Repositori URV

Identifier: TDX:610

Handle: https://hdl.handle.net/20.500.11797/TDX610

Authors:
San Segundo Mozo, Rosa Maria

Abstract:
The stroke is a common health problem in our society. It represents the third cause of mortality in the Western World and the first cause of mortality in Spain. In addition to having a high incidence rate, this pathology is also very prevalent. Although strokes are important cause of mortality, it causes more disabilities than deaths. The economic costs involved in strokes are very high due to the direct relationship between strokes and the high level of disabilities they provoke. Acute hospitalization and institutionalisation are very important parts of the economic costs of strokes. For this reason, we are interested in studying the factors which may provoke the association between these factors and the need for institutionalisation.Thesis applicationsThe institutionalisation of stroke victims can be influenced by multiple factors. While there are a lot of published estudies which attempt to explain which factors influence the degree of institutionalisation of these patients at discharge, there are none in our environment. The purpose of our work is to identify the factors which influence the institutionalisation of stroke victims.Objectives1) To study clinical and demographic factors upon admission which may foretell the institutionalisation of a stroke victim.2) To build algorithms of decision to predict the future of a patient at discharge from the hospital using the prediction factors found in point 1.3) To evaluate the clinical and sociodemographic differences between those hospitalized patients who are later institutionalized at discharge and those who are not.MethodologyThis is a historic cohort study which made use of stroke in-patients at Rehabilitation Services of Hospital Joan XXIII of Tarragona, from 1994 to 2001 inclusive. The study group is composed of