Correlation between neurological deficit at admission and functionality at discharge of patients from a clinical hospital stroke program

Introduction: Stoke is one of the main causes of disability in Brazil, with an average hospital stay (HS) of 11 days and prolonged HS can generate functional impairment to patients. Objectives: To correlate neurological deficit at admission with functionality and days of HS. Methods: Patients were selected from the clinical program of post-stroke care, from March to December 2022 with HS time greater than or equal to 4 days. They were divided into 2 groups: Group 1, between 4 and 11 days of HS and group 2, greater than 11 days of HS. The Functional Independence Measure (FIM) and the National Institute of Health Stroke Scale (NIHSS) were applied at admission and discharge. Data analysis was performed with Microsoft Excel© 2016 with descriptive statistics, Pearson’s Correlation Test was also performed, considering P < 0.05 for the variables studied. Results: 86 subjects were included. 41 were excluded due to lack of informations in medical records, and 45 patients were analyzed. Group 1: Included 32 patients, 24 with ischemic stroke (IS), 2 hemorrhagic stroke (ICH) and 6 transient ischemic attack (TIA), 56.2% were female and 69 ± 15.2 years and 5.9 ± 15.9 days HS with 5.2 ± 4.8 points in the FIM/days of hospitalization and NIHSS admission of 2.9 ± 4.2. Group 2: 13 patients, 11 with IS, 2 ICH, 61.5% male, with 67±15.2 years, NIHSS admission of 7.3 ± 4.2, there was a gain of 1.14 ± 4.7 points in the FIM/days of hospitalization and 21.3 ± 15.7 days HS. There was a negative correlation between Days of Hospitalization and FIM/days of hospitalization (r = -0.3), Days of Hospitalization and FIM at Discharge (r = -0.57) and NIHSS admission and FIM of discharge (r = -0.6). Conclusion: We observed a correlation between neurological deficit at admission, functional outcome at discharge and time of HS related to systematized assistance to a clinical stroke program.