Impact of stroke etiology on clinical symptoms and functional status

OBJECTIVE: The aim of this study is to investigate the differences between hemorrhagic and ischemic stroke
patients in terms of clinical and functional features.
METHODS: Medical records of the patients with stroke were analyzed retrospectively. The patients’ demographic characteristics, stroke etiology, time interval after the event, comorbid illness and functional status were recorded.
RESULTS: The stroke etiology was ischemia for 60 (36 male/24 female) (75%) patients, and haemorrhage for 20 (10 male/10 female) (25%) patients. Patients with ischemic stroke were classified as Group 1, and patients with hemorrhagic stroke were classified as Group 2. The mean age for Group 1 was 62.2±13.2, and 55.8±17.1 years for Group 2 (p=0.592). In Group 1, 33 (55%) patients, and in Group 2, 11 (55%) patients were primary school graduates (p=0.984). Localization of the lesion was in the right side for 33 (55%) patients in Group 1, and for 15 (75%) patients in Group 2 (p=0.372). The mean time interval after event for Group 1 was 7 months (0-211 days), and for Group 2 it was 14.5 (1-420 days) months (p=0.592). FIM score for Group 1 was 71.9±28.0, and 68.1±21.0 for Group 2 (p=0.575). The mean Brunnstrom score for upper extremity was 3.5 for Group 1, 3 for Group 2, (p=0.866), and for lower extremity, it was 3.5 for Group 1, and 3 for Group 2 (p=0.143). Spasticity was present in 45 (75%) patients in Group 1, and in 12 (60%) patients in Group 2 (p=0.311). In Group 1 51 (85%) of the patients and 18 (95%) patients had a history of comorbid disease (p=0.554).
CONCLUSION: Etiology of stroke is thought to be not effective on the patient’s clinical and functional status.

İnme Etiyolojisinin Klinik Bulgular ve Fonksiyonel Duruma Etkisi

AMAÇ: Bu çalışmanın amacı hemorajik ve iskemik inmeli hastalar arasında klinik özellikleri ve fonksiyonel düzeyleri açısından fark olup olmadığını araştırmaktır.
YÖNTEMLER: İnmeli hastaların dosyaları retrospektif olarak incelendi. Demografik özellikleri, inme etiyolojisi, olay üzerinden geçen zaman, komorbid hastalıklar ve fonksiyonel durumları kaydedildi.
BULGULAR: Hastaların 60’ı (36 erkek/24 kadın) (%75) iskemik, 20’si (10 erkek/10 kadın) (%25) hemorajik kökenli inme idi. İskemik inmeli hastalar Grup 1, hemorajik kökenli inme hastalar Grup 2 olarak nitelendirildi. Ortalama yaş; Grup 1’de 62.2±13.2 yıl, Grup 2’de 55.8±17.1yıl (p=0.592) idi. Grup 1 de 33 (%55) hasta, Grup 2’de 11 (%55) hasta ilkokul mezunuydu (p=0.984). Lezyon lokalizasyonu Grup 1’de 33 (%55), Grup 2’de 15 (%75) sağ taraftaydı (p= 0.372). Olayın üzerinden Grup 1 de 7 (0-211), Grup 2’de 14.5 (1-420) ay geçmişti (p=0.592). FIM skoru Grup 1’de 71.9±28.0, Grup 2’de 68.1±21.0 (p=0.575) idi. Ortalama brunnstrom evresi üst ekstremitede; Grup-1’de 3.5, Grup-2’de 3 (p=0.866), alt ekstremitede Grup 1’de 3.5, Grup 2’de 3 (p=0.143) idi. Spastisite Grup 1’de 45 (%75), Grup-2’de 12 (%60) hastada mevcuttu (p=0.311). Hastaların Grup 1’de 51’inde (%85), Grup 2’de 18’sinde (%95) komorbid hastalık öyküsü vardı (p=0.554).
SONUÇ: İnme etiyolojisinin hastanın kliniği ve fonksiyonel düzeyi üzerine etkili olmadığı düşünülmüştür.