Functional outcomes and expectation of patients on their functional outcomes after acute stroke
Keywords:
Functional outcomes, Patient with acute stroke, ExpectationAbstract
Stroke is the leading cause of death and a major cause of disability worldwide. This descriptive study aimed to 1) study functional outcomes among patients with acute stroke, 2) study the expectation of patients on their functional outcomes after acute stroke. The subjects were 155 patients with acute stroke who were admitted to a tertiary hospital in Bangkok. Purposive sampling was applied to recruit patients with acute stroke listed in the hospital admission system and inclusion criteria. Research instruments consisted of questionnaires for general characteristics, health information, National Institutes of Health Stroke Scale (NHISS), modified Rankin Scale (mRS), Barthel index (BI), EQ-5D-5L, and the question of expectations of patients on their functional outcomes after acute stroke. Data were analyzed using descriptive statistics and inferential statistics. The results showed that most of the samples were male (62.6%). The average age was 64 years (S.D.=12.5). Most of the samples were patients with acute ischemic stroke (89.6%). Functional outcomes at discharge showed that the mean NIHSS was 4 scores, the mean mRS was 3, the mean BI was 70.4, and the utility scores was 0.7. Patients with intracerebral hemorrhage had significantly poorer functional outcomes than those with ischemic stroke (p<.05). Expectations of patients on their functional outcomes after acute stroke were worse than expected (13.5%), as reasonable as expected (49.0%), and better than expected (37.5%). After the stroke, patients with different expectations of their functional outcomes had significantly different functional outcomes in all indices
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