title: [Prognostic factors of functional recovery from a stroke at one year].
abstract: BACKGROUND
  Recovery of the ability to walk and independence is fundamental for any patient who suffers a stroke, and it can be influenced by a number of factors.
  
  
  OBJECTIVE
  To determine what variables are more important to achieve a good functional recovery at one year after the stroke.
  
  
  METHODS
  An observational, longitudinal prospective study was conducted with 231 patients diagnosed with a stroke in the year 2013. An analysis was performed of the clinical characteristics, socio-demographic data, neurological situation at the time of hospitalisation -National Institute of Health Stroke Scale (NIHSS)-, functional situation (Rankin Scale and Barthel Index) and ability to walk, both on hospitalisation and on discharge from rehabilitation and at one year.
  
  
  RESULTS
  The mean age was 74.26 ± 13.1 years, and 55.4% were males. The mean length of stay in hospital was 16.24 days. 68.9% followed rehabilitation therapy, with an average of 95.5 sessions. Good functional capacity was recovered by 51.7% at one year (Rankin < 2 and Barthel > 85), and 63.5% regained the ability to walk independently. The factors that had the most significant influence on functional and gait recovery at one year were: lower age, NIHSS score < 10 in the first week, the type of stroke (small vessel), the absence of atrial fibrillation and better previous functional situation.
  
  
  CONCLUSIONS
  At one year of having suffered a stroke, most of the patients recover the capacity for independent gait and to a lesser extent independence in activities of daily living.
authors.affiliation: Hospital General Universitario Gregorio Maranon, Madrid, Espana.
authors.forename: J A
authors.initials: JA
authors.lastname: Moreno-Palacios
authors.affiliation: Hospital Severo Ochoa, 28911 Leganes, Espana.
authors.forename: I
authors.initials: I
authors.lastname: Moreno-Martinez
authors.affiliation: Hospital General Universitario Gregorio Maranon, Madrid, Espana.
authors.forename: A
authors.initials: A
authors.lastname: Bartolome-Nogues
authors.affiliation: Hospital General Universitario Gregorio Maranon, Madrid, Espana.
authors.forename: E
authors.initials: E
authors.lastname: Lopez-Blanco
authors.affiliation: Hospital General Universitario Gregorio Maranon, Madrid, Espana.
authors.forename: R
authors.initials: R
authors.lastname: Juarez-Fernandez
authors.affiliation: Hospital General Universitario Gregorio Maranon, Madrid, Espana.
authors.forename: I
authors.initials: I
authors.lastname: Garcia-Delgado
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D020127:Recovery of Function; D012720:Severity of Illness Index; D020521:Stroke / Q000453:epidemiology / Q000628:therapy; D000071939:Stroke Rehabilitation