Functional Outcome between Ischemic and Hemorrhagic Stroke Patients after Inpatient Rehabilitation

The goal of this study is to clarify whether rehabilitation results are different between ischemic and hemorrhagic stroke patients matched for several other factors or different only in stroke origin.

This was a case control study of 70 inpatients with result of first stroke who were enrolled in identical subgroup and matched for basal stroke severity evaluated by Canadian Neurological Scale, basal disability by Barthel Index, and Rivermead Mobility Index, age, and same duration of admission (within 3 days), who were different only in terms of stroke etiology hemorrhagic or ischemic. We compare the efficiency and effectiveness of treatment, risk factors for stroke and changes in common component of Barthel and Rivermead Mobility Index score.

Hemorrhagic patients showed better neurological and functional prognosis when compared with ischemic patients. Hemorrhagic had significantly higher Canadian Neurological Scale score, higher barthel index score and higher Rivermead Mobility Index scores at discharge as compared to ischemic group. Rivermead mobility index, Barthel index and their mobility components were statically analyzed to obtain any co-relation between these two scales. It was found that there was not any statistically significant co-relation present between both the scales and their mobility components.

From this study, it can be concluded that hemorrhagic patients showed faster recovery than ischemic patients did. Hemorrhagic stroke patients had better chance to make complete recovery from stroke.