Ischemic stroke and covid-19

Uvod. Moždani udar nastaje kao posljedica nedostatka kisika u mozgu, što dovodi do prekida moždanih funkcija. Vodeći je uzrok tjelesne onesposobljenosti u svijetu, ali i u Europi. Akutna cerebrovaskularna bolest, posebice ishemijski moždani udar, pojavila se kao ozbiljna komplikacija infekcije teškim akutnim respiratornim sindromom COVID-19. Cilj. Cilj istraživanja bio je utvrditi i usporediti ishod liječenja bolesnika s ishemijskim moždanim udarom koji nisu imali COVID-19 i bolesnika koji su dobili ishemijski moždani udar za vrijeme COVID-19 bolesti pomoću Barthelovog indeksa. Ispitanici i metode. U istraživanju je sudjelovalo 38 ispitanika s ishemijskim moždanim udarom i bolesti COVID-19 koji su bili zaprimljeni na Odjel neurologije Opće bolnice Varaždin. Isti su bili kategorizirani u dvije skupine. Pandemijsku skupinu, koju su činili bolesnici s ishemijskim moždanim udarom za vrijeme COVID-19 bolesti. Drugu skupinu, odnosno nepandemijsku skupinu, činio je jednaki broj bolesnika s dijagnozom ishemijskog moždanog udara koji nisu imali COVID- 19 bolest. Bolesnicima se za vrijeme boravka u bolnici svakodnevno provodila fizikalna terapija, a podaci su uzeti iz medicinske dokumentacije. Rezultati. Analizom 38 ispitanika dokazana je statistički značajna razlika funkcionalnog statusa bolesnika od prijema do otpusta u obje skupine. Vrijednost Barthelovog indeksa je veća kod otpusta iz bolnice u odnosu na vrijednost istog prilikom prijema u bolnicu. Što nam ukazuje na poboljšanjem funkcionalne neovisnosti. Zaključak. Provedeno istraživanje pruža sliku jasnog i progresivnog funkcionalnog poboljšanja od prijema do otpusta među pacijentima nakon moždanog udara i bolesti COVID-19.Introduction. A stroke occurs as a consequence of a lack of oxygen in the brain, which leads to termination brain functions. It is the leading cause of physical disability in the world, but also in Europe. Acute cerebrovascular disease, especially ischemic stroke, appeared as a serious complication of infection with severe acute respiratory syndrome COVID-19. Purpose. The purpose of this research was to determine and compare the outcome of treatment of patients with ischemic stroke who did not have COVID-19 and patients who have had an ischemic stroke during the COVID-19 disease using the Barthel index. Respondents and methods. 38 respondents who had ischemic stroke and COVID-19 disease and were admitted to the Neurology Department of the General Hospital Varaždin participated in the research. They were categorized into two groups. The pandemic group, which consisted of patients with ischemic stroke who had COVID-19 disease during a stroke. The other group, the non-pandemic group, was consisted of the same number of patients with a diagnosis of ischemic of stroke who did not have COVID-19 disease. The data was taken from the medical record documentation from patients who were threated on a daily basic by performing physical therapy during their stay in hospital. Results. A statistically significant difference in functionality status of patient was proven in both groups by analyzing 38 respondents, from admission to discharge from the hospital. The Barthel index value is higher at discharge from the hospital compared to the same value at the time of admission to the hospital. That indicates on improving of functional independence. Conclusion. The conducted research provides a picture of a clear and progressive functional improvement from admission to discharge from the hospital among stroke and COVID-19 patients