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Rehabilitation Practice and Science

Translated Title

腦中風病患共病症與功能恢復之影響

Abstract

Objectives: Stroke is a vital cause of acute neurological dysfunction. This study evaluated the prevalence of comorbidities and their effects on functional recovery in patients with stroke. Methods: This was a prospective study. The participants were 105 patients with acute stroke with moderate to severe functional disability who were admitted for comprehensive rehabilitation. The participants were 76 patients who underwent the Post-acute Care-Cerebrovascular Diseases program and 29 participants who accepted a regular rehabilitation program within 6 months after stroke. The effect of each comorbidity on the patients' post-hospitalization daily living activities was analyzed based on the Charlson Comorbidity Index (CCI). Results: For each 1-point increase in a patient's CCI score, there was a 0.97-point decrease in the patient's score on the Barthel Index (BI) after discharge (p = 0.013). An analysis of 19 comorbidities showed that the order of highest prevalence was diabetes (21%), prior cerebrovascular accident with mild or no residual or transient ischemic attack (17.1%), and diabetes with end-organ damage (14.3%). An analysis of the effect of the various comorbidities on the patients' daily living activities indicated that the most harmful disease was chronic pulmonary disease (leading to a decrease of discharge BI scores by 35.50 points; p = 0.004), followed by prior history of hemiplegia (leading to a decrease of discharge BI scores by 18.51 points; p = 0.002). Conclusions: Comorbidities, especially chronic pulmonary disease and hemiplegia, can affect the functional recovery and daily living activities of patients with stroke. Other comorbidities, including osteoarthritis and arrhythmia, need to be investigated. A comorbidity index should be established for patients with stroke.

Language

English

First Page

27

Last Page

35

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