Abstract

ROA W, Luis Fernando; MENDOZA O, Mario; JIMENEZ, Néstor  and  TOLEDO, Daniel. Prevalence and risk factor in moderate and severe disability in patients with stroke and atrial fibrilation in a university hospital of Bogotá. Acta Neurol Colomb. [online]. 2015, vol.31, n.4, pp.391-397. ISSN 0120-8748.

Introduction: There is little information in Colombia about ischemic stroke and Atrial Fibrillation (AF) disability. Objective: The aim of this study was to determine the prevalence and factors associated with moderate to severe disability in patients with stroke and AF. Materials and methods: We analyzed consecutive cases with stroke and AF, admitted from July 2013 to February 2014 hospital stay 11.88 ± 8.1 days was analyzed. We analyze the prevalence, disability (mRs) and mortality at discharge. Results: 368 patients with ischemic stroke and 63 (17%) with AF (54% male), aged (77.6 ± 10.25 years), hypertension (77.8%), prior stroke (58.7%), Heart Failure (46%), prior antiplatelet or anticoagulant treatment (58.7%), Middle Cerebral Artery (74.6%), partial anterior circulation infarcts (PACI) (47.6%), atrial dilatation (60.3%), aphasia (36.5%), seizures (7.9%), moderate and severe disability (eRm 3-5) (41.3%) and deaths (17.4%). We observed that female gender (OR 3.68; CI 1.01-13.39; p = 0.048. ), Prior CVD (OR 3.94; CI 1.15-13.57; p = 0.03) and aphasia (OR 6.86; CI 1.7-27.66; p = 0.007) were independent factors associated with moderate to severe disability and mortality. Conclusion: In this series the female sex, history of prior CVD and aphasia are the main factors associated with morbidity and death in our patients.

Keywords : atrial fibrillation; death (MesH); disability evaluation; stroke.

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