Acta Neurologica Belgica

, Volume 119, Issue 1, pp 69–75 | Cite as

Palliative care after stroke

  • Gülhan SaricamEmail author
  • Dogan Akdogan
  • Kadriye Kahveci
Original Article


Stroke is the leading cause of disability and one of the most common reasons of death around the world. Information is not sufficient on the palliative care (PC) needs of stroke patients and factors affecting their prognosis. In this study, we have investigated the demographics and comorbidities of stroke patients followed-up in a PC center (PCC), and the factors efficient on their prognosis. Medical records of 132 patients followed-up in PCC with stroke diagnosis between years 2016 and 2017 were reviewed retrospectively. Patients diagnosed with stroke were grouped as ischemic stroke, intracerebral hematoma (ICH) and subarachnoid hemorrhage (SAH). Age, gender, PCC hospitalization period (LOS), Glasgow Coma Scale, comorbidities such as percutaneous endoscopic gastrostomy, tracheostomy, pressure ulcer (PU), and discharge status (home, intensive care unit, exitus) have been compared for the patients included in the study. While average age was 72.41 ± 16.03 and hospitalization period was 35.47 ± 36.13 days, 92 patients (69.7%) were diagnosed with ischemic stroke, 20 patients (15.2%) with ICH, and 20 patients (15.2%) were diagnosed with SAH. The rate of exitus in patients diagnosed with ischemic stroke was significantly higher than patients diagnosed with ICH and SAH (p = 0.02), and hypertension rate was higher in patients with ischemic stroke than patients diagnosed with SAH (p = 0.007). The age of patients with exitus were found to be significantly higher (p = 0.001). Length of stay (LOS) in PC was determined to be significantly higher in patients with tracheostomy and patients diagnosed with ICH compared to patients with SAH. Furthermore, PU rate was significantly higher in patients diagnosed with ICH than patients with SAH (p = 0.007). Patients who experienced stroke and their families need comprehensive palliative care for psychosocial support, determination of patient-focused care objectives, and symptom management. There is a need for studies on larger populations to eliminate prognostic uncertainties and provide successful symptom management in patients following stroke.


Palliative care Ischemic stroke ICH 


Author contributions

GS, DA and KK collected and integrated the data. GS and KK conceived and designed the study. GS, DA and KK analyzed the data, wrote and reviewed the paper, and were responsible for statistical analysis. All authors approved the final version of this paper for publication.


No funding sources.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the Medical Ethical Committee at the Ankara Numune Training and Research Hospital (dated 26.6.2018 and approval no: E-18-2080) and the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Belgian Neurological Society 2018

Authors and Affiliations

  1. 1.Department of Neurology ClinicAnkara Ulus State HospitalAnkaraTurkey
  2. 2.Department of Clinic MicrobiologyAnkara Ulus State HospitalAnkaraTurkey
  3. 3.Department of Anesthesiology and ReanimationUniversity of Health Sciences, Ankara Numune Training and Research HospitalAnkaraTurkey

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