Depression and ischemic stroke: Descriptive study about 50 patients

2021 ◽  
Vol 429 ◽  
pp. 119713
Author(s):  
Syrine Brahim ◽  
Walid Bouali ◽  
Mohamed Kacem ◽  
Rim Ben Soussia ◽  
Samia Younes ◽  
...  
2021 ◽  
Vol 15 (11) ◽  
pp. 3004-3006
Author(s):  
Rabia Rathore ◽  
Nasir Farooq Butt ◽  
Adil Iqbal ◽  
Hina Latif ◽  
Mariam Azeem ◽  
...  

Aim: To study the relationship of Iron Deficiency anemia (IDA) with severity of acute ischemic stroke. Study Design: A cross-sectional descriptive study. Place & Duration of Study: Department of Medicine, Mayo Hospital, Lahore from March 2020 to February 2021 Methods: A descriptive study of cross-sectional type was done on 200 individuals who had acute ischemic stroke (AIS) and were hospitalized at Mayo Hospital Lahore. Consecutive non-probability convenience sampling method was used to gather the data. Severity of stroke was assessed at the time of admission using the National Institute of Health Stroke Scale, (NIHSS) at the same time blood complete examination along with peripheral blood film was done to diagnose anemia in these patients. Iron studies were done to diagnose iron deficiency anemia (IDA). P-value less than 0.05 was taken as significant. Results: About 200individuals presenting with AIS were enrolled in the research work. Anemia according to World Health Organization was seen in 80(40%) and was not present in 120(60%) patients. Among the subjects who had anemia, 16(20%) had a minor AIS, 23(28.75%) had a moderately severe AIS, and 41(51.25%) reported with a severe AIS, according to NIHSS criteria. A notable relationship was found to exist between anemia and stroke severity, (P-value 0.000). Conclusion: Anemia was a commonly found in individuals with acute stroke due to ischemia and had direct relation with severity of stroke. Keywords: Iron deficiency Anemia, severity, ischemic stroke.


2021 ◽  
Author(s):  
Gustavo Di Lorenzo Villas Boas ◽  
Maiara Silva Tramonte ◽  
Ana Claudia Pires Carvalho ◽  
Ana Elisa Vayego Fornazari ◽  
Marcos Minicucci ◽  
...  

Background: stroke is the second leading cause of death and disability worldwide. The most significant factors for early mortality are age, severity of stroke (NIH stroke scale), atrial fibrillation (AF) and hypertension. Objective: elucidate the factors correlated with unfavorable outcome and mortality after ischemic stroke. Design/Setting: retrospective descriptive study conducted at the Botucatu Medical School Hospital. Methods: this study included 515 stroke patients, aged at least 18, admitted to ICU and stroke-unit between January/2017-December/2018. Baseline data, comorbidities and risk factors were collected and relation to unfavorable outcome and in-hospital mortality were evaluated. Unfavorable outcome was defined as dependency (modified Rankin Scale mRs 4–5). Results: overall, in-hospital mortality rate was 15% (77) and unfavorable outcome 36.7% (189). The patients average age was 69.18±13.08, and NIHSS at admission 9.27±8.41. NIHSS at admission and pre-morbid mRs were independently associated with unfavorable outcome, as each NIHSS point was responsible for 22% outcome increase. Both higher NIHSS and AF were independently associated with in-hospital mortality, increasing the death risk 19% and 3.5 times respectively. Conclusion: the main factor associated with overall in-hospital mortality and unfavorable outcome was stroke severity.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pricyllia Tumeleng ◽  
Theresia Runtuwene ◽  
Mieke Kembuan

Abstract: Stroke is the number one cause of disability and number two cause of death in the world. This disease has now become a serious health problem and is more common in developing countries. The increasing incidence of stroke is closely related to smoking as a lifestyle for most people. Smokers increase the risk of stroke by two to four times compared with those who did not smoke. This study aims to determine the distribution of the smoking habit frequency in ischemic stroke’s patients. This is a descriptive study. The population in this study are all ischemic stroke patients hospitalized in neurology department of Prof. Dr. R. D. Kandou hospital on November to December 2014 with a total sample of 42 patients with ischemic stroke. The results showed that most patients are male which there are 25 patients ( 59.5 % ), most of the patients are aged 46-55 years and 56-65 years were 13 patients ( 31 % ) , 57.1 % of patients as active smokers and 42.9 % are passive smokers, 83.4 % of patients with smoking duration >5 years, 70.8 % of patients smoked 11-20 cigarettes per day, 66.7 % of patients taking cigarettes filters, and 97.6 % had other risk factors other than smoking . Health workers are expected to provide counseling about the dangers of smoking, especially for those at risk of stroke.Keywords: ischemic stroke, smokingAbstrak: Penyakit stroke adalah penyebab cacat nomor satu dan penyebab kematian nomor dua didunia. Penyakit ini kini telah menjadi masalah kesehatan yang serius dan lebih sering terjadi di Negara-negara berkembang. Meningkatnya angka kejadian stroke berhubungan erat dengan merokok sebagai gaya hidup pada sebagian besar orang. Perokok meningkatkan resiko terjadinya stroke hingga dua sampai empat kali dibandingkan dengan mereka yang tidak merokok. Penelitian ini bertujuan untuk mengetahui distribusi frekuensi kebiasaan merokok pasien stroke iskemik. Penelitian ini bersifat deskriptif. Populasi dalam penelitian ini adalah seluruh pasien stroke iskemik yang di rawat inap di bagian neurologi RSU Prof. Dr. R. D. Kandou periode November sampai Desember 2014 dengan jumlah sampel sebanyak 42 pasien stroke iskemik. Hasil penelitian menunjukkan jenis kelamin yang terbanyak laki-laki yaitu sebanyak 25 pasien (59,5%), umur pasien sebagian besar 46-55 tahun dan 56-65 tahun sebanyak 13 pasien (31%), sebanyak 57,1% pasien sebagai perokok aktif dan 42,9% sebagai perokok pasif, 83,4% pasien dengan lama merokok >5 tahun, 70,8% pasien merokok sebanyak 11-20 batang perhari, 66,7% pasien mengkonsumsi rokok filter, dan 97,6% memiliki faktor risiko lain selain merokok. Tenaga kesehatan diharapkan dapat memberikan konseling tentang bahaya rokok terutama bagi mereka yang berisiko terkena serangan stroke.Kata kunci: stroke iskemik, merokok


2017 ◽  
pp. 64-74
Author(s):  
Long Nhon Phan ◽  
khanh Hoang ◽  
Van Minh Huynh

Objective: To survey the level of vWF VCAM-1, MCP-1, D-Dimer and evaluate the clinical severity prognosis of vWF, VCAM-1, MCP-1, D-dimer biomarker complex in acute ischemic stroke. Subjects and methods: A cross-sectional descriptive study, which compares between 50 patients of acute ischemic stroke and 40 healthy controls. Results: 1. The average concentration of vWF, VCAM-1, MCP-1, D-Dimer of acute ischemic stroke and controled groups were: vWF 177.80 ± 6.90MU/ml patient/148.98±19.04MU/ml control; VCAM-1 53.79±3.33ng/ml patient/43.91 ± 4.77 control; MCP-1 357.37 ± 111.03pg/ml patient/190.80 ± 51.6 pg/ml control, and D-Dimer 1016.72 ± 524.06ng/ml patient, 329.40 ± 90.16ng/ml control, p<0.001. 2. The vWF, VCAM-1, MCP-1, D-Dimer biomarker complex had a high value in prediction of clinical severity level and clinical severity progression after 48 hours of symptom onset of acute iskemic stroke. The prognostic value of clinical severity progression after 48 hours was the highest with 81.61% sensitivity, 81.42% specificity, 77.17% positive predictive value, 85.19% negative predictive value, p> 0.001, OR = 19.44. Conclusion: Concentrations of vWF, VCAM-1, MCP-1, D-Dimer increased in patients with acute ischemic stroke. The vWF, VCAM-1, MCP1, D-Dimer biomarker complex had a high value in prognosis with high sensitivity and high specificity.


2011 ◽  
Vol 5 (4) ◽  
pp. 974
Author(s):  
Marcos Helton Morais Benigno ◽  
Daniela Doulavince Amador ◽  
Ankilma Nascimento Andrade ◽  
Fátima Sonally de Sousa Gondim

ABSTRACTObjective: to evaluate the care given by nurses to patients with sequels of isquemic stroke and investigate their knowledge about that pathology. Method: this is about an exploratory and descriptive study, with quantitative approach. Twelve nurses participated in the study and answered a questionnaire on May, 2010; then, the data was analyzed and presented in charts and pictures. The study was approved by the Ethic Committee of Santa Maria College, protocol 44402/2010. Results: all of the nurses who participated in the research considered that avoiding the appearance of multiple complications is the main assistance from nurses to patients with sequels of ischemic stroke. Regarding the self care, 66,7%  of the nurses said they estimulate the stablishment of realistic targets to patients. Regarding the preservation of the skin integrity, the decubitus change every two hours was an unanimous answer. Most nurses answered that, in order to deal with the patient’s sexual disfunction, they carry out education in health and calm him/her down. Conclusion: most nurses perform the nursing assistance correctly and satisfactorily. It is necessary to stimulate the attainment of a good practice by the nursing professionals and the restructuring of the services towards suitable conditions necessary for this fundamental and necessary practice to happen effectively. Descriptors: stroke; nursing care; health knowledge, attitudes, practice; knowledge; clinical competence.RESUMOObjetivo: avaliar os cuidados prestados pelos enfermeiros aos pacientes com sequelas de acidente vascular encefálico isquêmico e investigar o conhecimento dos mesmos em relação a esta patologia. Método: estudo exploratório e descritivo, com abordagem quantitativa. Participaram do estudo 12 enfermeiros que responderam a um questionário aplicado no mês de maio de 2010; em seguida, os dados foram analisados e apresentados em tabelas e figuras. Estudo aprovado pelo Comitê de Ética da Faculdade Santa Maria, protocolo 44402/2010. Resultados: todos os enfermeiros participantes da pesquisa consideram que evitar o aparecimento de múltiplas complicações é a principal assistência de enfermagem para pacientes com sequelas de AVEI. Quanto ao autocuidado, 66,7% dos enfermeiros responderam que estimulam metas realistas para os pacientes. Para preservação da integridade da pele, a mudança de decúbito a cada 2 horas foi resposta unânime. A maioria dos enfermeiros respondeu que, para lidar com a disfunção sexual do paciente, realizam educação em saúde e o tranquilizam. Conclusão: a maioria dos enfermeiros faz a assistência de enfermagem de modo correto e satisfatório. Deve-se estimular a consecução de uma boa prática pelos profissionais de enfermagem e a reestruturação dos serviços em direção às condições adequadas para que essa assistência tão fundamental e necessária ocorra de modo eficaz. Descritores: acidente cerebral vascular; cuidados de enfermagem; conhecimentos, atitudes e práticas em saúde; competência clínica.RESUMENObjetivo: evaluar los cuidados prestados por los enfermeros a los pacientes con secuelas de accidente vascular encefálico isquémico e investigar el conocimiento de los mismos en relación a esta patología. Método: estudio exploratorio y descriptivo, de abordaje cuantitativo. Participaron del estudio 12 enfermeros que respondieron a un cuestionario aplicado en mayo de 2010; en seguida, los datos fueron analizados y presentados como cuadros y figuras. Estudio aprobado por el Comité de Ética de la Facultad Santa María, protocolo 44402/2010. Resultados: los enfermeros participantes de la investigación consideran que evitar el aparecimiento de múltiples complicaciones es la principal asistencia de enfermería para pacientes con secuelas de accidente vascular encefálico isquémico. Cuanto al auto cuidado, el 66,7% de los enfermeros respondieron que estimulan metas realistas para los pacientes. Para la preservación de la integridad de la piel, el cambio de decúbito a cada dos horas fue respuesta unánime. La mayoría de los enfermeros respondió que para lidiar con la disfunción sexual del paciente, ellos realizan educación en salud y lo tranquilizan. Conclusión: la mayoría de los enfermeros hace una asistencia de enfermería de modo correcto y satisfactorio. Se debe estimular la consecución de una buena práctica por los profesionales de enfermería y la reestructuración de los servicios para las condiciones adecuadas a esas prácticas, tan fundamentales y necesarias. Descriptores: accidente cerebrovascular; atención de enfermería; conocimientos, actitudes y práctica en salud; conocimiento; competencia clínica.


2010 ◽  
Vol 20 (2) ◽  
pp. 42-50 ◽  
Author(s):  
Laura W. Plexico ◽  
Julie E. Cleary ◽  
Ashlynn McAlpine ◽  
Allison M. Plumb

This descriptive study evaluates the speech disfluencies of 8 verbal children between 3 and 5 years of age with autism spectrum disorders (ASD). Speech samples were collected for each child during standardized interactions. Percentage and types of disfluencies observed during speech samples are discussed. Although they did not have a clinical diagnosis of stuttering, all of the young children with ASD in this study produced disfluencies. In addition to stuttering-like disfluencies and other typical disfluencies, the children with ASD also produced atypical disfluencies, which usually are not observed in children with typically developing speech or developmental stuttering. (Yairi & Ambrose, 2005).


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