Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries

Detalhes bibliográficos
Autor(a) principal: Vieira, André
Data de Publicação: 2021
Outros Autores: Soares, Patrícia, Nunes, Carla
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/127187
Resumo: Publisher Copyright: © 2021 André Vieira et al.
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spelling Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countriesa secondary analysis of the IST-3 trialClinical NeurologyPublisher Copyright: © 2021 André Vieira et al.Objectives. This study is aimed at identifying the best clinical model to predict poststroke independence at 6 and 18 months, considering sociodemographic and clinical characteristics, and then identifying differences between countries. Methods. Data was retrieved from the International Stroke Trial 3 study. Nine clinical variables (age, gender, severity, rt-PA, living alone, atrial fibrillation, history of transient ischemic attack/stroke, and abilities to lift arms and walk) were measured immediately after the stroke and considered to predict independence at 6 and 18 months poststroke. Independence was measured using the Oxford Handicap Scale. The adequacy, predictive capacity, and discriminative capacity of the models were checked. Countries were added to the final models. Results. At 6 months poststroke, 35.8% (n=1088) of participants were independent, and at 18 months, this proportion decreased to 29.9% (n=747). Both 6 and 18 months poststroke predictive models obtained fair discriminatory capacities. Gender, living alone, and rt-PA only reached predictive significance at 18 months. Poststroke patients from Poland and Sweden showed greater chances to achieve independence at 6 months compared to the UK. Poland also achieved greater chances at 18 months. Italy had worse chances than the UK at both follow-ups. Discussion. Six and eight variables predicted poststroke independence at 6 and 18 months, respectively. Some variables only reached significance at 18 months, suggesting a late influence in stroke patients' rehabilitation. Differences found between countries in achieving independence may be related to healthcare system organization or cultural characteristics, a hypothesis that must be addressed in future studies. These results can allow the development of tailored interventions to improve the outcomes.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNVieira, AndréSoares, PatríciaNunes, Carla2021-11-04T23:38:40Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/127187eng2090-8105PURE: 34679698https://doi.org/10.1155/2021/5627868info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:07:16Zoai:run.unl.pt:10362/127187Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:46:04.125210Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
a secondary analysis of the IST-3 trial
title Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
spellingShingle Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
Vieira, André
Clinical Neurology
title_short Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
title_full Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
title_fullStr Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
title_full_unstemmed Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
title_sort Predicting independence 6 and 18 months after ischemic stroke considering differences in 12 countries
author Vieira, André
author_facet Vieira, André
Soares, Patrícia
Nunes, Carla
author_role author
author2 Soares, Patrícia
Nunes, Carla
author2_role author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Vieira, André
Soares, Patrícia
Nunes, Carla
dc.subject.por.fl_str_mv Clinical Neurology
topic Clinical Neurology
description Publisher Copyright: © 2021 André Vieira et al.
publishDate 2021
dc.date.none.fl_str_mv 2021-11-04T23:38:40Z
2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/127187
url http://hdl.handle.net/10362/127187
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2090-8105
PURE: 34679698
https://doi.org/10.1155/2021/5627868
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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