The analysis of psychophysical status of patients hospitalised in the acute phase of ischemic stroke and treated conservatively or with thrombolysis
The analysis of psychophysical status of patients hospitalised in the acute phase of ischemic stroke and treated conservatively or with thrombolysis

Summary/Abstract: Aim. The aim of this study was to evaluate the psychophysical status of patients with ischemic stroke treated by conservative or thrombolytic methods and the eventual differences between those patients on the first and last day of hospitalisation.Methods. The NIHSS scale assessing the patients’ psychophysical status on the first and last day of hospitalisation was used as well as the Crary 2005 Functional Oral Intake Scale (FOIS) to assess the degree of dysphagia and the Modified Rankin Scale for assessment of patients’ general functional status on the last day of their stay.Results. The study group included 100 patients (50 treated conservatively and 50 treated with thrombolysis). In the patients treated conservatively, swallowing problems decreased significantly between the first and last day of ward stay (p = 0.005), while the patients after thrombolysis the change did not occur (p=1,000). The psychophysical state of the patients in both groups improved significantly (p<0.001). The improvement was greater in the thrombolytically treated group (p< 0.001) and in the conservative treatment group - smaller but also significant (p< 0.001).Conclusions. The type of treatment influences the psychophysical state of patients in favour of thrombolytic treatment. Patients treated with thrombolysis showed a lower physical and mental disability, and better memory recall. Age and the presence of hypertension did not influence the patients’ condition, but the occurrence of haemor- rhage did. The burden of arterial hypertension may pose a higher risk of stroke.

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