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Incidence of Altered Level of Consciousness in Hemorrhagic Stroke Survivors

Title
Incidence of Altered Level of Consciousness in Hemorrhagic Stroke Survivors
Authors
KoNayeonLeeHyun HaengSohnMin KyunKimDeog YoungShinYong-IlOhGyung-JaeYang-SooHanJunheeAhnJeonghoonChangWon HyukJongminYun-HeeJooMin CheolSo YoungSongMin-Keun
Ewha Authors
안정훈
SCOPUS Author ID
안정훈scopus
Issue Date
2024
Journal Title
American Journal of Physical Medicine and Rehabilitation
ISSN
0894-9115JCR Link
Citation
American Journal of Physical Medicine and Rehabilitation vol. 103, no. 4, pp. 325 - 332
Keywords
Cognition DisordersHemorrhagic StrokePrevalenceRehabilitation
Publisher
Lippincott Williams and Wilkins
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Objective: This study aimed to demonstrate the incidence of altered level of consciousness after hemorrhagic stroke and identify factors associated with altered level of consciousness at 3 mos after stroke. Design: This study used data from a prospective multicenter cohort study conducted in nine hospitals in Korea and included 1677 patients with first-ever hemorrhagic stroke. Patients were dichotomized into those with and without altered level of consciousness at 3 mos after stroke. Multivariate logistic regression analysis was performed to identify factors associated with subacute to chronic stage altered level of consciousness. Results: Among patients with hemorrhagic stroke (age: 20–99 yrs, female 50.21%), the prevalence of altered level of consciousness at admission was 38.58% (25.4% [drowsy], 6.38% [stupor], and 6.8% [coma]) and 17.29% 3 mos after stroke. Multivariate logistic regression analysis revealed that independent factors associated with altered level of consciousness at 3 mos after stroke included late seizure (odds ratio [95% confidence interval], 5.93 [1.78–20.00]), stroke progression (3.84 [1.48–9.64]), craniectomy (2.19 [1.19–4.00]), history of complications (1.74 [1.18–2.55]), age at stroke onset (1.08 [1.07–1.10]), and initial Glasgow Coma Scale score category (0.36 [0.30–0.44]). Conclusions: The factors associated with altered level of consciousness at 3 mos after stroke should be considered when explaining long-term consciousness status and focused management of modifiable factors in acute care hospitals could help ameliorate altered level of consciousness and promote recovery after stroke. © 2024 Lippincott Williams and Wilkins. All rights reserved.
DOI
10.1097/PHM.0000000000002351
Appears in Collections:
신산업융합대학 > 융합보건학과 > Journal papers
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