Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study

Objective: To examine the frequency and types of complications in patients with stroke. Design: A multicenter, prospective cohort study was performed in 327 patients with stroke (134 women, 193 men), who attended inpatient rehabilitation in nine centers. The frequency and severity of consequences an...

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Main Authors: Vilai Kuptniratsaikul, Apichana Kovindha, Sumalee Suethanapornkul, Nuttaset Manimmanakorn, Yingsumal Archongka
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/49125
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-491252018-08-16T02:15:40Z Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study Vilai Kuptniratsaikul Apichana Kovindha Sumalee Suethanapornkul Nuttaset Manimmanakorn Yingsumal Archongka Health Professions Medicine Objective: To examine the frequency and types of complications in patients with stroke. Design: A multicenter, prospective cohort study was performed in 327 patients with stroke (134 women, 193 men), who attended inpatient rehabilitation in nine centers. The frequency and severity of consequences and complications related to strokes were monitored weekly. In addition, correlations with stroke-related complications were analyzed. Results: At least one complication after a stroke was found in 232 (71.0%) patients. The mean age was 62 (± 12) yrs, and 59% were men. Shoulder subluxation was found in 37.3% with mild to moderate degree. Limb spasticity was presented in 41.6%, and almost all were a severity grade of less than 3 on the Modified Ashworth Scale. The common complications were musculoskeletal pain (32.4%), bowel/bladder dysfunction (31.5%), infection (16.5%), depression (13.8%), and anxiety (5.8%). Symptomatic urinary tract infection was found in 35 (10.7%) patients. Urinary incontinence was the most common among bowel/bladder problems (24.5%). Time since onset of stroke ≥ 1 mo (adjusted odds ratio [OR] = 2.12; 95% confidence interval [CI] = 1.07-4.17), length of stay > 21 days (adjusted OR = 2.36; 95% CI = 1.26-4.43), and anxiety score at admission ≥ 11 (adjusted OR = 6.87; 95% CI = 2.45-19.29) were statistically associated with stroke-related complications. Conclusions: Medical complications were common among patients with stroke who had been hospitalized longer, during inpatient rehabilitation and among those who had high anxiety scores. 2018-08-16T02:10:31Z 2018-08-16T02:10:31Z 2009-02-01 Journal 08949115 2-s2.0-59649107070 10.1097/PHM.0b013e3181909d5f https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=59649107070&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/49125
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Health Professions
Medicine
spellingShingle Health Professions
Medicine
Vilai Kuptniratsaikul
Apichana Kovindha
Sumalee Suethanapornkul
Nuttaset Manimmanakorn
Yingsumal Archongka
Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study
description Objective: To examine the frequency and types of complications in patients with stroke. Design: A multicenter, prospective cohort study was performed in 327 patients with stroke (134 women, 193 men), who attended inpatient rehabilitation in nine centers. The frequency and severity of consequences and complications related to strokes were monitored weekly. In addition, correlations with stroke-related complications were analyzed. Results: At least one complication after a stroke was found in 232 (71.0%) patients. The mean age was 62 (± 12) yrs, and 59% were men. Shoulder subluxation was found in 37.3% with mild to moderate degree. Limb spasticity was presented in 41.6%, and almost all were a severity grade of less than 3 on the Modified Ashworth Scale. The common complications were musculoskeletal pain (32.4%), bowel/bladder dysfunction (31.5%), infection (16.5%), depression (13.8%), and anxiety (5.8%). Symptomatic urinary tract infection was found in 35 (10.7%) patients. Urinary incontinence was the most common among bowel/bladder problems (24.5%). Time since onset of stroke ≥ 1 mo (adjusted odds ratio [OR] = 2.12; 95% confidence interval [CI] = 1.07-4.17), length of stay > 21 days (adjusted OR = 2.36; 95% CI = 1.26-4.43), and anxiety score at admission ≥ 11 (adjusted OR = 6.87; 95% CI = 2.45-19.29) were statistically associated with stroke-related complications. Conclusions: Medical complications were common among patients with stroke who had been hospitalized longer, during inpatient rehabilitation and among those who had high anxiety scores.
format Journal
author Vilai Kuptniratsaikul
Apichana Kovindha
Sumalee Suethanapornkul
Nuttaset Manimmanakorn
Yingsumal Archongka
author_facet Vilai Kuptniratsaikul
Apichana Kovindha
Sumalee Suethanapornkul
Nuttaset Manimmanakorn
Yingsumal Archongka
author_sort Vilai Kuptniratsaikul
title Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study
title_short Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study
title_full Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study
title_fullStr Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study
title_full_unstemmed Complications during the rehabilitation period in Thai patients with stroke a multicenter prospective study
title_sort complications during the rehabilitation period in thai patients with stroke a multicenter prospective study
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=59649107070&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/49125
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