Stroke: difficulties in carrying out studies in a hospital environment
DOI:
https://doi.org/10.34024/rnc.2022.v30.14059Keywords:
Stroke, patient selection, patient participation, physical therapyAbstract
Introduction. The studies carried out with individuals with stroke can be a great challenge, especially during hospitalization. Objective. To analyze the main difficulties encountered in conducting a study with hospitalized patients with acute stroke. Method. This is a retrospective observational study, which took place during a study in a tertiary public hospital in the Federal District. Inclusion criteria were: single stroke diagnosis, 24 to 72 hours after the event, both sexes, age 18 years or older, middle cerebral artery lesion; collaboration to the request of simple commands, IMS between 1 and 3. Individuals who had advanced systemic disease, intracranial hypertension or risk of clinical evolution evidenced by the medical team, previous neurological surgical intervention, use of antidepressants or antipsychotics, stroke associated with subarachnoid hemorrhage, were excluded. acute traumatic injury or acute subdural hemorrhage. Results. After the inclusion criteria, 29 individuals out of 347 were selected for the study. Of these, due to death, transfers, hospital complications, 19 individuals remained in the study. After the start of the intervention, there was still the loss of 3 more individuals. Conclusion. Studies with individuals in the acute stage of stroke are complex to be carried out due to the severity of the neurological and clinical condition, in addition to the heterogeneity of the sample, making it essential to choose appropriate strategies for recruitment and maintenance of the individual during these studies.
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Copyright (c) 2022 Thaís Gontijo Ribeiro, Clarissa Cardoso dos Santos Couto Paz, Milene Soares Nogueira de Lima
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Accepted 2022-08-31
Published 2022-10-06
