Spectrum of Medical Complications During Stroke Rehabilitation and its Associated Risk Factors

##plugins.themes.academic_pro.article.main##

Muhammad Shoaib Anwar
Ammar Khalid
Muhammad Zohaib Anwar
Muhammad Ali Sameer
Suleman Yousaf
Muhammad Obaid Ullah Choudry
Imran khan
Roohi Khan
Abhiram Rao Damera
Dehiwattage Eroma Gayani Fernando
Bisni Basheer Nambipunnilath
Roaa Mohamed Ali Elbashir
Mitrasweetha A.Selvarajuh
MD Faijul Islam
Mehnaj Noor
Misha Anam

Abstract

Background


Incidence of stroke is persistently increasing followed by effective medical treatment resulting in high number of stroke survivors. Post stroke recovery is critical necessitating sufficient knowledge, effective prevention and control of chronic diseases, pre-existing complications, and potential risk factors.


Objective


This study aimed to identify and evaluate potential risks and prognostic factors that can negatively influence post stroke rehabilitation in order to prevent, readily diagnose, and promptly manage the most common manifestations of stroke.


Study Design


Cross-sectional observational study conducted at Stroke Rehabilitation Center, Lahore, Pakistan with the sample size of 120 patients, selected by using convenient sampling.


Results


One hundred and twenty stroke survivors admitted in neurorehabilitation center (Age Mean±SD 56.9±12.2) were classified into 4 groups based on Modified Rankin scale: Mild (17.5%), Moderate (26.6%), Moderate to severe (39.1%), and severe impairment (16.6%). The major modifiable post stroke complications included depression (91%) and anxiety (84%). Acute infections (RTI n=69, 58%, UTI n=78, 65%) and poorly managed chronic disorders such as DM (n=59, 49.1%, 95% CI 0.5-2.5), HTN (n=34, 28%, 95% CI 1.7-2.5), and Kidney failure (n=12, 10%, 95% CI 0.4-3.5) were strongly associated with poor prognosis.


Conclusion


Incidence of stroke was found to be more common in adults (Age: Range=44-69 years, Mean=56.9) with no gender predominance. Most common post stroke complications were depression and anxiety, significantly influencing the recovery process. The severity of the post stroke neurological deficit was positively associated with the frequency of complications and poor neurorehabilitation. Knowledge of post stroke recovery process and effects of various factors on it is essential for the implication of effective clinical and rehabilitation interventions to minimize morbidity and subsequent post stroke disability.


Keywords


brain injury. stroke recovery, neurorehabilitation, disability, stroke management

##plugins.themes.academic_pro.article.details##

Author Biography

Misha Anam, CMH Lahore Medical College and Institute of Dentistry CMH Lahore Medical College and Institute of Dentistry The Aga Khan University CMH Lahore Medical College and Institute of Dentistry The Aga Khan University CMH Lahore Medical College and Institute of Dentistry King Khaled Hospital Hail King Khaled Hospital Hail Mediciti Institute of Medical Sciences Health Promotion Bureau, Minstry of Health, Sri Lanka Queen Elizabeth Hospital King's Lynn Barnsley Hospital NHS Foundation Trust English Division of Medical University of Łódź Queen Alexandra Hospital Portsmouth Royal Hampshire County Hospital Winchester Children Hospital & The Institute of Child Health, Lahore

CMH Lahore Medical College and Institute of Dentistry

CMH Lahore Medical College and Institute of Dentistry

The Aga Khan University

CMH Lahore Medical College and Institute of Dentistry

The Aga Khan University

CMH Lahore Medical College and Institute of Dentistry

King Khaled Hospital Hail

King Khaled Hospital Hail

Mediciti Institute of Medical Sciences

Health Promotion Bureau, Minstry of Health, Sri Lanka

Queen Elizabeth Hospital King's Lynn

Barnsley Hospital NHS Foundation Trust

English Division of Medical University of Łódź

Queen Alexandra Hospital Portsmouth

Royal Hampshire County Hospital Winchester

Children Hospital & The Institute of Child Health, Lahore

How to Cite
Anwar, M. S., Khalid, A., Anwar, M. Z., Sameer, M. A., Yousaf, S., Choudry, M. O. U., khan, I., Khan, R., Damera, A. R., Fernando, D. E. G., Nambipunnilath, B. B., Ali Elbashir, R. M., A.Selvarajuh, M., Islam, M. F., Noor, M., & Anam, M. (2023). Spectrum of Medical Complications During Stroke Rehabilitation and its Associated Risk Factors. International Journal of Medical Science in Clinical Research and Review, 6(01), Page: 246–254. Retrieved from https://ijmscrr.in/index.php/ijmscrr/article/view/476