Publicação
Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal
| Resumo: | Foreseeing functional recovery after stroke plays a crucial role in planning rehabilitation programs. Objectives: To assess differences over time in functional recovery assessed through the Barthel Index (BI) rate of change (BIRC) between admission and discharge in stroke patients. Methods: This is a retrospective hospital-based study of consecutive patients with acute stroke admitted to a hospital in the Northeast Portugal between 2010 and 2014. BIRC was computed as the difference between the admission and discharge BI scores divided by time in days between these assessments. General linear model analysis stratiied by gender was used to know whether there was an increase in BIRC during time period under study. Adjusted regression coeficients and respective 95% conidence interval (95%CI) were obtained. Results: From 483 patients included in this analysis 59% (n = 285) were male. Among women, mean BIRC was 1.8 (± 1.88) units/ day in 2010 and reached 3.7 (± 2.80) units/day in 2014. Among men the mean BIRC in 2010 and in 2014 were similar being 3.2 (± 3.19) and 3.1 (± 3.31) units/day, respectively. After adjustment for age, BI at admission, type and laterality of stroke we observed an increase in BIRC over time among women such that mean BIRC in 2014 was 0.82 (95%: 0.48; 3.69) units higher than the one observed in 2010. No such increase in BIRC over time was observed among men. Conclusions: We observed an improvement in functional recovery after stroke but only among women. Our results suggest differences over time in clinical practice toward rehabilitation of women after stroke. |
|---|---|
| Autores principais: | Gomes, Maria José |
| Outros Autores: | Teixeira, Cristina; Banrezes, Susana |
| Assunto: | Stroke Gender Barthel Index Change. |
| Ano: | 2016 |
| País: | Portugal |
| Tipo de documento: | documento de conferência |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Bragança |
| Idioma: | inglês |
| Origem: | Biblioteca Digital do IPB |
| _version_ | 1867172730603831296 |
|---|---|
| author | Gomes, Maria José |
| author2 | Teixeira, Cristina Banrezes, Susana |
| author2_role | author author |
| author_facet | Gomes, Maria José Teixeira, Cristina Banrezes, Susana |
| author_role | author |
| contributor_name_str_mv | Biblioteca Digital do IPB |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Gomes, Maria José\",\"Person.identifier.orcid\":\"0000-0001-9825-8293\"},{\"Person.name\":\"Teixeira, Cristina\",\"Person.identifier.orcid\":\"0000-0001-5194-5141\"},{\"Person.name\":\"Banrezes, Susana\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Biblioteca Digital do IPB |
| datacite.creators.creator.creatorName.fl_str_mv | Gomes, Maria José Teixeira, Cristina Banrezes, Susana |
| datacite.date.Accepted.fl_str_mv | 2016-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2016-10-12T13:38:43Z |
| datacite.date.embargoed.fl_str_mv | 2016-10-12T13:38:43Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Stroke Gender Barthel Index Change. |
| datacite.titles.title.fl_str_mv | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| dc.contributor.none.fl_str_mv | Biblioteca Digital do IPB |
| dc.creator.none.fl_str_mv | Gomes, Maria José Teixeira, Cristina Banrezes, Susana |
| dc.date.Accepted.fl_str_mv | 2016-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2016-10-12T13:38:43Z |
| dc.date.embargoed.fl_str_mv | 2016-10-12T13:38:43Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10198/13400 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Stroke Gender Barthel Index Change. |
| dc.title.fl_str_mv | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_c94f |
| description | Foreseeing functional recovery after stroke plays a crucial role in planning rehabilitation programs. Objectives: To assess differences over time in functional recovery assessed through the Barthel Index (BI) rate of change (BIRC) between admission and discharge in stroke patients. Methods: This is a retrospective hospital-based study of consecutive patients with acute stroke admitted to a hospital in the Northeast Portugal between 2010 and 2014. BIRC was computed as the difference between the admission and discharge BI scores divided by time in days between these assessments. General linear model analysis stratiied by gender was used to know whether there was an increase in BIRC during time period under study. Adjusted regression coeficients and respective 95% conidence interval (95%CI) were obtained. Results: From 483 patients included in this analysis 59% (n = 285) were male. Among women, mean BIRC was 1.8 (± 1.88) units/ day in 2010 and reached 3.7 (± 2.80) units/day in 2014. Among men the mean BIRC in 2010 and in 2014 were similar being 3.2 (± 3.19) and 3.1 (± 3.31) units/day, respectively. After adjustment for age, BI at admission, type and laterality of stroke we observed an increase in BIRC over time among women such that mean BIRC in 2014 was 0.82 (95%: 0.48; 3.69) units higher than the one observed in 2010. No such increase in BIRC over time was observed among men. Conclusions: We observed an improvement in functional recovery after stroke but only among women. Our results suggest differences over time in clinical practice toward rehabilitation of women after stroke. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | conferenceObject |
| fulltext.url.fl_str_mv | https://bibliotecadigital.ipb.pt/bitstreams/6d04b706-48c1-48dd-9da5-4980abfc18c3/download |
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| identifier.url.fl_str_mv | http://hdl.handle.net/10198/13400 |
| instacron_str | ipb |
| institution | Instituto Politécnico de Bragança |
| instname_str | Instituto Politécnico de Bragança |
| language | eng |
| network_acronym_str | ipb |
| network_name_str | Biblioteca Digital do IPB |
| oai_identifier_str | oai:bibliotecadigital.ipb.pt:10198/13400 |
| organization_str_mv | urn:organizationAcronym:ipb |
| person_str_mv | Gomes, Maria José Gomes, Maria José https://www.ciencia-id.pt/A610-FE92-8B8B A610-FE92-8B8B http://orcid.org/0000-0001-9825-8293 0000-0001-9825-8293 Teixeira, Cristina Teixeira, Cristina https://www.ciencia-id.pt/6E12-F2A0-568F 6E12-F2A0-568F http://orcid.org/0000-0001-5194-5141 0000-0001-5194-5141 Banrezes, Susana |
| publishDate | 2016 |
| publisher.none.fl_str_mv | Elsevier |
| reponame_str | Biblioteca Digital do IPB |
| repository_id_str | urn:repositoryAcronym:ipb |
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| spelling | engElsevierpt_PTForeseeing functional recovery after stroke plays a crucial role in planning rehabilitation programs. Objectives: To assess differences over time in functional recovery assessed through the Barthel Index (BI) rate of change (BIRC) between admission and discharge in stroke patients. Methods: This is a retrospective hospital-based study of consecutive patients with acute stroke admitted to a hospital in the Northeast Portugal between 2010 and 2014. BIRC was computed as the difference between the admission and discharge BI scores divided by time in days between these assessments. General linear model analysis stratiied by gender was used to know whether there was an increase in BIRC during time period under study. Adjusted regression coeficients and respective 95% conidence interval (95%CI) were obtained. Results: From 483 patients included in this analysis 59% (n = 285) were male. Among women, mean BIRC was 1.8 (± 1.88) units/ day in 2010 and reached 3.7 (± 2.80) units/day in 2014. Among men the mean BIRC in 2010 and in 2014 were similar being 3.2 (± 3.19) and 3.1 (± 3.31) units/day, respectively. After adjustment for age, BI at admission, type and laterality of stroke we observed an increase in BIRC over time among women such that mean BIRC in 2014 was 0.82 (95%: 0.48; 3.69) units higher than the one observed in 2010. No such increase in BIRC over time was observed among men. Conclusions: We observed an improvement in functional recovery after stroke but only among women. Our results suggest differences over time in clinical practice toward rehabilitation of women after stroke.application/pdfpt_PTDifferences by gender in barthel index change after stroke: a retrospective study in the Northeast PortugalPersonalGomes, Maria JoséDSpacehttp://dspace.org/items/cbdedae1-1fe4-46df-804f-51bf91b40655DSpacehttp://dspace.org/items/cbdedae1-1fe4-46df-804f-51bf91b40655GomesMaria JoséCiência IDhttps://www.ciencia-id.ptA610-FE92-8B8BORCIDhttp://orcid.org0000-0001-9825-8293PersonalTeixeira, CristinaDSpacehttp://dspace.org/items/9037c83c-43c1-4714-ad3e-9f307dd1d89fDSpacehttp://dspace.org/items/9037c83c-43c1-4714-ad3e-9f307dd1d89fTeixeiraCristinaCiência IDhttps://www.ciencia-id.pt6E12-F2A0-568FORCIDhttp://orcid.org0000-0001-5194-5141Researcher IDhttps://www.researcherid.comO-2296-2013Scopus Author IDhttps://www.scopus.com55207402700Scopus Author IDhttps://www.scopus.com56982501700Banrezes, SusanaHostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptISSNIsPartOf0212-65672016-10-12T13:38:43Z20162016-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/13400http://purl.org/coar/access_right/c_abf2open accessStrokeGenderBarthel Index Change.385882 bytesother research producthttp://purl.org/coar/resource_type/c_c94fconference object2016http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/6d04b706-48c1-48dd-9da5-4980abfc18c3/downloadAtención Primaria489696Viseu |
| spellingShingle | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal Gomes, Maria José Stroke Gender Barthel Index Change. |
| status | SINGLETON |
| subject.fl_str_mv | Stroke Gender Barthel Index Change. |
| title | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| title_full | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| title_fullStr | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| title_full_unstemmed | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| title_short | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| title_sort | Differences by gender in barthel index change after stroke: a retrospective study in the Northeast Portugal |
| topic | Stroke Gender Barthel Index Change. |
| topic_facet | Stroke Gender Barthel Index Change. |
| url | http://hdl.handle.net/10198/13400 |
| visible | 1 |