Stroke outcomes in a socio-economically disadvantaged urban community
| dc.contributor.author | De Villiers, Linda | |
| dc.contributor.author | Badri, Motasim | |
| dc.contributor.author | Ferreira, Monica | |
| dc.contributor.author | Bryer, Alan | |
| dc.date.accessioned | 2017-05-22T14:16:18Z | |
| dc.date.available | 2017-05-22T14:16:18Z | |
| dc.date.issued | 2011 | |
| dc.date.updated | 2016-01-08T09:57:15Z | |
| dc.description.abstract | AIMS: To determine survival, disability and functional outcomes of stroke patients following their discharge from an acute stroke unit in an urban community with limited rehabilitative resources. METHODS: Stroke patients were recruited from a district hospital in Cape Town and followed-up for 6 months. Clinical characteristics, demographic and socioeconomic data, and disability and function as measured by modified Rankin Score (mRS), modified Barthel Index (mBI) at recruitment and 3 follow-up visits, were recorded. RESULTS: The study included 196 patients. Median age was 60 (IQR 51 - 69) years, 135 (68.9%) were female, 57.7% black, 42.3% coloured, and 45 (23%) died within 6 months. At discharge, median mBI score was 7 (IQR 3 - 12) and median mRS 4 (IQR 3 - 5). In the multivariate regression models, only function (mBI OR 0.88, 95% confidence interval (CI) 0.79 - 0.96, p<0.0001) and disability (mRS 0R 2.34, 95%CI 1.20 - 4.54, p<0.0001) were independently associated with risk of death. Shack housing was independently associated with moderate or severe disability (odds ratio 3.42, 95%CI 1.22 - 9.59, p=0.02). Despite limited rehabilitation resources, 67% of survivors had mild to moderate disability at 6 months. CONCLUSION: Apart from initial stroke severity, risk factors for poor survival were a severe disability category and the presence of impaired swallowing at discharge. Shack housing was independently associated with poor functional outcomes. These findings should be helpful in allocating home-based care and inpatient rehabilitation resources to high-risk groups to improve outcomes. | |
| dc.identifier.apacitation | De Villiers, L., Badri, M., Ferreira, M., & Bryer, A. (2011). Stroke outcomes in a socio-economically disadvantaged urban community. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24384 | en_ZA |
| dc.identifier.chicagocitation | De Villiers, Linda, Motasim Badri, Monica Ferreira, and Alan Bryer "Stroke outcomes in a socio-economically disadvantaged urban community." <i>South African Medical Journal</i> (2011) http://hdl.handle.net/11427/24384 | en_ZA |
| dc.identifier.citation | De Villiers, L., Badri, M., Ferreira, M., & Bryer, A. (2011). Stroke outcomes in a socio-economically disadvantaged urban community. SAMJ: South African Medical Journal, 101(5), 345-348. | |
| dc.identifier.ris | TY - Journal Article AU - De Villiers, Linda AU - Badri, Motasim AU - Ferreira, Monica AU - Bryer, Alan AB - AIMS: To determine survival, disability and functional outcomes of stroke patients following their discharge from an acute stroke unit in an urban community with limited rehabilitative resources. METHODS: Stroke patients were recruited from a district hospital in Cape Town and followed-up for 6 months. Clinical characteristics, demographic and socioeconomic data, and disability and function as measured by modified Rankin Score (mRS), modified Barthel Index (mBI) at recruitment and 3 follow-up visits, were recorded. RESULTS: The study included 196 patients. Median age was 60 (IQR 51 - 69) years, 135 (68.9%) were female, 57.7% black, 42.3% coloured, and 45 (23%) died within 6 months. At discharge, median mBI score was 7 (IQR 3 - 12) and median mRS 4 (IQR 3 - 5). In the multivariate regression models, only function (mBI OR 0.88, 95% confidence interval (CI) 0.79 - 0.96, p<0.0001) and disability (mRS 0R 2.34, 95%CI 1.20 - 4.54, p<0.0001) were independently associated with risk of death. Shack housing was independently associated with moderate or severe disability (odds ratio 3.42, 95%CI 1.22 - 9.59, p=0.02). Despite limited rehabilitation resources, 67% of survivors had mild to moderate disability at 6 months. CONCLUSION: Apart from initial stroke severity, risk factors for poor survival were a severe disability category and the presence of impaired swallowing at discharge. Shack housing was independently associated with poor functional outcomes. These findings should be helpful in allocating home-based care and inpatient rehabilitation resources to high-risk groups to improve outcomes. DA - 2011 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - Stroke outcomes in a socio-economically disadvantaged urban community TI - Stroke outcomes in a socio-economically disadvantaged urban community UR - http://hdl.handle.net/11427/24384 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/24384 | |
| dc.identifier.vancouvercitation | De Villiers L, Badri M, Ferreira M, Bryer A. Stroke outcomes in a socio-economically disadvantaged urban community. South African Medical Journal. 2011; http://hdl.handle.net/11427/24384. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Division of Geriatric Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.source | South African Medical Journal | |
| dc.source.uri | http://www.samj.org.za/index.php/samj | |
| dc.title | Stroke outcomes in a socio-economically disadvantaged urban community | |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |