PROGNOSTIC MODEL OF EVALUATION OF LETHALITY AND FUNCTIONAL RECOVERY AFTER SEVERE AND EXTREMELY SEVERE STROKE

I. V Sidyakina; S. V Tsarenko; Do O.R. Brushina; K. I.V Aledina; S. T.V Hapovalenko; K. V Lyadov

doi:10.17816/MSER35740

Medical and Social Expert Evaluation and Rehabilitation ›› 2012, Vol. 15 ›› Issue (3) : 49 -52. DOI: 10.17816/MSER35740

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PROGNOSTIC MODEL OF EVALUATION OF LETHALITY AND FUNCTIONAL RECOVERY AFTER SEVERE AND EXTREMELY SEVERE STROKE

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Abstract

Model of prognostication of assessment according to Bartel scale in 1, 3, 6 and 12 months after stroke including initial assessment according to Bartel scale and National Institutes of Health Stroke Scale (NIHSS) was developed. In patients with brain infarction in the medial cerebral artery basin an assessment according to ASRECTS scale additionally included into the model was expedient. In prognostication of adverse outcome (5-6 numbers on Rankin scale) an assessment according to the Glasgow Coma Scale (GCS) was the most significant on admission. Application of complex model gave some improvement: Complex index = 7.14 - 0.07 NIHSS - 0.548 GCS- 2.91 Bartel (0) - 0.005 x (cross dislocation, mm) - 1.03 x (axial dislocation, mm).

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rehabilitation after stroke / severe stroke / brain infarction / prognostic model

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I. V Sidyakina, S. V Tsarenko, Do O.R. Brushina, K. I.V Aledina, S. T.V Hapovalenko, K. V Lyadov. PROGNOSTIC MODEL OF EVALUATION OF LETHALITY AND FUNCTIONAL RECOVERY AFTER SEVERE AND EXTREMELY SEVERE STROKE. Medical and Social Expert Evaluation and Rehabilitation, 2012, 15(3): 49-52 DOI:10.17816/MSER35740

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