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International Journal of Health and Rehabilitation Sciences

International Journal of Health and Rehabilitation Sciences
ISSN (online) : 2278-9030
ISSN (Print) : 2278-9014
ISSUES : 4/year
PUBLISHER : Rehabilitation Without Borders

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Original Research 


Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran.

Abstract
Background: Stroke is escalating as an indiscriminate disease on a global scale and the associated long-term disability is a really nagging problem for the post-stroke survivors.

Objective: To determine the functional, cognitive, psychological outcomes, recurrent vascular events and mortality in post-stroke survivors in a rural population.

Materials and Methods: This cross sectional study was done by recruiting 113 patients discharged from Dr. PSIMS & RF, a tertiary care centre. To assess the functional outcome, Modified Rankin Scale (MRS) & Barthel Index (BI) were used; Mini-Mental State Examination (MMSE) was used to assess cognitive outcome; Patient Health Questionnaire (PHQ-9) was used to assess depression.

Results: 28.3% of the patients had died, mostly from recurrent stroke complications or vascular events. Poor functional outcome with MRS > 2 was seen in about 63%. Moderate to severe cognitive impairment, by using MMSE was seen in 11.3% patients, whilst mild degree was seen in 54.4%. Moderate to severe depression defined as PHQ-9 score ≥ 10 was found in 24.7%. Chi-square test was applied to functional outcome & depression and the results revealed an obvious statistical significance (p = 0.0002), underscoring that the patients with poor functional outcome will have depression.

Conclusion: Post-stroke survivors have high mortality and poor functional as well as cognitive outcomes. A pro-active approach was ideal in all post stroke patients, in order to identify and treat any complication at an early stage, thus, recuperating outcomes and reducing costs.

Key words: Post Stroke Survivors, Complications


 
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How to Cite this Article
Pubmed Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. IJHRS. 2013; 2(1): 1-7.


Web Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. http://www.ijhrs.org/?mno=33117 [Access: October 17, 2021].


AMA (American Medical Association) Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. IJHRS. 2013; 2(1): 1-7.



Vancouver/ICMJE Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. IJHRS. (2013), [cited October 17, 2021]; 2(1): 1-7.



Harvard Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran (2013) Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. IJHRS, 2 (1), 1-7.



Turabian Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. 2013. Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. International Journal of Health and Rehabilitation Sciences (IJHRS), 2 (1), 1-7.



Chicago Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. "Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India." International Journal of Health and Rehabilitation Sciences (IJHRS) 2 (2013), 1-7.



MLA (The Modern Language Association) Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran. "Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India." International Journal of Health and Rehabilitation Sciences (IJHRS) 2.1 (2013), 1-7. Print.



APA (American Psychological Association) Style

Tenneti V.D. Sasisekhar, Madhavi Kodali, Sai Kiran (2013) Post Stroke Functional, Cognitive and Psychological outcomes and Mortality: Data from a Tertiary centre in South India. International Journal of Health and Rehabilitation Sciences (IJHRS), 2 (1), 1-7.



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