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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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SHORT ORIGINAL ARTICLES
Europa Medicophysica 2000 Marzo;35(1):39-43
Rehabilitation treatment in patients with severe stroke. Prognostic factors
Iona L. G., Varnier A., Bianchi L., Pasqualini M., Deotto E.
Rehabilitation Unit, Azienda Ospedaliera S. Maria della Misericordia - Udine
BACKGROUND: The acute patient with hemiplegia following stroke represent one of the greatest challenges faced by a department of rehabilitation, because of both the high incidence of the pathology and the importance of the functional deficit in question. It is therefore essential to identify prognostic factors able to help select those patients who will derive the greatest benefits from the resources invested in the treatment.
METHODS: We studied 51 patients with the foregoing characteristics, assessing a series of variables at admission and at discharge in order to identify those with good predictive value.
RESULTS: The present study indicates that in addition to the entity of the disability at the time of transfer to rehabilitation, also nutritional status and sphincter control are important.
CONCUSIONS: Once the relationship between proteic nutritional status and independence has been established, it would appear of greater importance to concentrate on improving both aspects rather than on speculating as to the cause and effect, and by doing so break the vicious circle that would otherwise lead to a progressive decline in health and quality of life.