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SM ISO690:2012 CHITOROAGĂ, Mihaela. Accidentul vascular cerebral recurent: un impact curios asupra severității ictusului și dizabilității neurologice. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 334. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 334-334 | ||||||
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Rezumat | ||||||
Background. Recurrent stroke is significantly associated with increased mortality and morbidity, as it results in more severe neurological deficits than the initial stroke. However, the association of recurrence with stroke severity and neurological disability has not been studied. Objective of the study. The aim of the study was to elucidate the impact of stroke recurrence on its severity and on the neurological disability of patients. Material and Methods. A retrospective observational study was conducted on 60 patients with stroke: patients with primary stroke (n=30) and patients with recurrent stroke (n=30). The severity of stroke was assessed using the NIHHS scale and the degree of neurological disability was assessed using the mRS scale. For the statistical analysis of the data, the Student's t test for two independent samples was performed. Results. An average NIHSS score of 10.1±0.78 points and a mean mRS score of 2.87±0.17 points were obtained in patients with primary stroke, and an average NIHSS score of 11.7±0.85 points and a mean mRS score of 3.57±0.15 points were obtained in patients with recurrent stroke. The average severity of both primary and recurrent stroke did not show differences between groups (10.1 vs 11.7; p=0.17, p>0.05), being predominantly of moderate severity. There was a statistically significant higher average degree of disability (3.6 vs 2.9; p=0.003, p<0.01) in patients with recurrent stroke, assigning a moderate-severe degree of neurological disability to these patients. Conclusion. The severity of a recurrent stroke does not differ from that of a primary stroke, but a recurrent stroke induces a higher level of neurological disability than the primary one. Recognizing this would contribute to the intensification of secondary stroke prevention measures. |
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Cuvinte-cheie recurrent stroke, Severity, neurological disability, ictus recurent, Severitate, dizabilitate neurologică |
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