Hombro doloroso postictusEstudio epidemiológico y análisis asistencial en el área sanitaria de la coruña

  1. M. Torres-Parada 1
  2. J. Marey-López 2
  3. V. Balboa-Barreiro 3
  4. J. Vivas 4
  1. 1 Clínica Fisioterapeuta del Mayor, La Coruña, España
  2. 2 Servicio de Neurología, Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, La Coruña, España
  3. 3 Unidad de Apoyo a la Investigación, Grupo de Investigación en Enfermería y Cuidados en Salud, Grupo de Investigación en Reumatología y Salud, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS. Universidade da Coruña (UDC), La Coruña, España
  4. 4 Grupo de Investigación en Intervención Psicosocial y Rehabilitación funcional, Departamento de Fisioterapia, Medicina y Ciencias Biomédicas, Facultad de Fisioterapia, Universidade da Coruña, La Coruña, España
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Journal:
Fisioterapia

ISSN: 0211-5638

Year of publication: 2022

Volume: 44

Issue: 2

Pages: 95-101

Type: Article

DOI: 10.1016/J.FT.2021.06.006 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Fisioterapia

Abstract

Background and objective Post-stroke shoulder pain (PSSP) syndrome is a common complication after stroke. The most recent reference (2001) established PSSP incidence in Spain is around 53%. The objective of the current study was to obtain PSSP epidemiological data in Spain at present, obtaining information of interest about its clinical care secondarily. Patients and methods A prospective observational study was developed on 1,000 patients, which were selected from all levels responsible of stroke patients care of one health area and followed-up during one year. Sociodemographic data, PSSP characteristics and medical care parameters were collected. Descriptive analysis was performed, using modified Kaplan-Meier function to show PSSP cumulative incidence. Results The final sample consisted of 576 individuals, of which 119 (21%) were diagnosed with PSSP; 58% of the PSSP group was transferred to rehabilitation departments, delaying for a mean of 31 days. Most of patients were diagnosed with PSSP after hospital discharge: rehabilitation departments detected 41% of PSSP cases, while the primary care department detected 26%. Conclusions PSSP is a frequent complication. Implementing a prompt rehabilitation care and a reduced hospital stay, where possible, could improve the PSSP medical care. Increasing the participation of rehabilitation and primary care departments in the PSSP assessment could substantially improve the diagnosis and follow-up of these patients.

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Funding information

Nos gustar?a agradecer a todos los departamentos participantes del CHUAC y UDC su ayuda en el presente estudio.

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