Educational levels and the functional dependence of ischemic stroke survivors

被引:27
作者
Fernandes, Tiotrefis G. [1 ,2 ]
Goulart, Alessandra C. [1 ,3 ]
Santos-Junior, Waldyr R. [1 ]
Alencar, Airlane P. [4 ]
Bensenor, Isabela M. [1 ,3 ]
Lotufo, Paulo A. [1 ,3 ]
机构
[1] Univ Sao Paulo, Fac Med, BR-05508000 Sao Paulo, Brazil
[2] Univ Fed Amazonas, Inst Saude & Biotecnol, Coari, Brazil
[3] Univ Sao Paulo, Univ Hosp, Sao Paulo, Brazil
[4] Univ Sao Paulo, Inst Matemat & Estatist, BR-05508000 Sao Paulo, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2012年 / 28卷 / 08期
基金
巴西圣保罗研究基金会;
关键词
Stroke; Educational Status; Outcome Assessment (Health Care); MODIFIED RANKIN SCALE; RISK-FACTORS; SOCIOECONOMIC-STATUS; STRUCTURED INTERVIEW; OUTCOME MEASURES; CASE-FATALITY; SUBTYPES; BRAZIL; MORTALITY; PROGNOSIS;
D O I
10.1590/S0102-311X2012000800016
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We evaluated the functional dependence of stroke survivors from the Study of Stroke Mortality and Morbidity, using the Rankin Scale. Out of 355 ischemic stroke survivors (with a mean age of 67.9 years), 40% had some functional dependence at 28 days and 34.4% had some functional dependence at 6 months. Most predictors of physical dependence were identified at 28 days. These predictors were: low levels of education [illiterate vs. >= 8 years of education, multivariate odds ratio (OR) = 3.7; 95% confidence interval (95%CI): 1.60-8.54] and anatomical stroke location (total anterior circulation infarct, OR = 16.9; 95%CI: 2.93-97.49). Low levels of education and ischemic brain injury influenced functional dependence in these stroke survivors. Our findings reinforce the necessity of developing strategies for the rehabilitation of stroke patients, more especially in formulating specific strategies for care and treatment of stroke survivors with low socioeconomic status.
引用
收藏
页码:1581 / 1590
页数:10
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