title: How Many Patients Become Functionally Dependent after a Stroke? A 3-Year Population-Based Study in Joinville, Brazil.
abstract: The decrease in stroke mortality will increase the burden of survivors with functional dependence (FD). The aim of this study was to evaluate how many patients become functionally dependent over 3 years after an incident event in Joinville, Brazil. The proportion of FD (defined as a modified Rankin score 3 to 5) among stroke survivors from the Joinville Stroke Registry was assessed using a validated telephone interview. Incidence of FD after stroke in Joinville in one year was 23.24 per 100,000 population. The overall proportion of FD among stroke survivors at discharge was 32.7%. Of 303 patients with first-ever ischaemic stroke (IS), one-third were FD at discharge, and 12%, 9% and 8%, respectively at 1, 2 and 3 years. Among 37 patients with haemorrhagic stroke (HS), 38% were dependent at discharge, 16% after 1 and 2 years and 14% after 3. Among 27 patients with subarachnoid haemorrhage (SAH), 19% were dependent at discharge and 4% from 1 to 3 years. Among IS subtypes, cardioembolic ones had the worst risk of FD. (RR 19.8; 95% CI: 2.2 to 175.9). Our results showed that one-third of stroke survivors have FD during the first year after stroke in Brazil. Therefore, a city with half a million people might expect 120 new stroke patients with FD each year.
authors.affiliation: Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.
authors.forename: Lívia Mizuki
authors.initials: LM
authors.lastname: de Campos
authors.affiliation: Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.
authors.forename: Bruna Mariah
authors.initials: BM
authors.lastname: Martins
authors.affiliation: Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.|Joinville Stroke Registry, University of Joinville Region, Joinville, Santa Catarina, Brazil.
authors.forename: Norberto Luiz
authors.initials: NL
authors.lastname: Cabral
authors.affiliation: Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.
authors.forename: Selma Cristina
authors.identifier: http://orcid.org/0000-0002-0323-2988
authors.initials: SC
authors.lastname: Franco
authors.affiliation: Department of Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Octávio Marques
authors.initials: OM
authors.lastname: Pontes-Neto
authors.affiliation: Department of Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Suleimy Cristina
authors.initials: SC
authors.lastname: Mazin
authors.affiliation: Department of Medicine, University of Joinville Region, Joinville, Santa Catarina, Brazil.
authors.forename: Felipe Ibiapina
authors.initials: FI
authors.lastname: Dos Reis
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D020521:Stroke / Q000453:epidemiology / Q000451:nursing / Q000503:physiopathology*