Hombro doloroso postictus: estudio epidemiológico y análisis asistencial en el área sanitaria de La Coruña

Resumen Antecedentes y objetivo El sindrome de hombro doloroso postictus (HDPI) es una de las complicaciones mas comunes tras un accidente cerebrovascular. Un estudio espanol establecio su incidencia en torno el 53% en el ano 2001; no hay estudios mas recientes. El objetivo de este estudio fue obtener informacion epidemiologica actualizada del HDPI en Espana y, secundariamente, obtener informacion de interes sobre su atencion clinica. Pacientes y metodos Estudio observacional prospectivo sobre 1.000 pacientes. Los pacientes fueron seleccionados de todos los servicios responsables de la asistencia clinica de pacientes postictus de un area sanitaria completa y seguidos durante un ano. Fueron analizadas variables sociodemograficas, caracteristicas del HDPI y factores relacionados con la asistencia medica. Se realizo un analisis descriptivo de las variables, empleando la funcion de Kaplan Meier para analizar la incidencia acumulada del HDPI. Resultados Constituyeron la muestra final 576 individuos, de los cuales 119 (21%) presentaron HDPI. El 58% de ellos fue derivado a rehabilitacion con un periodo de espera medio de 31 dias. El diagnostico del HDPI se dio en la mayoria de los casos tras el alta hospitalaria. Los servicios de rehabilitacion detectaron el 41% de los casos, mientras que los servicios de Atencion Primaria detectaron el 26%. Conclusiones El HDPI es una complicacion frecuente. La implementacion de una pronta atencion rehabilitadora y la reduccion del periodo de ingreso hospitalario, en aquellos casos que resulte posible, podrian facilitar su asistencia medica. Una mayor participacion de los servicios de rehabilitacion y ambulatorios en los protocolos de valoracion podria igualmente mejorar el diagnostico y seguimiento de estos pacientes.

• Publication year

  2021

• Venue

  Fisioterapia

• Publication date

  2021-08-01

• Fields of study

  Not labeled

• Identifiers
  DOI 10.1016/j.ft.2021.06.006
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• Hemiplegic Shoulder Pain.

  2015cited by this paper
• La importancia de la fisioterapia en el ictus

  2015cited by this paper
• Neuropathic pain in the general population: A systematic review of epidemiological studies

  2014cited by this paper
• Guidelines for the treatment of acute ischaemic stroke.

  2014cited by this paper
• Tratamientos fisioterápicos para pacientes con hombro doloroso tras un accidente cerebrovascular. revisión sistemática

  2013cited by this paper
• Association between glenohumeral subluxation and hemiplegic shoulder pain in patients with stroke

  2013cited by this paper
• Suprascapular Nerve Block for Shoulder Pain in the First Year After Stroke: A Randomized Controlled Trial

  2013cited by this paper
• Assessing the Efficacy of Different Upper Limb Hemiparesis Interventions on Improving Health-Related Quality of Life in Stroke Patients: A Systematic Review

  2013cited by this paper
• [Painful hemiplegic shoulder in stroke patients: causes and management].

  2012cited by this paper
• Pain following stroke: A prospective study

  2012cited by this paper
• Underlying Pathology and Associated Factors of Hemiplegic Shoulder Pain

  2011cited by this paper
• Reduced active control and passive range at the shoulder increase risk of shoulder pain during inpatient rehabilitation post-stroke: an observational study.

  2010cited by this paper
• A critical review of shoulder subluxation and its association with other post-stroke complications

  2009cited by this paper
• Evidence-Based Review of Stroke Rehabilitation: Executive Summary, 12th Edition

  2009cited by this paper
• Hemiplegic shoulder pain syndrome: frequency and characteristics during inpatient stroke rehabilitation.

  2008cited by this paper
• Post stroke shoulder subluxation and shoulder pain: a cohort multicenter study.

  2008cited by this paper
• Predictability of simple clinical tests to identify shoulder pain after stroke.

  2007cited by this paper
• Little therapy, little physical activity: rehabilitation within the first 14 days of organized stroke unit care.

  2007cited by this paper
• Shoulder Pain After Stroke: A Prospective Population-Based Study

  2007cited by this paper
• Hombro doloroso en el hemipléjico

  2004cited by this paper
• Medical complications experienced by a cohort of stroke survivors during inpatient, tertiary-level stroke rehabilitation.

  2004cited by this paper
• Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke

  2002cited by this paper
• Shoulder pain after stroke: a research challenge.

  2002cited by this paper
• [Complications in the hemiplegic patient in the first year after the stroke].

  2001cited by this paper
• Hemiplegic shoulder pain (HSP): natural history and investigation of associated features.

  1996cited by this paper

• No citing papers are available for this paper.