{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:11:18Z","timestamp":1793398278762,"version":"4.5.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic>Background and Purpose\u2014<\/jats:italic>\n                    <\/jats:bold>\n                    Complications after stroke have been shown to impede rehabilitation, lead to poor functional outcome, and increase cost of care. This inception cohort study sought to investigate the prevalence of immobility-related complications during the first year after severely disabling stroke in relation to functional independence and place of residence.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic>Methods\u2014<\/jats:italic>\n                    <\/jats:bold>\n                    Over a 7-month period, 600 stroke survivors were identified in the hospital through the Nottingham Stroke Register. Those who had a Barthel Index score \u226410 3 months poststroke and did not have a primary diagnosis of dementia were eligible to participate in the study. Assessments of complications were carried out at 3, 6, and 12 months poststroke.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic>Results\u2014<\/jats:italic>\n                    <\/jats:bold>\n                    Complications were recorded for 122 stroke survivors (mean age, 76 years; 57% male). Sixty-three (52%) had significant language impairment and of the remaining 59 who were able to complete an assessment of cognitive function, 10 (8%) were cognitively impaired. The numbers of reported complications over 12 months, in rank order, were falls, 89 (73%); contracture, 73 (60%); pain, 67 (55%); shoulder pain, 64 (52%); depression, 61 (50%); and pressure sores, 26 (22%). A negative correlation was found between Barthel Index score and the number of complications experienced (low scores on the Barthel Index correlate with a high number of complications). The highest relative percentages of complications were experienced by patients who were living in a nursing home at the time of their last completed assessment.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic>Conclusions\u2014<\/jats:italic>\n                    <\/jats:bold>\n                    Immobility-related complications are very common in the first year after a severely disabling stroke. Patients who are more functionally dependent in self-care are likely to experience a greater number of complications than those who are less dependent. Trials of techniques to limit and prevent complication are required.\n                  <\/jats:p>","DOI":"10.1161\/strokeaha.108.518563","type":"journal-article","created":{"date-parts":[[2008,9,11]],"date-time":"2008-09-11T21:36:02Z","timestamp":1221168962000},"page":"3329-3334","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":212,"title":["The Prevalence of Joint Contractures, Pressure Sores, Painful Shoulder, Other Pain, Falls, and Depression in the Year After a Severely Disabling Stroke"],"prefix":"10.1161","volume":"39","author":[{"given":"Catherine","family":"Sackley","sequence":"first","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Brittle","sequence":"additional","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smitaa","family":"Patel","sequence":"additional","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Ellins","sequence":"additional","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Scott","sequence":"additional","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristine","family":"Wright","sequence":"additional","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Dewey","sequence":"additional","affiliation":[{"name":"From Primary Care Clinical Sciences (C.S., S.P., N.B., C.W.), University of Birmingham, Birmingham, UK; Trent Institute for Health Services Research (J.E., M.S.), University of Nottingham, Nottingham, UK; and the Section of Epidemiology (M.E.D.), Institute of Psychiatry, King\u2019s College London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.29623"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000015830"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2006.00701.x"},{"key":"e_1_3_2_4_2","first-page":"643","volume":"44","year":"2003","unstructured":"Doshi VS, Say JH, Young SH, Doraisamy P. 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