Comparison between ischemic and hemorrhagic strokes in functional outcome at discharge from an intensive rehabilitation hospital

Emilia Salvadori, Gioele Papi, Greta Insalata, Valentina Rinnoci, Ida Donnini, Monica Martini, Catuscia Falsini, Bahia Hakiki, Annamaria Romoli, Carmen Barbato, Paola Polcaro, Francesca Casamorata, Claudio Macchi, Francesca Cecchi, Anna Poggesi

Research output: Contribution to journalArticlepeer-review

Abstract

Comparison studies on recovery outcomes in ischemic (IS) and hemorrhagic strokes (HS) have yielded mixed results. In this retrospective observational study of consecutive IS and HS patients, we aimed at evaluating functional outcomes at discharge from an intensive rehabilitation hospital, comparing IS vs. HS, analyzing possible predictors. Modified Rankin Scale (mRS) at discharge was the main outcome. Out of the 229 patients included (mean age 72.9 ± 13.9 years, 48% males), 81 had HS (35%). Compared with IS (n = 148), HS patients were significantly younger (75 ± 12.5 vs. 68.8 ± 15.4 years, p = 0.002), required longer hospitalizations both in acute (23.9 ± 36.7 vs. 35.2 ± 29.9 days, p = 0.019) and rehabilitation hospitals (41.5 ± 31.8 vs. 77.2 ± 51.6 days, p = 0.001), and had more severe initial clinical deficit (mean number of neurological impairments: 2.0 ± 1.1 vs. 2.6 ± 1.4, p = 0.001) and mRS scores at admission (p = 0.046). At discharge, functional status change, expressed as mRS, was not significantly different between IS and HS (F = 0.01, p = 0.902), nor was the discharge destination (p = 0.428). Age and clinical severity were predictors of functional outcome in both stroke types. On admission in an intensive rehabilitation hospital, HS patients presented a worse functional and clinical status compared to IS. Despite this initial gap, the two stroke types showed an overlapped trajectory of functional recovery, with age and initial stroke severity as the main prognostic factors.

Original languageEnglish
Article number38
JournalDiagnostics
Volume11
Issue number1
DOIs
Publication statusPublished - Jan 2021

Keywords

  • Functional recovery
  • Hemorrhagic stroke
  • Ischemic stroke
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Clinical Biochemistry

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