Abstract

RODRIGUEZ MUTUBERRIA, Liván; GONZALEZ GONZALEZ, Judith; SERRA VALDES, Yusimí  and  BENDER DEL BUSTO, Juan Enrique. Prognostic factors of functional recovery in patients with chronic cerebral infarction of carotid part. Rev cubana med [online]. 2011, vol.50, n.3, pp. 270-278. ISSN 0034-7523.

Introduction: An observational and prospective study was done to the patients with diagnostic of chronic cerebral infarction of carotid vascular part, which were studied at the Clinic of Statics Encefalic Injury from the International Center Neurological Restoration. Objective: To determine the functional recovery prognosis in patients presenting with cerebral infarction under intensive rehabilitation treatment. Methods: Eighty patients were studied from the International Center of Neurological Restoration (2007-2010) for 4 weeks. Two groups were created according to presence of a functional recovery using the Barthel index. Comparisons according to age, sex, vascular risk factors and the neurological and functional initial condition were made. Results: The mean age of recovered cases was of 58,04 years (±11,19) (matched t p= 0.01). Sex and risk factors have not association with the functional recovery (X² p= 0,05). The functional recovery was significant for moderate patients according the Scandinavian scale for ictus (36,73% X² p= 0,000) y severe according the Arthel index (51,02% X² p= 0,000). Conclusion: The neurological and functional condition is a good predictor of the response to treatment.

Keywords : Cerebral infarction; functional recovery; vascular risk factors; Barthel index; Scandinavian scale for ictus.

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