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Article: New-onset constipation at acute stage after first stroke incidence, risk factors, and impact on the stroke outcome

TitleNew-onset constipation at acute stage after first stroke incidence, risk factors, and impact on the stroke outcome
Authors
KeywordsConstipation
Incidence
Outcome
Risk factors
Stroke
Issue Date2009
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://stroke.ahajournals.org
Citation
Stroke, 2009, v. 40 n. 4, p. 1304-1309 How to Cite?
AbstractBackground and Purpose - The prevalence of constipation after stroke varies from 30% to 60%. The incidence of new-onset constipation during the early stage of stroke remains uncertain. The present study was designed to investigate the prevalence of new-onset constipation, its risk factors, and its impact on stroke outcome in patients with their first stroke at acute stage. Methods - This is a prospective cohort study of 154 patients admitted with their first stroke. New-onset constipation during the first 4 weeks of stroke was recorded, using the Rome II criteria for constipation. Demographics, characteristics of the stroke, laboratory parameters, and use of medications were evaluated as risk factors for constipation. Death, recurrent stroke, and handicap at 12 weeks were regarded as poor outcome. The impact of constipation on poor outcome was also studied. Results - The cumulative incidence of new-onset constipation was 55.2% at 4 weeks poststroke. The occurrence of constipation was associated with dependence (P<0.01) and use of bedpan for defecation (P<0.05). Among patients with moderate stroke severity (NIHSS 4 toll) at baseline, constipation at 4 weeks was associated with a poor outcome at 12 weeks. Conclusions - New-onset constipation is a common complication of acute stroke. Its occurrence is associated with dependence and use of bedpan for defecation. Its development may predict a poor outcome at 12 weeks in patients with moderately severe stroke. © 2009 American Heart Association, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/59351
ISSN
2015 Impact Factor: 5.787
2015 SCImago Journal Rankings: 3.671
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSu, Yen_HK
dc.contributor.authorZhang, Xen_HK
dc.contributor.authorZeng, Jen_HK
dc.contributor.authorPei, Zen_HK
dc.contributor.authorCheung, RTFen_HK
dc.contributor.authorZhou, Qen_HK
dc.contributor.authorLing, Len_HK
dc.contributor.authorYu, Jen_HK
dc.contributor.authorTan, Jen_HK
dc.contributor.authorZhang, Zen_HK
dc.date.accessioned2010-05-31T03:48:14Z-
dc.date.available2010-05-31T03:48:14Z-
dc.date.issued2009en_HK
dc.identifier.citationStroke, 2009, v. 40 n. 4, p. 1304-1309en_HK
dc.identifier.issn0039-2499en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59351-
dc.description.abstractBackground and Purpose - The prevalence of constipation after stroke varies from 30% to 60%. The incidence of new-onset constipation during the early stage of stroke remains uncertain. The present study was designed to investigate the prevalence of new-onset constipation, its risk factors, and its impact on stroke outcome in patients with their first stroke at acute stage. Methods - This is a prospective cohort study of 154 patients admitted with their first stroke. New-onset constipation during the first 4 weeks of stroke was recorded, using the Rome II criteria for constipation. Demographics, characteristics of the stroke, laboratory parameters, and use of medications were evaluated as risk factors for constipation. Death, recurrent stroke, and handicap at 12 weeks were regarded as poor outcome. The impact of constipation on poor outcome was also studied. Results - The cumulative incidence of new-onset constipation was 55.2% at 4 weeks poststroke. The occurrence of constipation was associated with dependence (P<0.01) and use of bedpan for defecation (P<0.05). Among patients with moderate stroke severity (NIHSS 4 toll) at baseline, constipation at 4 weeks was associated with a poor outcome at 12 weeks. Conclusions - New-onset constipation is a common complication of acute stroke. Its occurrence is associated with dependence and use of bedpan for defecation. Its development may predict a poor outcome at 12 weeks in patients with moderately severe stroke. © 2009 American Heart Association, Inc.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://stroke.ahajournals.orgen_HK
dc.relation.ispartofStrokeen_HK
dc.rightsStroke. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectConstipationen_HK
dc.subjectIncidenceen_HK
dc.subjectOutcomeen_HK
dc.subjectRisk factorsen_HK
dc.subjectStrokeen_HK
dc.titleNew-onset constipation at acute stage after first stroke incidence, risk factors, and impact on the stroke outcomeen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0039-2499&volume=40&spage=1304&epage=1309&date=2009&atitle=New-onset+constipation+at+acute+stage+after+first+stroke.+Incidence,+risk+factors,+and+impact+on+the+stroke+outcomeen_HK
dc.identifier.emailCheung, RTF:rtcheung@hku.hken_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1161/STROKEAHA.108.534776en_HK
dc.identifier.pmid19228840-
dc.identifier.scopuseid_2-s2.0-65249087889en_HK
dc.identifier.hkuros160472en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-65249087889&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume40en_HK
dc.identifier.issue4en_HK
dc.identifier.spage1304en_HK
dc.identifier.epage1309en_HK
dc.identifier.isiWOS:000264709500043-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridSu, Y=26531990600en_HK
dc.identifier.scopusauthoridZhang, X=8833102800en_HK
dc.identifier.scopusauthoridZeng, J=7402652310en_HK
dc.identifier.scopusauthoridPei, Z=23051646800en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK
dc.identifier.scopusauthoridZhou, Q=35212861600en_HK
dc.identifier.scopusauthoridLing, L=23395141400en_HK
dc.identifier.scopusauthoridYu, J=7405525088en_HK
dc.identifier.scopusauthoridTan, J=26532138900en_HK
dc.identifier.scopusauthoridZhang, Z=35212469500en_HK

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