The analysis of psychophysical status of patients hospitalised in the acute phase of ischemic stroke and treated conservatively or with thrombolysis
DOI:
https://doi.org/10.15503/emet2025.100.112Keywords:
ischaemic stroke, thrombolysis, thrombectomy, stroke scales, paresis, aphasia, ataxia, dysphagiaAbstract
Aim. The aim of this study was to evaluate the psychophysical status of patients with ischemic stroke treated by conservative or thrombolytic methods and the eventual differences between those patients on the first and last day of hospitalisation.
Methods. The NIHSS scale assessing the patients’ psychophysical status on the first and last day of hospitalisation was used as well as the Crary 2005 Functional Oral Intake Scale (FOIS) to assess the degree of dysphagia and the Modified Rankin Scale for assessment of patients’ general functional status on the last day of their stay.
Results. The study group included 100 patients (50 treated conservatively and 50 treated with thrombolysis). In the patients treated conservatively, swallowing problems decreased significantly between the first and last day of ward stay (p = 0.005), while the patients after thrombolysis the change did not occur (p=1,000). The psychophysical state of the patients in both groups improved significantly (p<0.001). The improvement was greater in the thrombolytically treated group (p< 0.001) and in the conservative treatment group - smaller but also significant (p< 0.001).
Conclusions. The type of treatment influences the psychophysical state of patients in favour of thrombolytic treatment. Patients treated with thrombolysis showed a lower physical and mental disability, and better memory recall. Age and the presence of hypertension did not influence the patients’ condition, but the occurrence of haemor- rhage did. The burden of arterial hypertension may pose a higher risk of stroke.
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References
Crary, M. A., Carnaby Mann, G. D., & Groher, M. E. (2005). Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation, 86(8), 1516–1520. https://doi.org/10.1016/j.apmr.2004.11.049
Hebel, K., Kowiański, P., & Rogoza, K. (2020). Assessment of the functional status of patients with ischaemic stroke receiving thrombolytic treatment. The Journal of Neurological and Neurosurgical Nursing, 9(1), 12–19. https://doi.org/10.15225/PNN.2020.9.1.3
Kasner, S. E. (2006). Clinical interpretation and use of stroke scales. The Lancet Neurology, 5(7), 603–612. https://doi.org/10.1016/S1474-4422(06)70495-1
Mishra, N. K., Lyden, P., Grotta, J. C., Lees, K. R., & VISTA Collaborators. (2010). Thrombolysis is associated with consistent functional improvement across baseline stroke severity. Stroke, 41(11), 2612–2617. https://doi.org/10.1161/STROKEAHA.110.588640
Polit, M., Chmielewska-Walczak, J., Stopińska, K., & Domitrz, I. (2021). Dysfagia ustno-gardłowa w ostrej fazie udaru mózgu – czynniki prognostyczne zaburzeń połykania oraz korelacja lokalizacji uszkodzenia OUN z objawami dysfagii [Oropharyngeal dysphagia in the acute phase of stroke – prognostic factors of swallowing disorders and correlation of CNS lesion location with dysphagia symptoms]. Logopedia, 50(1), 49–61. https://doi.org/10.34767/ Logopedia.2021.50.1.4
Rosińczuk, J., Bonk, K., & Kołtuniuk, A. (2015). Analiza terapii trombolitycznej w leczeniu udaru niedokrwiennego mózgu: Analiza przebiegu leczenia udaru niedokrwiennego mózgu z użyciem trombolizy [Analysis of thrombolytic therapy in the treatment of ischemic stroke: Course of ischemic stroke treatment using thrombolysis]. Annales Academiae Medicae Silesiensis, 69(online), 125–131. https://annales.sum.edu.pl/69-2
Sienkiewicz-Jarosz, H. (2020). Udar mózgu – kompendium dla praktyka [Stroke – a compendium for practitioners]. PZWL.
Snarska, K. K., & Chorąży, M. (2021). Medyczne i pielęgnacyjne aspekty opieki nad pacjentem po udarze mózgu [Medical and nursing aspects of care for patients after stroke] (wyd. 1). Uniwersytet Medyczny w Białymstoku.
Wawrzyńczyk, M., Pierzchała, K., & Łabuz-Roszak, B. (2012). Tromboliza w udarze niedokrwien- nym mózgu – 8 lat doświadczeń [Thrombolysis in ischemic stroke – 8 years of experience]. Annales Academiae Medicae Silesiensis, 66(6), 37–44.
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Copyright (c) 2025 Monika Michalak, Małgorzata Katarzyna Antico, Dorota Regner, Aleksander Fuglewicz, Anna Stodolak
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