خطر ممانعت از توانبخشی در سکته مغزی در سنین بسیار بالا Risk of Exclusion From Stroke Rehabilitation in the Oldest Old
- نوع فایل : کتاب
- زبان : انگلیسی
- ناشر : Elsevier
- چاپ و سال / کشور: 2018
توضیحات
رشته های مرتبط پزشکی
گرایش های مرتبط طب فیزیکی و توانبخشی، مغز و اعصاب
مجله آرشیو پزشکی فیزیولوژیک و توانبخشی – Archives of Physical Medicine and Rehabilitation
دانشگاه Department of Medical and surgical Sciences – University of Bologna – Italy
منتشر شده در نشریه الزویر
کلمات کلیدی انگلیسی Stroke, Rehabilitation, Ageism, Cohort Studies
گرایش های مرتبط طب فیزیکی و توانبخشی، مغز و اعصاب
مجله آرشیو پزشکی فیزیولوژیک و توانبخشی – Archives of Physical Medicine and Rehabilitation
دانشگاه Department of Medical and surgical Sciences – University of Bologna – Italy
منتشر شده در نشریه الزویر
کلمات کلیدی انگلیسی Stroke, Rehabilitation, Ageism, Cohort Studies
Description
Stroke incidence is high in the elderly (age ≥65 yr) and reaches a peak in the oldest-old (age ≥ 85 yr).1,2 Oldest-old persons represent the fastest growing segment of the population in developed countries and are characterized by a great heterogeneity in their health status and ability to withstand acute illnesses.3 Compared to younger elderly patients, stroke in the oldest-old is associated with higher severity and worse outcomes.1,4 However, the oldest-old can benefit from early organized multidisciplinary stroke care (Stroke Unit [SU]) as effectively as younger stroke patients 5 Post-acute rehabilitation is a major component of SU care.6–8 A growing literature also supports the safety and efficacy of early mobilization (EM).6 , The term EM broadly refers to any rehabilitation intervention aimed at getting the patients out of bed already within the first 24 to 72 hours after an acute stroke.6 According to current evidence, age per se is not considered a reason for exclusion from stroke rehabilitation.9–12 However, studies of hospital resource use in Western countries show that oldest old patients admitted to SU are not investigated nor provided medical treatment as actively as younger elderly patients because of age discrimination.13,14 Existing literature suggests that ageism also influences access to stroke rehabilitation, but specific information about oldest-old is scant.15-18 An Australian15and an European study16 reported an inverse association between age and access to stroke rehabilitation. Both studies were multicentric but neither provided age-specific rates of exclusion and one did not even include oldest-old patients.
