| Objective: To investigate the disability and risk factors among ischemic stroke survivors in community medical centers of urban Beijing. Methods: A cross-sectional study was conducted in 5 community-based medical centres afflilated to grade 2 hospital located in Dongcheng district, Xuanwu district, Chongwen district, Haidian district and Shijingshan district of urban areas of Beijing. Patients with the history of first or second ischemic stroke more than 3 months after the onset were evaluated from Jan. 2003 to Dec. 2006. Barthel Index (BI) was used to assess disability. The disability was defined as BI < 95. Results: There were 1071 patients who had joined and completed BI assessment. Total disability rate was 21.76% (233/1071), and the proportion of mild and severe disability was 78.11% (182/233) and 21.89% (51/233) respectively. The rate of disability increased with age, also increased with education level reduction (χ2 trend test: P<0.0001). The disability rate significantly increased in males, recurrent stroke and combination with diabetes, cognitive impairment and depression (P<0.05). The patients with cerebral thrombosis showed higher rate of disability than in those with lacunar infarction (P<0.05). Conclusions: Disability is one of common complications after stroke. One fifth parients were suffered with disability at stable recovery period in Beijing community. Aging, male, recurrent stroke and combination with diabetes, cognitive impairment are the independent risk factors for disability after stroke. |
