Predictive Estimations for Patients Who Have Suffered From Acute Cerebrovascular Accident and Have Undergone Rehabilitation

Guljakhan Abilova; Vitaly Kamkeh; Zhanna Kalmatayeva

doi:10.3889/oamjms.2022.9943

Authors

Guljakhan Abilova Department of Epidemiology, Biostatistics and Evidence-based Medicine, Faculty of Medicine and Health Care, Al–Farabi Kazakh National University, Almaty, Kazakhstan https://orcid.org/0000-0002-3564-7256
Vitaly Kamkeh Department of Epidemiology, Biostatistics and Evidence-based Medicine, Faculty of Medicine and Health Care, Al–Farabi Kazakh National University, Almaty, Kazakhstan
Zhanna Kalmatayeva Department of Epidemiology, Biostatistics and Evidence-based Medicine, Faculty of Medicine and Health Care, Al–Farabi Kazakh National University, Almaty, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2022.9943

Keywords:

Survival, Stroke, Medical rehabilitation, Almaty, Kazakhstan

Abstract

BACKGROUND: Acute cerebral circulation disorder is known to be one of the main causes of morbidity, mortality, long-term disability, and the overall so-called disability in society. Prevention of acute cerebral circulation disorder, mortality after acute cerebral circulation disorder, methods of rehabilitation after acute cerebral circulation disorder are studied all over the world, but there are so few studies in the literature on the relationship between rehabilitation and survival of patients after acute cerebral circulation disorder.

AIM: The aim is to study the features of survival among patients who have suffered from acute cerebral circulation disorder (hereinafter referred to as ACCD) and have undergone rehabilitation.

METHODS: Based on the register statistics on cases of acute cerebral circulation disorder among Almaty residents, the association of the fact of rehabilitation with a fatal outcome was studied and a survival analysis was performed using the Kaplan-Meyer method.

RESULTS: In patients with acute cerebral circulation disorder who have not undergone rehabilitation, the chances of a fatal outcome increase by 3.830 times, in comparison with patients who have received an appropriate course of recovery. With the postponement of rehabilitation, the probability of death in patients with acute cerebral circulation disorder increased by 6−10%. The average survival rates in patients who did not receive a rehabilitation course are significantly lower compared to those who underwent rehabilitation: the average survival was 87 years (CI95% 87.0−87.0) and 82 years (CI95% 80.3 ÷ 83.7), respectively, (Log-rank test: test statistics χ²= 7.916, for DF = 1, p = 0.005).

CONCLUSIONS: The main conclusion that can be drawn is that the early rehabilitation care increases the probability of survival among patients who have undergone ACCD. At the same time, the predictive parameters of an unfavorable outcome are the sexual characteristic and the type of acute cerebral circulation disorder.

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