Acute medical complications in patients admitted to a stroke unit and safe transfer to rehabilitation

Donatella Bonaiuti, Paolo Sioli, Lorenzo Fumagalli, Ettore Beghi, Elio Agostoni

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Acute medical complications often prevent patients with stroke from being transferred from stroke units to rehabilitation units, prolonging the occupation of hospital beds and delaying the start of intensive rehabilitation. This study defined incidence, timing, duration and risk factors of these complications during the acute phase of stroke. A retrospective case note review was made of hospital admissions of patients with stroke not associated with other disabling conditions, admitted to a stroke unit over 12 months and requiring rehabilitation for gait impairment. In this cohort, a search was made of hypertension, oxygen de-saturation, fever, and cardiac and pulmonary symptoms requiring medical intervention. Included were 135 patients. Hypertension was the most common complication (16.3%), followed by heart disease (14.8%), oxygen de-saturation (7.4%), fever (6.7%) and pulmonary disease (5.2%). Heart disease was the earliest and shortest complication. Most complications occurred during the first week. Except for hypertension, all complications resolved within 2 weeks.

Original languageEnglish
Pages (from-to)619-623
Number of pages5
JournalNeurological Sciences
Volume32
Issue number4
DOIs
Publication statusPublished - Aug 2011

Fingerprint

Rehabilitation
Stroke
Hypertension
Heart Diseases
Fever
Oxygen
Patient Admission
Gait
Occupations
Lung Diseases
Cohort Studies
Lung

Keywords

  • Acute complications
  • Rehabilitation
  • Stroke
  • Stroke unit

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Dermatology

Cite this

Acute medical complications in patients admitted to a stroke unit and safe transfer to rehabilitation. / Bonaiuti, Donatella; Sioli, Paolo; Fumagalli, Lorenzo; Beghi, Ettore; Agostoni, Elio.

In: Neurological Sciences, Vol. 32, No. 4, 08.2011, p. 619-623.

Research output: Contribution to journalArticle

Bonaiuti, Donatella ; Sioli, Paolo ; Fumagalli, Lorenzo ; Beghi, Ettore ; Agostoni, Elio. / Acute medical complications in patients admitted to a stroke unit and safe transfer to rehabilitation. In: Neurological Sciences. 2011 ; Vol. 32, No. 4. pp. 619-623.
@article{383d9cc4c1f14f958316481dfd29473a,
title = "Acute medical complications in patients admitted to a stroke unit and safe transfer to rehabilitation",
abstract = "Acute medical complications often prevent patients with stroke from being transferred from stroke units to rehabilitation units, prolonging the occupation of hospital beds and delaying the start of intensive rehabilitation. This study defined incidence, timing, duration and risk factors of these complications during the acute phase of stroke. A retrospective case note review was made of hospital admissions of patients with stroke not associated with other disabling conditions, admitted to a stroke unit over 12 months and requiring rehabilitation for gait impairment. In this cohort, a search was made of hypertension, oxygen de-saturation, fever, and cardiac and pulmonary symptoms requiring medical intervention. Included were 135 patients. Hypertension was the most common complication (16.3{\%}), followed by heart disease (14.8{\%}), oxygen de-saturation (7.4{\%}), fever (6.7{\%}) and pulmonary disease (5.2{\%}). Heart disease was the earliest and shortest complication. Most complications occurred during the first week. Except for hypertension, all complications resolved within 2 weeks.",
keywords = "Acute complications, Rehabilitation, Stroke, Stroke unit",
author = "Donatella Bonaiuti and Paolo Sioli and Lorenzo Fumagalli and Ettore Beghi and Elio Agostoni",
year = "2011",
month = "8",
doi = "10.1007/s10072-011-0588-2",
language = "English",
volume = "32",
pages = "619--623",
journal = "Neurological Sciences",
issn = "1590-1874",
publisher = "Springer-Verlag Italia s.r.l.",
number = "4",

}

TY - JOUR

T1 - Acute medical complications in patients admitted to a stroke unit and safe transfer to rehabilitation

AU - Bonaiuti, Donatella

AU - Sioli, Paolo

AU - Fumagalli, Lorenzo

AU - Beghi, Ettore

AU - Agostoni, Elio

PY - 2011/8

Y1 - 2011/8

N2 - Acute medical complications often prevent patients with stroke from being transferred from stroke units to rehabilitation units, prolonging the occupation of hospital beds and delaying the start of intensive rehabilitation. This study defined incidence, timing, duration and risk factors of these complications during the acute phase of stroke. A retrospective case note review was made of hospital admissions of patients with stroke not associated with other disabling conditions, admitted to a stroke unit over 12 months and requiring rehabilitation for gait impairment. In this cohort, a search was made of hypertension, oxygen de-saturation, fever, and cardiac and pulmonary symptoms requiring medical intervention. Included were 135 patients. Hypertension was the most common complication (16.3%), followed by heart disease (14.8%), oxygen de-saturation (7.4%), fever (6.7%) and pulmonary disease (5.2%). Heart disease was the earliest and shortest complication. Most complications occurred during the first week. Except for hypertension, all complications resolved within 2 weeks.

AB - Acute medical complications often prevent patients with stroke from being transferred from stroke units to rehabilitation units, prolonging the occupation of hospital beds and delaying the start of intensive rehabilitation. This study defined incidence, timing, duration and risk factors of these complications during the acute phase of stroke. A retrospective case note review was made of hospital admissions of patients with stroke not associated with other disabling conditions, admitted to a stroke unit over 12 months and requiring rehabilitation for gait impairment. In this cohort, a search was made of hypertension, oxygen de-saturation, fever, and cardiac and pulmonary symptoms requiring medical intervention. Included were 135 patients. Hypertension was the most common complication (16.3%), followed by heart disease (14.8%), oxygen de-saturation (7.4%), fever (6.7%) and pulmonary disease (5.2%). Heart disease was the earliest and shortest complication. Most complications occurred during the first week. Except for hypertension, all complications resolved within 2 weeks.

KW - Acute complications

KW - Rehabilitation

KW - Stroke

KW - Stroke unit

UR - http://www.scopus.com/inward/record.url?scp=80053959512&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053959512&partnerID=8YFLogxK

U2 - 10.1007/s10072-011-0588-2

DO - 10.1007/s10072-011-0588-2

M3 - Article

C2 - 21533563

AN - SCOPUS:80053959512

VL - 32

SP - 619

EP - 623

JO - Neurological Sciences

JF - Neurological Sciences

SN - 1590-1874

IS - 4

ER -