Factores relacionados a una mayor recuperación funcional tras sufrir un accidente cerbrovascular

Abstract

Cerebrovascular disease or stroke is one of the most common reasons for urgent neurological assistance, represents one of the leading causes of death and disability in adults and is a huge cost both human and economic. Advances in the treatment of stroke victims have as fundamental early neurological care, income in stroke units and rehabilitation treatment in specialized units. Between the different treatments, the neurorehabilitation presents a therapeutic window wider, you can apply to both ischemic stroke and hemorrhagic as can improve functional outcome even months after the stroke. The objective of this project is to determine which variables affect the functional outcome of the cerebrovascular accident (CVA) ischemic and hemorrhagic; for this purpose, we conducted an observational ambispective study. We analyzed all patients with stroke admitted to the Rehabilitation Service in the Hospital Marítimo de Oza during the past five years. It is intended to assess in both groups the degree of disability at the beginning of the rehabilitation treatment and discharge through two rating scales functional; the FIM scale (a measure of functional independence) and the Barthel Index (IB). In many occasions the rehabilitation professionals we thought that social factors affect the rehabilitation treatment during admission in our unit. In the normal clinical practice we forget to identify those families with problems of conflict or family dysfunction. Therefore seems necessary the use of a validated scale, such as the family APGAR questionnaire, with the purpose of providing follow-up and an appropriate referral when it is necessary. With this study we want to determine which variables affect the degree of disability after admission to our rehabilitation unit.