OBJECTIVES: To determine factors associated with recovery from poststroke @entity322 and to estimate the impact of this recovery on @entity64 outcome at 3 months. DESIGN: Prospective, observational study. SETTING: Population-based @entity64 register. @entity1 : Three hundred twenty-four incident cases of @entity64 with @entity322 1 week poststroke were identified from the register between January 1, 1995, and December 31, 1998. MEASUREMENTS: At 3 months, 105 @entity1 were dead and 12 were lost to follow-up. The remaining @entity1 were classified by continence status; those who had regained continence (n = 127) were compared with those who remained incontinent (n = 80) in terms of demographic details, @entity64 risk factors, premorbid disability, @entity16 , and Oxfordshire @entity64 Project @entity64 subtypes. Data at 3 months included disability using the modified Barthel Index (BI) (without its urinary continence component) and the Frenchay Activity Index (FAI), and institutionalization. RESULTS: Multivariate analysis showed being age 75 and older (odds ratio (OR) = 0.38; 95% confidence interval (CI) = 0.17-0.83) was associated with poor recovery from @entity322 . Compared with subjects with total anterior circulatory @entity1188 , those with @entity1188 were more likely to regain continence (OR = 3.66; 95% CI =1.10-12.2), and compared with subjects with a BI between 0 and 14, those with a BI between 15 and 18 were also more likely to regain continence (OR = 21.8; 95% CI = 5.95-79.7). At 3 months, the incontinent group had greater institutionalization rates (27 (34%) vs 9 (7%), P <.001) and worse disability, measured with BI and FAI (BI: P <.001, FAI: P =.002). CONCLUSIONS: Age 75 and older is independently associated with poor recovery from poststroke @entity322 . Further clinical trials are required to explore underlying mechanisms and efficacy of possible interventions for this group of @entity64 survivors. Recovery from poststroke @entity322 should be a major goal of @entity64 professionals because it is associated with lower institutionalization rates and @entity717 at 3 months.

Recovery from poststroke XXXX : associated factors and impact on outcome.

@entity1 :: ('9606', 'Species') :: ['patients', 'PARTICIPANTS'] @entity64 :: ('MESH:D020521', 'Disease') :: ['Community Stroke', 'stroke'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence', 'incontinence'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological impairments'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarctions', 'lacunar infarctions'] @entity717 :: ('MESH:D009069', 'Disease') :: ['less disability']
@entity322 :: (MESH:D014549,Disease) :: ['urinary incontinence']
