scholarly journals The Difference of Barthel Index Score Based on Stroke Severity, Weakness Side, and Onset of Physiotherapy in Ischemic Stroke Patients at Atma Jaya Hospital

2017 ◽  
Vol 6 (02) ◽  
pp. 15
Author(s):  
Agustina Novita Putri Soegiarto ◽  
Linda Suryakusuma ◽  
Jane Pelealu
Keyword(s):  
Ischemic Stroke ◽  
Barthel Index ◽  
Daily Living ◽  
Index Score ◽  
Stroke Severity ◽  
Activity Of Daily Living ◽  
Stroke Patients ◽  
Barthel Index Score ◽  
Cross Sectional ◽  
Stroke Registry

Background: Stroke is the third cause of disability that can affect the Activity of Daily Living (ADL). Ischemicstroke had higher incidence compared to hemorrhagic strokes. Rehabilitation in the form of physiotherapy canreduce the level of ADL dependencies, that is be measured by Barthel Index Score. Stroke severity, weaknessside, and physiotherapy onset can be factors that influence the success of physiotherapy to reducing the levelof ADL dependencies.Methods:A descriptive analytic study with a cross-sectional design in ischemic stroke patients using secondarydata from the Stroke Registry and medical records at Atma Jaya Hospital for the period of January 2016 toDecember 2017. The data were analyzed using Chi-Square.Results: Study on 110 subjects, consisted of 62 men(56.4%), aged divided by under of 58 years, and above of 58years were 52(47.3%) and 58 (52.7%). While subjects divided by stroke severity, i.e. minor, moderate, moderateto severe, and severe; 44 (40%), 58 (52.7%), 5 (4.5%), and 3 (2.7%) respectively. There were 77 participants(70%) had right side weakness and 33 participants (30%) were left side weakness. The changes of Barthel Indexof ADL score, were 73 (66.4%) improvement, 6 (5.5%) deterioration, and 31 (28.2%) remained. The study hasshown relationship between severity of stroke (p=0.008), weakness side (p=0.000), and physiotherapy onset(p=0.039) with the changes of Barthel Indexscore after treatment.Conclusion: There was a relationship between stroke severity, the weakness side of stroke, and physiotherapyonset with the better result of Barthel Index of ADL score after the physiotherapy.Keywords: Activity of Daily Living (ADL), Barthel Index, ischemic stroke, physiotherapy onset, stroke severity,Weakness side

scholarly journals Relation Between the Corticospinal Tract State and Activities of Daily Living in Patients With Intracerebral Hemorrhage

Stroke ◽  
2021 ◽  
Author(s):  
Sung Ho Jang ◽  
Eun Bi Choi
Keyword(s):  
Intracerebral Hemorrhage ◽  
Barthel Index ◽  
Daily Living ◽  
Corticospinal Tract ◽  
Injury Severity ◽  
Diffusion Tensor ◽  
Index Score ◽  
Control Group ◽  
Activity Of Daily Living ◽  
Strong Positive Correlation

Background and Purpose: We investigated the relation between the ipsilesional corticospinal tract (CST) state and activity of daily living independence in patients with chronic intracerebral hemorrhage. Methods: Fifty-six consecutive patients with unilateral intracerebral hemorrhage and 38 healthy control subjects were recruited for this study. The Motricity index and the modified Barthel index were used to evaluate motor function of the affected extremities and activity of daily living independence, respectively. The diffusion tensor imaging parameter values for fractional anisotropy (FA) and voxel number (VN) of the CST were determined. Ratios of the ipsilesional to the contralesional CST measures were calculated and are presented as the CST-ratio (FA value and VN). Results: The FA value and VN of the ipsilesional CST and the CST-ratio in the patient group were lower than those of the control group ( P <0.05). There was a strong positive correlation between the Motricity index score of the affected extremities and the modified Barthel index score ( P <0.05), while the FA value and VN of the ipsilesional CST and the CST-ratio showed moderate and strong positive correlations with the Motricity index and modified Barthel index scores, respectively ( P <0.05). In addition, the VN of the ipsilesional CST showed excellent utility as a classifier, whereas the FA value of the ipsilesional CST and the FA value and VN of the CST-ratio showed good classifier utility ( P <0.05). Conclusions: We demonstrated that impairment of activity of daily living independency was closely related to the injury severity of the ipsilesional CST in patients with chronic intracerebral hemorrhage. In addition, the injury severity of the ipsilesional CST can be used to classify the degree of activity of daily living independency. REGISTRATION: URL: http://www.e-irb.com/index.jsp ; Unique identifier: 2021-03-014.

scholarly journals ASSOCIATION BETWEEN BLOOD PRESSURE VARIABILITY AND EARLY NEUROLOGICAL DETERIORATION IN ACUTE ISCHEMIC STROKE PATIENTS

2020 ◽  
Vol 7 (8) ◽  
pp. 94-99
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Significant Relationship ◽  
Blood Pressure Variability ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Exact Test ◽  
Treatment Data

Background: Variability in blood pressure is a predictor of stroke severity and causes of poor functional outcome. Blood pressure variability is one of the main predictor of the prognosis acute ischemic stroke. Blood pressure variability were independently and linearly associated with the development of early neurologic deterioration (END) in acute ischemic stroke Objective: To determine the association between blood pressure variability and END in acute ischemic stroke patients. Method: This study uses a cross sectional design. Sampling was conducted at H. Adam Malik General Hospital Medan. Samples were taken as many as 40 subjects consecutively. Blood pressure checks were perform every hour for 72 hours then an assessment of the National Institute of Health Stroke Scale (NIHSS) score at admission and the third day of treatment. Data analysis used fisher’s exact test. Results: The demographic characteristics of the study subjects were an average age of 56-<71 years, high school education level, housewife occupation and Batak ethnicity. The mean of maximum systolic blood pressure (SBP) was 151±12.16 mmHg, minimum SBP 123.15±18 mmHg, delta SBP 25.35±10.66 mmHg, maximum diastolic blood pressure (DBP) 79.7±6.01 mmHg, minimum DBP 61.77±7.32 mmHg and delta DBP 17.97±8.48 mmHg. The NIHSS day 1 score had an average of 9.55±6.73, the NIHSS day 3 score was 11.25±7.93. Most subjects experienced END. There is a significant relationship between blood pressure variability and END with a p of 0.03 (p<0.05). Conclusion: There is a significant relationship between blood pressure variability and END in patients with acute ischemic stroke.

Prediction of Discharge Barthel Index Score for Stroke Patients at Rehabilitation Commencement.

1993 ◽  
Vol 30 (10) ◽  
pp. 717-720
Author(s):  
Satoru SAEKI ◽  
Hajime OGATA ◽  
Kenji HACHISUKA ◽  
Toshiteru OKUBO ◽  
Ken TAKAHASHI ◽  
...  
Keyword(s):  
Barthel Index ◽  
Index Score ◽  
Stroke Patients ◽  
Barthel Index Score

Abstract P397: Outcomes in Acute Ischemic Stroke Patients Presenting With Impaired Level of Consciousness

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Ayham Alkhachroum ◽  
Antonio Bustillo ◽  
Negar Asdaghi ◽  
Erika T Marulanda-londono ◽  
Carolina M Gutierrez ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Length Of Stay ◽  
Hospital Mortality ◽  
Acute Ischemic Stroke ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Early Recovery ◽  
Hospital Size ◽  
Stroke Registry ◽  
Level Of Consciousness

Background: Impaired level of consciousness (LOC) on presentation after acute ischemic stroke (AIS) may affect outcomes and the decision to withdraw life-sustaining treatment (WLST). We aim to investigate the outcomes and their trends after AISby the LOC on stroke presentation. Methods: We studied 238,989 cases with AIS in the Florida Stroke Registry from 2010-2019. Pearson chi-squared and Kruskall-Wallis tests were used to compare descriptive statistics. A multivariable-logistic regression with GEE accounted for basic demographics, comorbidities, stroke severity, location, hospital size and teaching status. Results: At stroke presentation, 32,861 (14%) cases had impaired LOC (mean age 77, 54% women, 60 white%, 19% Black, 16% Hispanic). Compared to cases with preserved LOC, impaired cases were older (77 vs. 72 years old), more women (54% vs. 48%), had more comorbidities, greater stroke severity on NIHSS ≥ 5 (49% vs. 27%), higher WLST rates (3% vs. 0.6%), and greater in-hospital mortality rates (9% vs. 3%). In our adjusted model however, no significant association was found between impaired LOC and in-hospital mortality, or length of stay. Those with preserved LOC were more likely discharged home/rehab (OR 0.7, 95%CI 0.6-0.8, p<0.0001) and more likely to ambulate independently (OR 0.7, 95%CI 0.6-0.9, p=0.001). Trend analysis (2010-2019) showed decreased mortality, increased length of stay, and increased rates of discharge to home/rehab in all irrespective of LOC status. Conclusion: In this large multicenter registry, AIS cases presenting with impaired LOC had more severe strokes at presentation. Although LOC was not associated with significantly worse in-hospital morality, it was associated with higher rates of WLST and more disability among survivors. Future efforts should focus on biomarkers of LOC that discriminates the potential for early recovery and reduced disability in acute stroke patients with impaired LOC.

scholarly journals New Thrombotic Events in Ischemic Stroke Patients with Elevated Factor VIII

Thrombosis ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Brittany M. Gouse ◽  
Amelia K. Boehme ◽  
Dominique J. Monlezun ◽  
James E. Siegler ◽  
Alex J. George ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Venous Thrombosis ◽  
Factor Viii ◽  
Acute Ischemic Stroke ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Stroke Registry ◽  
Increased Risk ◽  
Baseline Characteristics

Background. Heightened levels of Factor VIII (FVIII) have been associated with both arterial and venous thrombosis. While elevated FVIII is common during acute ischemic stroke (AIS), whether elevated FVIII confers an increased risk for recurrent thrombotic events (RTEs) following AIS has not been previously explored. Methods. Consecutive AIS patients who presented to our center between July 2008 and September 2013 and had FVIII measured during admission were identified from our stroke registry. Baseline characteristics and the occurrence of RTE (recurrent or progressive ischemic stroke, DVT/PE, and MI) were compared in patients with and without elevated FVIII levels. Results. Of the 298 patients included, 203 (68.1%) had elevated FVIII levels. Patients with elevated FVIII had higher rates of any in-hospital RTE (18.7% versus 8.4%, P=0.0218). This association remained after adjustment for baseline stroke severity and etiology (OR 1.01, 95% CI 1.00–1.01, P=0.0013). Rates of major disability were also higher in patients who experienced a RTE (17.8% versus 3.2%, P<0.0001). Conclusion. A significantly higher frequency of in-hospital RTEs occurred in AIS patients with elevated FVIII. The occurrence of such events was associated with higher morbidity. Further study is indicated to evaluate whether FVIII is a candidate biomarker for increased risk of RTEs following AIS.

scholarly journals GAMBARAN TINGKAT KEMANDIRIAN LANSIA DALAM PEMENUHAN ACTIVITY OF DAILY LIVING (ADL) DI ROJINHOME THINSAGUNO IE ITOMAN OKINAWA JEPANG

2021 ◽  
Vol 3 (2) ◽  
pp. 15-20
Author(s):  
Nanjar Widiastuti ◽  
Tri Sumarni ◽  
Reni Dwi Setyaningsih
Keyword(s):  
Old Age ◽  
Barthel Index ◽  
Daily Living ◽  
Sampling Technique ◽  
The Elderly ◽  
Care Plan ◽  
Activity Of Daily Living ◽  
Cross Sectional ◽  
Term Care ◽  
Age Range

Abstrak Activity of daily living (ADL) adalah aktivitas pokok bagi perawatan diri. Activity of daily living meliputi antara lain: ke toilet, makan, berpakaian (berdandan), mandi, dan berpindah tempat. Pengkajian ADL penting untuk mengetahui tingkat ketergantungan lansia dalam rangka menetapkan level bantuan bagi lansia tersebut dan untuk menyusun rencana perawatan jangka panjang. Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat kemandirian lansia dalam pemenuhan ADL yang tinggal di rojinhome Thinsaguno Ie Itoman Okinawa Jepang. Jenis penelitian ini adalah deskriptif observasional. Sampel dalam penelitian ini adalah seluruh lansia di rojinhome Thinsaguno Ie Itoman Okinawa Jepang sejumlah 34 responden. Penentuan sampel menggunakan teknik total sampling. Alat ukur yang digunakan adalah lembar checklist Barthel Index. Penelitian ini menggunakan analisis data univariat yang ditampilkan dalam distribusi frekuensi. Hasil penelitian menunjukan rata-rata umur yaitu 83,23 tahun dan paling dominan pada rentang umur old (75-90 tahun) yaitu 70,6%. Jenis kelamin sebagian besar perempuan yaitu 64,7%, tingkat kemandirian sedang dalam ADL yaitu 38,2%. Tingkat kemandirian lansia  berdasarkan umur paling dominan pada rentang umur old (75-90 tahun) dengan tingkat kemandirian sedang (29,4%). Tingkat kemandirian lansia berdasarkan jenis kelamin paling dominan pada jenis kelamin perempuan dengan ketergantungan sedang (23,5%). Kata kunci: lansia, activity of daily living, tingkat kemandiria Abstract Activity of daily living (ADL) is a staple activity for self-care. Activity of daily living includes, among others: toileting, eating, dressing, showering, and moving places. ADL assessment is important to determine the level of dependence of the elderly in order to determine the level of assistance for the elderly and to develop a long-term care plan. The purpose of this study was to describe the level of independence of the elderly in fulfilling the ADL at rojinhome of Thinsaguno Ie Itoman Okinawa, Japan. The type of this research is descriptive observational with cross sectional approach. The sample in this research were all 34 elderly people at rojinhome Thinsaguno Ie Itoman Okinawa Japan. Determination of the sample using total sampling technique. The measuring instrument used is the Barthel Index checklist sheet. This study uses univariate data analysis which is displayed in the frequency distribution. The results showed that the average age was 83.23 years and the most dominant in the old age range (75-90 years) was 70.6%. The gender of most of the women was 64.7%, the level of independence was moderate in ADL, namely 38.2%. The level of elderly independence based on age is the most dominant in the old age range (75-90 years) with a moderate level of independence (29.4%). The level of independence of the elderly based on sex was the most dominant in the female sex with moderate dependence (23.5%). Keywords: elderly, activity of daily living, level of independence

Abstract 009: The Impact of Participation in a Telestroke Network on In-hospital Mortality in Georgia

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Donglan Zhang ◽  
Moges S Ido ◽  
Lu Shi ◽  
Dale Green
Keyword(s):  
Ischemic Stroke ◽  
Treatment Group ◽  
Hospital Mortality ◽  
Positive Association ◽  
Teaching Hospitals ◽  
P Value ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Stroke Registry ◽  
The Impact

Objectives: Telestroke is the application of telemedicine to stroke care. We estimated the effect of participation in a telestroke network on in-hospital mortality in the state of Georgia, and explored its impact on mitigating the difference in mortality for patients admitted in nighttime compared to those admitted in daytime. Methods: We selected patients with ischemic stroke from 15 non-teaching hospitals in the Georgia’s Paul Coverdell Acute Stroke Registry from 2005 to 2016. We applied a quasi-experimental study design by classifying patients from 4 hospitals that participated in a telestroke network in 2009 as the treatment group, and patients from 11 hospitals that were not covered by the telestroke network as the comparison group. All selected hospitals are located in non-Metropolitan Areas. We compared mortality between treatment and comparison groups in 2005 - 2008 (pre-participation period for treatment group) and in 2009 - 2016 (post-participation period for treatment group), and estimated difference in in-hospital mortality attributable to participation in a telestroke network by applying a difference-in-differences approach, while adjusting for patients’ age, sex, race/ethnicity, insurance coverage, arrival mode, ambulatory status prior to the current stroke, stroke severity, medical history of atrial fibrillation/flutter and hospital admission time. Results: The mortality among ischemic stroke patients decreased in all selected hospitals over the last decade. Participation in a telestroke network significantly decreased in-hospital mortality by 3.2% (p-value= 0.003). There was a positive association between nighttime admission and in-hospital mortality in the entire patient sample. After controlling for the effect of participation in a telestroke network, the nighttime effect on mortality still remained significant (odds ratio=1.25, 95% confidence interval: 1.10 - 1.42). Conclusions: Acute ischemic stroke patients admitted in hospitals participating in a telestroke program had a more pronounced reduction in in-hospital mortality. However, telestroke coverage did not alter the effect of nighttime admission on in-hospital mortality.

scholarly journals BARTHEL INDEX SCORE IN STROKE PATIENTS INCREASES AFTER UNDERGOING MEDICAL REHABILITATION

2016 ◽  
Vol 51 (4) ◽  
pp. 281
Author(s):  
Sirly Nabireta Maharani Ganing ◽  
Imam Subadi ◽  
Paulus Sugianto
Keyword(s):  
Functional Status ◽  
Barthel Index ◽  
Index Score ◽  
Medical Rehabilitation ◽  
Rank Test ◽  
Stroke Patients ◽  
Barthel Index Score ◽  
Before And After ◽  
Wilcoxon Sign Rank ◽  
The Difference

Stroke is the leading cause of death among Indonesian people over the age of five years, comprising 15.4% of all deaths, with a mortality rate of 99/100 000, and the number of disability is 685/100 000. Medical rehabilitation has an effect in improving functional status of patients with stroke, especially if it is done intensively in the first 6 months after stroke attack. Measurement of functional status is commonly used in clinic, including in Dr. Soetomo Hospital. However, no study had been conducted in measuring functional status using Barthel Index in Surabaya. Therefore, this study identified the difference of the functional status of stroke patients before and after undergoing medical rehabilitation. The study used an experimental method with pre and post design with total sampling. The samples were 47 stroke patients in Dr. Soetomo Hospital, Surabaya. Data were obtained from March - April 2014 using Barthel Index. Data analysis used Wilcoxon Sign Rank test, including the distribution of each variable, which showed signification value of <0.05. This study concluded that Barthel Index score increases after undergoing medical rehabilitation.

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