Outcomes from ischemic stroke subtypes classified by the Oxfordshire Community Stroke Project: a systematic review

Abstract

Background: Stroke is a highly heterogeneous disorder with distinct subtypes, each presenting specific clinical aspects. Information on prognosis of ischemic stroke subtypes help to improve clinical management and rehabilitation treatments.

Aim: Summarize findings of studies on outcome in stroke subtypes categorized by use of the Oxfordshire Community Stroke Project (OCSP) classification.

Design: Systematic review.

Setting: Not applicable.

Population: Adult post-stroke patients.

Methods: Systematic literature research of five databases was undertaken to identify relevant studies. Outcomes were examined in terms of impairment, activity restriction and participation restriction. Quality of Life and mortality was also examined for each study.

Results: Sixteen studies met inclusion criteria. Most studies measure outcome in terms of activity limitations and participation restriction. Only one study measures impairment. TACI group have poor outcomes in comparison with other groups. Outcomes of LACI, PACI and POCI groups are controversial.

Conclusion: Stroke subtype is a factor influencing outcome. However, differences among groups, overall in terms of impairment, should be further investigated.

Clinical rehabilitation impact: Different prognosis of stroke subtypes may imply different rehabilitation managements.