Stroke, Vol 15, 1039-1044, Copyright © 1984 by American Heart Association
M Kotila, O Waltimo, ML Niemi, R Laaksonen and M Lempinen
The recovery from stroke of 154 survivors out of 255 stroke patients was
analyzed. The outcomes documented were: discharge from hospital, activities
of daily living (ADL) and return to work. A clear improvement in
neurological and neuropsychological deficits was seen from the acute stage
to three months, and this continued to twelve months, but to a lesser
degree. 69% and 78% respectively, of the patients were at home three and
twelve months after stroke. Independence in ADL increased from 32% acutely
to 62% and 68% by three and twelve months, respectively. Of those gainfully
employed prior to stroke, 55% had returned to work after twelve months. As
a group, SAH patients seemed to recover better, but, for those that could
be age- matched with infarction patients, there was no difference in
outcome. Old age, acute stage hemiparesis, impairment of intelligence and
memory, visuoperceptual deficits, nonadequate emotional reactions, and
living alone all had a major negative influence on outcome. This study
suggests that neurological and neuropsychological deficits, as well as
emotional reactions, influence the outcomes after stroke, and all should be
taken into consideration in prognosis.
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