Skip to main content
NCBI home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1993 Jan;69(807):33–36. doi: 10.1136/pgmj.69.807.33

Stroke in patients aged over 75 years: outcome and predictors.

L Kalra 1, D H Smith 1, P Crome 1
PMCID: PMC2399602  PMID: 8446547

Abstract

The outcome and predictors of stroke rehabilitation were studied prospectively in 96 patients (mean age 81.3 +/- 5.4 years) admitted to geriatric wards from a well-defined area over one year. Of these, 32 (33%) died (median survival 11 days), 52 (54%) returned home (median hospital stay 69 days) and 12 (13%) required long-term care (median hospital stay 164 days). Deaths and discharges showed a bimodal pattern; nearly 40% of the patients died or were discharged within 2 weeks of admission. Early death correlated with level of consciousness (P = 0.02), neurological deficit (P = 0.01) and prestroke Barthel scores (P = 0.04) on admission. Patients with right- rather than left-sided hemiparesis (P = 0.02), good motor power (P = 0.002) and without sensory deficit/inattention (P = 0.002) were discharged early. Discharge home was adversely affected by poor awareness of deficit (P = 0.02), hemianopia (P = 0.03) and incontinence (P = 0.02) assessed at 2 weeks. Stroke survivors with Barthel score < 6 and Mental Test Score < 4 at 2 weeks after stroke required long-term care.

Full text

PDF
33

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen C. M. Predicting recovery after acute stroke. Br J Hosp Med. 1984 Jun;31(6):428, 430, 432-4. [PubMed] [Google Scholar]
  2. Bamford J., Sandercock P., Warlow C., Gray M. Why are patients with acute stroke admitted to hospital? Br Med J (Clin Res Ed) 1986 May 24;292(6532):1369–1372. doi: 10.1136/bmj.292.6532.1369. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Friedman P. J. Stroke rehabilitation in the elderly: a new patient management system. N Z Med J. 1990 May 23;103(890):234–236. [PubMed] [Google Scholar]
  4. Garraway W. M., Akhtar A. J., Hockey L., Prescott R. J. Management of acute stroke in the elderly: follow-up of a controlled trial. Br Med J. 1980 Sep 27;281(6244):827–829. doi: 10.1136/bmj.281.6244.827. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Garraway W. M., Akhtar A. J., Prescott R. J., Hockey L. Management of acute stroke in the elderly: preliminary results of a controlled trial. Br Med J. 1980 Apr 12;280(6220):1040–1043. doi: 10.1136/bmj.280.6220.1040. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hamrin E. II. Early activation in stroke: does it make a difference? Scand J Rehabil Med. 1982;14(3):101–109. [PubMed] [Google Scholar]
  7. Hamrin E. III. One year after stroke: a follow-up of an experimental study. Scand J Rehabil Med. 1982;14(3):111–116. [PubMed] [Google Scholar]
  8. Holden M. K., Gill K. M., Magliozzi M. R., Nathan J., Piehl-Baker L. Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther. 1984 Jan;64(1):35–40. doi: 10.1093/ptj/64.1.35. [DOI] [PubMed] [Google Scholar]
  9. Langton Hewer R. Rehabilitation after stroke. Q J Med. 1990 Jul;76(279):659–674. [PubMed] [Google Scholar]
  10. Osberg J. S., Haley S. M., McGinnis G. E., DeJong G. Characteristics of cost outliers who did not benefit from stroke rehabilitation. Am J Phys Med Rehabil. 1990 Jun;69(3):117–125. doi: 10.1097/00002060-199006000-00003. [DOI] [PubMed] [Google Scholar]
  11. Prescott R. J., Garraway W. M., Akhtar A. J. Predicting functional outcome following acute stroke using a standard clinical examination. Stroke. 1982 Sep-Oct;13(5):641–647. doi: 10.1161/01.str.13.5.641. [DOI] [PubMed] [Google Scholar]
  12. Qureshi K. N., Hodkinson H. M. Evaluation of a ten-question mental test in the institutionalized elderly. Age Ageing. 1974 Aug;3(3):152–157. doi: 10.1093/ageing/3.3.152. [DOI] [PubMed] [Google Scholar]
  13. Shah S., Vanclay F., Cooper B. Stroke rehabilitation: Australian patient profile and functional outcome. J Clin Epidemiol. 1991;44(1):21–28. doi: 10.1016/0895-4356(91)90197-h. [DOI] [PubMed] [Google Scholar]
  14. Stevens R. S., Ambler N. R., Warren M. D. A randomized controlled trial of a stroke rehabilitation ward. Age Ageing. 1984 Mar;13(2):65–75. doi: 10.1093/ageing/13.2.65. [DOI] [PubMed] [Google Scholar]
  15. Wade D. T., Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud. 1988;10(2):64–67. doi: 10.3109/09638288809164105. [DOI] [PubMed] [Google Scholar]
  16. Wade D. T., Langton Hewer R. Hospital admission for acute stroke: who, for how long, and to what effect? J Epidemiol Community Health. 1985 Dec;39(4):347–352. doi: 10.1136/jech.39.4.347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Wade D. T., Skilbeck C. E., Hewer R. L., Wood V. A. Therapy after stroke: amounts, determinants and effects. Int Rehabil Med. 1984;6(3):105–110. doi: 10.3109/03790798409165926. [DOI] [PubMed] [Google Scholar]
  18. Wade D. T., Wood V. A., Hewer R. L. Use of hospital resources by acute stroke patients. J R Coll Physicians Lond. 1985 Jan;19(1):48–52. [PMC free article] [PubMed] [Google Scholar]
  19. Young A. Assessment for rehabilitation after stroke. Ann Acad Med Singapore. 1988 Apr;17(2):267–274. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES