivanka Bradvica, Boško Barac, Davor Jančuljak i Mira Kadojić. "Outcome of Ischemic Stroke: A Five-Year Follow-Up Study." Acta clinica Croatica 39, br. 4 (2000): 277-280. https://hrcak.srce.hr/14987
Harvard
Kadojić, D., et al. (2000). 'Outcome of Ischemic Stroke: A Five-Year Follow-Up Study', Acta clinica Croatica, 39(4), str. 277-280. Preuzeto s: https://hrcak.srce.hr/14987 (Datum pristupa: 18.11.2019.)
Vancouver
Kadojić D, Mišević S, Bradvica I, Barac B, Jančuljak D, Kadojić M. Outcome of Ischemic Stroke: A Five-Year Follow-Up Study. Acta clinica Croatica [Internet]. 2000 [pristupljeno 18.11.2019.];39(4):277-280. Dostupno na: https://hrcak.srce.hr/14987
IEEE
D. Kadojić, S. Mišević, I. Bradvica, B. Barac, D. Jančuljak i M. Kadojić, "Outcome of Ischemic Stroke: A Five-Year Follow-Up Study", Acta clinica Croatica, vol.39, br. 4, str. 277-280, 2000. [Online]. Dostupno na: https://hrcak.srce.hr/14987. [Citirano: 18.11.2019.]

Sažetak
The outcome of ischemic stroke was investigated after a five-year follow-up period. The study included 175 patients, 86 (49.14%) females and 89 (50.86%) males, mean age 65.68 (range 29-88) years, who were treated at the Department of Neurology, Osijek University Hospital, for first-ever ischemic stroke during 1993. Data from the patients’ medical sheets, treatment protocols and follow-up check-ups were analyzed, also using survey questionnaires to collect data on the patients’ condition five years from discharge. The aim of the study was to identify more precise indicators of both short- and long-term outcome of ischemic stroke in the population, thus to enable comparison with data from other countries and to obtain a real estimate of ischemic stroke evolution. The following indicators were identified: deterioration of disease or progression of neurologic deficit upon hospital admission was recorded in 30.29% of patients; stroke recurrence in 30 days, in the first year and after a five-year period of first stroke was found in 5.14%, 10.62% and 21.58% of patients, respectively; global cognitive dysfunction in 30 days of disease onset was detected in 20%, and dementia syndrome after a five-year period in 31.51% of patients. Final outcome of the disease and grade of functional deficit were assessed by use of modified Rankin Scale (RS): at 30 days of admission, 13.72% of ischemic stroke patients completely recovered or were not dependent (RS 0 and 1); 32.57% of patients had mild functional deficit and were partially dependent (RS 2 and 3); 24% of patients had severe functional deficit and were completely dependent (RS 4 and 5); and 29.71% of patients died (RS 6). One-year mortality rate was 50.23%. Five years after the stroke, 8% of patients had RS 0 and 1; 20% had RS 2 and 3; 8.57% of patients had RS 4 and 5; and 63.43% of patients deceased (RS 6). In comparison with the data from developed countries, the mortality rate recorded in this study was slightly higher 30 days after hospital admission, and significantly higher at one year from hospital stay. This difference could be attributed to the lower level of hospital treatment and lower quality of post-hospital care and rehabilitation available. Other indicators such as five-year mortality, recurrence rate of stroke, and occurrence of dementia were approximately equal to the results of similar studies in developed countries. The study demonstrated the destructive impact of stroke on public health with its widespread and grave consequences that lead to functional incapacity and a drastic fall of the patient’s quality of life. However, as the study was conducted during the war, the city of Osijek being under the siege, the socioeconomic factors should, at least partially, be considered responsible for the results obtained. Nevertheless, study results call for the community to provide better conditions for the diagnosis, treatment and prevention of this devastating disease.

Ključne riječi
Cerebral infarction, epidemiology; Outcome and process assessment (health care)

Hrčak ID: 14987

URI
https://hrcak.srce.hr/14987

[hrvatski]

Posjeta: 682 *