Educational levels and the functional dependence of ischemic stroke survivors.
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.
Faculdade de Medicina, Universidade de São Paulo, Brasil. tfernandes@hu.usp.br
Tiótrefis G
TG
Fernandes
Alessandra C
AC
Goulart
Waldyr R
WR
Santos-Junior
Airlane P
AP
Alencar
Isabela M
IM
Benseñor
Paulo A
PA
Lotufo
D000328:Adult; D000367:Age Factors; D000368:Aged; D051341:Dependent Ambulation / Q000502:physiology; D004185:Disability Evaluation; D006233:Persons with Disabilities; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D020127:Recovery of Function; D012307:Risk Factors; D020521:Stroke / Q000473:pathology / Q000503:physiopathology*; D017741:Survivors