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Risk Factors and Functional Impact of Medical Complications in Stroke

 Bo-Ram Kim  ;  Jongmin Lee  ;  Min Kyun Sohn  ;  Deog Young Kim  ;  Sam-Gyu Lee  ;  Yong-Il Shin  ;  Gyung-Jae Oh  ;  Yang-Soo Lee  ;  Min Cheol Joo  ;  Eun Young Han  ;  Yun-Hee Kim 
 Annals of Rehabilitation Medicine, Vol.41(5) : 753-760, 2017 
Journal Title
Annals of Rehabilitation Medicine
Issue Date
Cohort study ; Functional recovery ; Medical complication ; Rehabilitation ; Stroke
Objective: To determine the incidence and risk factors for medical complications in Korean patients suffering from stroke and the impact of such complications on post-stroke functional outcomes.

Methods: We assessed patients enrolled in a prospective cohort study. All recruited patients had suffered a first acute stroke episode and been admitted to nine university hospitals in Korea between August 2012 and June 2015. We analyzed patient and stroke characteristics, comorbidities, prevalence of post-stroke medical complications, and functional outcomes at time of discharge and 3, 6, and 12 months after stroke onset.

Results: Of 10,625 patients with acute stroke, 2,210 (20.8%) presented with medical complications including bladder dysfunction, bowel dysfunction, sleep disturbance, pneumonia, and urinary tract infection. In particular, complications occurred more frequently in older patients and in patients with hemorrhagic strokes, more co-morbidities, severe initial motor impairment, or poor swallowing function. In-hospital medical complications were significantly correlated with poor functional outcomes at all time points.

Conclusion: Post-stroke medical complications affect functional recovery. The majority of complications are preventable and treatable; therefore, the functional outcomes of patients with stroke can be improved by providing timely, appropriate care. Special care should be provided to elderly patients with comorbid risk factors.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
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