Factors Affecting Activities of Daily Living in Patients with Spontaneous Basal Ganglia Hemorrhage

Objective To investigate the factors affecting activities of daily life(ADL) in patients with first basal ganglia hemorrhage,and to formulate intervention strategies for improving the capability of ADL.Methods A prospective study was conducted on 97 patients with the first spontaneous intracerebral hemorrhage who survived with no surgical treatment.Demographic risk factors for stroke were examined and National Institute of Health stroke scale(NIHSS) and Glasgow coma score(GCS) were recorded on the day of admission.White blood cell(WBC) count and plasma glucose(PG) were measured on the second day of hospitalization.NIHSS score and Barthel index(BI) were recorded 3 weeks after onset.Occurrences of urinary tract and lung infection were determined after discharge from hospital.BI was recorded by clinic or telephone follow-up 3 months after onset.Results The amount of bleeding,initial PG levels,WBC count and initial NIHSS score were independently associated with BI at 3 weeks and 3 months after spontaneous intracerebral hemorrhage.Furthermore,urinary tract infection and the history of ischemic stroke were associated with BI at 3 months after intracerebral hemorrhage.Conclusion Positive measures should be taken to control risk factors so as to improve the capability of ADL in patients with spontaneous intracerebral hemorrhage.