Ana Karen Herrera-Hernández, Aidée Gibraltar-Conde, Rubén Torres-González, Daniel Martínez-Barro
{"title":"[康复对COVID-19脑卒中患者功能/生活质量的影响]。","authors":"Ana Karen Herrera-Hernández, Aidée Gibraltar-Conde, Rubén Torres-González, Daniel Martínez-Barro","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>COVID-19 can present neurological complications of the central nervous system. Ischemic-type strokes have been reported in this population. Neurological rehabilitation participates in the functional recovery and improvement of the quality of life of these patients.</p><p><strong>Objective: </strong>To measure the functionality and quality of life of patients with ischemic stroke due to COVID-19.</p><p><strong>Material and methods: </strong>An observational, prospective and longitudinal study of patients with ischemic stroke admitted to a neurological rehabilitation program was carried out. The Barthel index, the modified Rankin Scale and the SF-12 were used to monitor functionality and quality of life. To compare the proportions of patients with functional independence, the McNemar test was used; for SF-12 scores, Student's t test was used for related data or Wilcoxon test, depending on their normality. A p < 0.05 was significant.</p><p><strong>Results: </strong>21 patients were included; mean age was 53.57 ± 12.2 years; they were predominantly male (66.7%). The percentage of patients with higher degrees of independence in daily and functional life increased, both in the Barthel index (p < 0.01) and in the modified Rankin scale (p < 0.01) at the third month of follow-up. There was an improvement in the quality of life in its physical component (p = 0.02), as well as in the dimensions of general health (p = 0.01) and mental health (p = 0.04).</p><p><strong>Conclusions: </strong>Patients with stroke due to COVID-19 admitted to the neurological rehabilitation program presented improvement in functional independence and increased their quality of life in their physical component at 3-month follow-up.</p>","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"8-14"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/00/04435117-61-1-8.PMC10395903.pdf","citationCount":"0","resultStr":"{\"title\":\"[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19].\",\"authors\":\"Ana Karen Herrera-Hernández, Aidée Gibraltar-Conde, Rubén Torres-González, Daniel Martínez-Barro\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>COVID-19 can present neurological complications of the central nervous system. Ischemic-type strokes have been reported in this population. Neurological rehabilitation participates in the functional recovery and improvement of the quality of life of these patients.</p><p><strong>Objective: </strong>To measure the functionality and quality of life of patients with ischemic stroke due to COVID-19.</p><p><strong>Material and methods: </strong>An observational, prospective and longitudinal study of patients with ischemic stroke admitted to a neurological rehabilitation program was carried out. The Barthel index, the modified Rankin Scale and the SF-12 were used to monitor functionality and quality of life. To compare the proportions of patients with functional independence, the McNemar test was used; for SF-12 scores, Student's t test was used for related data or Wilcoxon test, depending on their normality. A p < 0.05 was significant.</p><p><strong>Results: </strong>21 patients were included; mean age was 53.57 ± 12.2 years; they were predominantly male (66.7%). The percentage of patients with higher degrees of independence in daily and functional life increased, both in the Barthel index (p < 0.01) and in the modified Rankin scale (p < 0.01) at the third month of follow-up. There was an improvement in the quality of life in its physical component (p = 0.02), as well as in the dimensions of general health (p = 0.01) and mental health (p = 0.04).</p><p><strong>Conclusions: </strong>Patients with stroke due to COVID-19 admitted to the neurological rehabilitation program presented improvement in functional independence and increased their quality of life in their physical component at 3-month follow-up.</p>\",\"PeriodicalId\":21419,\"journal\":{\"name\":\"Revista médica del Instituto Mexicano del Seguro Social\",\"volume\":\"61 1\",\"pages\":\"8-14\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/00/04435117-61-1-8.PMC10395903.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista médica del Instituto Mexicano del Seguro Social\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista médica del Instituto Mexicano del Seguro Social","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19].
Background: COVID-19 can present neurological complications of the central nervous system. Ischemic-type strokes have been reported in this population. Neurological rehabilitation participates in the functional recovery and improvement of the quality of life of these patients.
Objective: To measure the functionality and quality of life of patients with ischemic stroke due to COVID-19.
Material and methods: An observational, prospective and longitudinal study of patients with ischemic stroke admitted to a neurological rehabilitation program was carried out. The Barthel index, the modified Rankin Scale and the SF-12 were used to monitor functionality and quality of life. To compare the proportions of patients with functional independence, the McNemar test was used; for SF-12 scores, Student's t test was used for related data or Wilcoxon test, depending on their normality. A p < 0.05 was significant.
Results: 21 patients were included; mean age was 53.57 ± 12.2 years; they were predominantly male (66.7%). The percentage of patients with higher degrees of independence in daily and functional life increased, both in the Barthel index (p < 0.01) and in the modified Rankin scale (p < 0.01) at the third month of follow-up. There was an improvement in the quality of life in its physical component (p = 0.02), as well as in the dimensions of general health (p = 0.01) and mental health (p = 0.04).
Conclusions: Patients with stroke due to COVID-19 admitted to the neurological rehabilitation program presented improvement in functional independence and increased their quality of life in their physical component at 3-month follow-up.