Research Article
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Disability assessment due to stroke

Year 2023, Volume: 9 Issue: 1, 81 - 86, 04.01.2023
https://doi.org/10.18621/eurj.1058159

Abstract

Objectives: The main purpose of the study is to determine the frequency of stroke in patients who applied to the disability board. The secondary aim of the study is to determine the factors affecting disability rates in patients who applied to the disability board due to stroke.

Methods: Patients over the age of 18 who applied to the physical nedicine and rehabilitation outpatient clinic for disability assessment were included in the study. Disability board files of all patients were scanned retrospectively and the information obtained was recorded.


Results:
It was found that 9.1% of patients who were evaluated for disability and were found to have any level of disability experienced disability due to stroke. A statistically significant relationship was found between stroke-related disability score and advanced age, female gender, and the presence of aphasia and dementia in the patients (p < 0.05). However, no statistically significant relationship was found between the type of stroke, the affected side and the stroke-related disability scores (p > 0.05).


Conclusions:
Stroke patients constitute a remarkable part of disability assessment. When evaluating stroke patients in terms of their disability, comorbid diseases and demographic characteristics of the patients should also be taken into consideration.

Thanks

I would like to thank all my professors and assistants who were interested in the evaluation of the disability board in Bursa Uludağ University School of Medicine, Department of Physical Medicine and Rehabilitation.

References

  • 1. Erişkinler için engellilik değerlendirmesi hakkında yönetmelik. Tanımlar Madde 4. Resmi Gazete Tarihi: 20.09.2019 Sayısı: 30692. https://www.resmigazete.gov.tr.
  • 2. Hakbilir O, Çete Y, Göksu E, Akyol C, Kılıçaslan İ. [Characteristics of patients who present to the emergency department with sroke and the impact of delayed presentation on therapeutic management strategies]. Turk J Emerg Med 2006;6:132-8. [Article in Turkish]
  • 3. Sarikaya H, Ferro J, Arnold M. Stroke prevention-medical and lifestyle measures. Eur Neurol 2015;73:150-7.
  • 4. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation 2017;135:e146-603.
  • 5. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil 2014;95:986-95.
  • 6. Wu S, Wu B, Liu M, Chen Z, Wang W, Anderson CS, et al. Stroke in China: advances and challenges in epidemiology, prevention, and management. Lancet Neurol 2019;18:394 405.
  • 7. Yetişgin A, Hartavi A, Kocatürk M, Tutoğlu A, Boyacı A. Risk factors affecting disability rates in patients with stroke. J Phys Med Rehabil Sci 2017;20:118-25.
  • 8. Naçar M, Çetinkaya F, Baykan Z. [Prevalence of impairments, disabilities, handicaps: study from Kayseri Province]. TAF Prev Med Bull 2012;11:71-80. [Article in Turkish]
  • 9. Yang Y, Shi YZ, Zhang N, Wang S, Ungvari GS, Ng CH, et al. The disability rate of 5-year post-stroke and its correlation factors: a national survey in China. PLoS One 2016;11:e0165341.
  • 10. Bensenor IM, Goulart AC, Szwarcwald CL, Vieira MLFP, Malta DC, Lotufo PA. Prevalence of stroke and associated disability in Brazil: National Health Survey-2013. Arq Neuropsiquiatr 2015;73:746-50.
  • 11. Teh WL, Abdin E, Vaingankar JA, Seow E, Sagayadevan V, Shafie S, et al. Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. BMJ Open 2018;8:e020285.
  • 12. Beare R, Chen J, Phan TG, VISTA-Acute Collaboration. Googling stroke ASPECTS to determine disability: exploratory analysis from VISTA-Acute Collaboration. PLoS One 2015;10:e0125687.
  • 13. Türkel Y, Güngör L, Onar MK. [The predictors of mortality, recurrence and functional recovery in ischemic cerebrovascular disease]. Turk Norol Derg 2010;16:177-86. [Article in Turkish]
  • 14. Martin RC, Burgin WS, Schabath MB, Kirby B, Chae SH, Fradley MG, et al. Gender-specific differences for risk of disability and death in atrial fibrillation-related stroke. Am J Cardiol 2017;119:256-61.
  • 15. Kes VB, Jurašić MJ, Zavoreo I, Lisak M, Jelec V, Matovina LZ. Age and gender dıfferences ın acute stroke hospıtal patıents. Acta Clin Croat 2016;55:69-78.
  • 16. Gibson CL, Attwood L. The impact of gender on stroke pathology and treatment. Neurosci Biobehav Rev 2016;67:119-24.
  • 17. Oyewole OO, Ogunlana MO, Oritogun KS, Gbiri CA. Post-stroke disability and its predictors among Nigerian stroke survivors. Disabil Health J 2016;9:616-23.
  • 18. Lee JD, Hu YH, Lee M, Huang YC, Kuo YW, Lee TH. High risk of one-year stroke recurrence in patients with younger age and prior history of ischemic stroke. Curr Neurovasc Res 2019;16:250-7.
  • 19. Farzadfard MT, Andalibi MSS, Thrift AG, Morovatdar N, Stranges S, Amiri A, et al. Long-term disability after stroke in Iran: evidence from the Mashhad Stroke Incidence Study. Int J Stroke 2019;14:44-7.
  • 20. Şenocak Ö, El Ö, Söylev GÖ, Avcılar S, Peker Ö. [Factors affecting quality of life following stroke]. J Neurol Sci 2008;15:164-70. [Article in Turkish]
  • 21. Lazar RM, Boehme AK. Aphasia as a predictor of stroke outcome. Curr Neurol Neurosci Rep 2017;17:83.
  • 22. Flowers HL, Skoretz SA, Silver FL, Rochon E, Fang J, Flamand-Roze C, et al. Poststroke aphasia frequency, recovery, and outcomes: a systematic review and meta-analysis. Arch Phys Med Rehabil 2016;97:2188-201.
  • 23. Prynn JE, Kuper H. Perspectives on disability and non-communicable diseases in low- and middle-income countries, with a focus on stroke and dementia. Int J Environ Res Public Health 2019;16:3488.
  • 24. Soyuer F, Özarslan M, Soyuer A. [Ischemic stroke: impairment and disability]. Erciyes Med J 2004;26:19-24. [Article in Turkish]
  • 25. Gelaw AY, Janakiraman B, Gebremeskel BF, Ravichandran H. Effectiveness of home-based rehabilitation in improving physical function of persons with stroke and other physical disability: a systematic review of randomized controlled trials. J Stroke Cerebrovasc Dis 2020;29:104800.
  • 26. Regenhardt RW, Biseko MR, Shayo AF, Mmbando TN, Grundy SJ, Xu A, et al. Opportunities for intervention: stroke treatments, disability and mortality in urban Tanzania. Int J Qual Health Care 2019;31:385-92.
  • 27. Memis D, Kozanoglu E, Kelle B, Goncu MK. Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke. Neurosciences (Riyadh) 2016;21:352-7.
  • 28. Koyama T, Uchiyama Y, Domen K. Outcome in stroke patients is associated with age and fractional anisotropy in the cerebral peduncles: a multivariate regression study. Prog Rehabil Med 2020;5:20200006.
  • 29. Katan M, Luft A. Global burden of stroke. Semin Neurol 2018;38:208-11.
Year 2023, Volume: 9 Issue: 1, 81 - 86, 04.01.2023
https://doi.org/10.18621/eurj.1058159

Abstract

References

  • 1. Erişkinler için engellilik değerlendirmesi hakkında yönetmelik. Tanımlar Madde 4. Resmi Gazete Tarihi: 20.09.2019 Sayısı: 30692. https://www.resmigazete.gov.tr.
  • 2. Hakbilir O, Çete Y, Göksu E, Akyol C, Kılıçaslan İ. [Characteristics of patients who present to the emergency department with sroke and the impact of delayed presentation on therapeutic management strategies]. Turk J Emerg Med 2006;6:132-8. [Article in Turkish]
  • 3. Sarikaya H, Ferro J, Arnold M. Stroke prevention-medical and lifestyle measures. Eur Neurol 2015;73:150-7.
  • 4. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation 2017;135:e146-603.
  • 5. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil 2014;95:986-95.
  • 6. Wu S, Wu B, Liu M, Chen Z, Wang W, Anderson CS, et al. Stroke in China: advances and challenges in epidemiology, prevention, and management. Lancet Neurol 2019;18:394 405.
  • 7. Yetişgin A, Hartavi A, Kocatürk M, Tutoğlu A, Boyacı A. Risk factors affecting disability rates in patients with stroke. J Phys Med Rehabil Sci 2017;20:118-25.
  • 8. Naçar M, Çetinkaya F, Baykan Z. [Prevalence of impairments, disabilities, handicaps: study from Kayseri Province]. TAF Prev Med Bull 2012;11:71-80. [Article in Turkish]
  • 9. Yang Y, Shi YZ, Zhang N, Wang S, Ungvari GS, Ng CH, et al. The disability rate of 5-year post-stroke and its correlation factors: a national survey in China. PLoS One 2016;11:e0165341.
  • 10. Bensenor IM, Goulart AC, Szwarcwald CL, Vieira MLFP, Malta DC, Lotufo PA. Prevalence of stroke and associated disability in Brazil: National Health Survey-2013. Arq Neuropsiquiatr 2015;73:746-50.
  • 11. Teh WL, Abdin E, Vaingankar JA, Seow E, Sagayadevan V, Shafie S, et al. Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. BMJ Open 2018;8:e020285.
  • 12. Beare R, Chen J, Phan TG, VISTA-Acute Collaboration. Googling stroke ASPECTS to determine disability: exploratory analysis from VISTA-Acute Collaboration. PLoS One 2015;10:e0125687.
  • 13. Türkel Y, Güngör L, Onar MK. [The predictors of mortality, recurrence and functional recovery in ischemic cerebrovascular disease]. Turk Norol Derg 2010;16:177-86. [Article in Turkish]
  • 14. Martin RC, Burgin WS, Schabath MB, Kirby B, Chae SH, Fradley MG, et al. Gender-specific differences for risk of disability and death in atrial fibrillation-related stroke. Am J Cardiol 2017;119:256-61.
  • 15. Kes VB, Jurašić MJ, Zavoreo I, Lisak M, Jelec V, Matovina LZ. Age and gender dıfferences ın acute stroke hospıtal patıents. Acta Clin Croat 2016;55:69-78.
  • 16. Gibson CL, Attwood L. The impact of gender on stroke pathology and treatment. Neurosci Biobehav Rev 2016;67:119-24.
  • 17. Oyewole OO, Ogunlana MO, Oritogun KS, Gbiri CA. Post-stroke disability and its predictors among Nigerian stroke survivors. Disabil Health J 2016;9:616-23.
  • 18. Lee JD, Hu YH, Lee M, Huang YC, Kuo YW, Lee TH. High risk of one-year stroke recurrence in patients with younger age and prior history of ischemic stroke. Curr Neurovasc Res 2019;16:250-7.
  • 19. Farzadfard MT, Andalibi MSS, Thrift AG, Morovatdar N, Stranges S, Amiri A, et al. Long-term disability after stroke in Iran: evidence from the Mashhad Stroke Incidence Study. Int J Stroke 2019;14:44-7.
  • 20. Şenocak Ö, El Ö, Söylev GÖ, Avcılar S, Peker Ö. [Factors affecting quality of life following stroke]. J Neurol Sci 2008;15:164-70. [Article in Turkish]
  • 21. Lazar RM, Boehme AK. Aphasia as a predictor of stroke outcome. Curr Neurol Neurosci Rep 2017;17:83.
  • 22. Flowers HL, Skoretz SA, Silver FL, Rochon E, Fang J, Flamand-Roze C, et al. Poststroke aphasia frequency, recovery, and outcomes: a systematic review and meta-analysis. Arch Phys Med Rehabil 2016;97:2188-201.
  • 23. Prynn JE, Kuper H. Perspectives on disability and non-communicable diseases in low- and middle-income countries, with a focus on stroke and dementia. Int J Environ Res Public Health 2019;16:3488.
  • 24. Soyuer F, Özarslan M, Soyuer A. [Ischemic stroke: impairment and disability]. Erciyes Med J 2004;26:19-24. [Article in Turkish]
  • 25. Gelaw AY, Janakiraman B, Gebremeskel BF, Ravichandran H. Effectiveness of home-based rehabilitation in improving physical function of persons with stroke and other physical disability: a systematic review of randomized controlled trials. J Stroke Cerebrovasc Dis 2020;29:104800.
  • 26. Regenhardt RW, Biseko MR, Shayo AF, Mmbando TN, Grundy SJ, Xu A, et al. Opportunities for intervention: stroke treatments, disability and mortality in urban Tanzania. Int J Qual Health Care 2019;31:385-92.
  • 27. Memis D, Kozanoglu E, Kelle B, Goncu MK. Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke. Neurosciences (Riyadh) 2016;21:352-7.
  • 28. Koyama T, Uchiyama Y, Domen K. Outcome in stroke patients is associated with age and fractional anisotropy in the cerebral peduncles: a multivariate regression study. Prog Rehabil Med 2020;5:20200006.
  • 29. Katan M, Luft A. Global burden of stroke. Semin Neurol 2018;38:208-11.
There are 29 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Original Articles
Authors

Uğur Ertem 0000-0003-2142-2264

Publication Date January 4, 2023
Submission Date January 15, 2022
Acceptance Date June 22, 2022
Published in Issue Year 2023 Volume: 9 Issue: 1

Cite

AMA Ertem U. Disability assessment due to stroke. Eur Res J. January 2023;9(1):81-86. doi:10.18621/eurj.1058159

e-ISSN: 2149-3189 


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