Clinical Correlation Analysis of Complications in Elderly Patients with Sequelae of Stroke with Different Barthel Index in Tianjin Emergency Department.

Xingzhen Zheng,Xiaolin Bian,Haidong Wang,Junyan Liu

doi:10.1155/2021/6625440

Abstract

Objective The Barthel index (BI) is the most commonly used measure of poststroke disability. The purpose of this article is to explore the different complications and severity of the sequelae of elderly stroke patients with different BI in the emergency department, so as to provide a theoretical basis for strengthening the treatment of elderly patients with stroke sequelae. Methods A retrospective study was adopted, and 1896 patients were divided into two groups according to the BI: 823 patients in the bedridden group (BI ≤ 40 points) and 1073 patients in the nonbedridden group (BI > 40 points). The type and number of complications and APACHE II score were compared between the two groups. Results Compared with the two groups, pneumonia, renal insufficiency, respiratory failure, and decubitus ulcer in the bedridden group had a higher incidence, but the incidence of upper gastrointestinal bleeding and fractures in the nonbedridden group was significantly higher (P < 0.05). The APACHE II score of the patients in the bedridden group was higher than that of the nonbedridden group, and they were critical (P < 0.001). And the number of complications was higher than that in the nonbedridden group. Moreover, the BI was negatively correlated with the APACHE-II score and the number of complications, and the APACHE II score was positively correlated with the number of complications (P < 0.001). Conclusion Different complications and severity of illness occur in elderly patients with sequelae of stroke after different BI in the emergency department.

Highlights

Stroke, a general term for acute cerebrovascular disease, is a neurological disease caused by blockage or hemorrhage of the brain [1], mainly including cerebral thrombosis, cerebral embolism, cerebral hemorrhage, and subarachnoid hemorrhage
Compared with the nonbedridden group, the symptoms of consciousness disturbance, renal insufficiency, respiratory failure, and decubitus ulcers were higher in the bedridden group (P < 0:01), with extremely significant differences
We found that the incidence of pneumonia was significantly higher in the bedridden group with a low Barthel index (BI) (41.34%) than that in the nonbedridden group (21.76%)

Summary

Introduction

A general term for acute cerebrovascular disease, is a neurological disease caused by blockage or hemorrhage of the brain [1], mainly including cerebral thrombosis, cerebral embolism, cerebral hemorrhage, and subarachnoid hemorrhage. Patients are more prone to complications such as infection, acute cardiovascular disease, restroke, upper gastrointestinal bleeding, malnutrition, and fractures [5, 6]. These sequelae seriously affect the quality of life of patients; bring a huge burden on the country, families, and patients [7]; and are the main reason for emergency medical treatment. Patients with sequelae of stroke have complicated and critical conditions, difficult treatment, and higher cost and mortality rate [8]. Understanding various sequelae can contribute to purposefully improve treatment and nursing methods and provide patients with more specific rehabilitation programs and health education after discharge from the hospital. The BI is a measurement method commonly used in the international rehabilitation

Methods

Results

Conclusion