Citation

Ramos-Perdigues S, Mane-Santacana A, Pintor-Perez L. Rev. Neurol. 2015; 60(11): 481-489.

Vernacular Title

Revision sistematica de la prevalencia y factores asociados a la ira tras un ictus.

Affiliation

Hospital del Mar, Barcelona, Espana.

Copyright

(Copyright © 2015, Revista de Neurologia)

DOI

unavailable

PMID

26005071

Abstract

INTRODUCTION:
Stroke is one of the main causes of death and disability and has a high economic cost. Anger after stroke is common and worsens functionality and quality of life. The study of this comorbidity has been hampered by the lack of standardization in anger's evaluation.

AIM:
To show the current evidence of anger's prevalence and anger's associated factors after stroke.

MATERIALS AND METHODS:
Medline systematic review of original papers studying prevalence and associated factors of anger after stroke.

RESULTS:
Post-stroke anger has a high prevalence (15-57.2%). Most studies have found a lack of association between irritability and sex, age, type, size, laterality and severity of the stroke and functionality. Occasionally anger has been associated with frontal infarcts and aphasia. Data regarding the association between anger and motor deficits and cognitive impairment has been inconclusive while the association between anger and psychiatric history, post stroke emotional incontinence and post stroke depression has been widely replicated. Environmental factors have been difficult to study but may be relevant.

CONCLUSION:
There is a high prevalence of anger post stroke. Psychiatric factors have been associated to it, while other associations are less conclusive. To improve anger knowledge and management, it would be necessary to improve its definition and assessment.

Language: es

Vernacular Abstract

Introduccion. El ictus es una de las primeras causas de muerte e incapacidad, y supone un elevado coste economico. La ira tras un ictus es frecuente, y empeora la funcionalidad y la calidad de vida, aunque todavia es poco comprendida. Objetivo. Conocer la evidencia actual sobre la prevalencia y factores asociados a la ira tras un ictus. Materiales y metodos. Revision sistematica en Medline de todos los articulos originales que estudian la prevalencia o factores asociados a la ira tras un ictus. Resultados. La prevalencia de la ira tras un ictus es elevada (15-57,2%). La mayoria de los estudios no encuentra asociacion entre la ira y el sexo, edad, naturaleza, tamaño, lateralidad, gravedad del ictus y funcionalidad. Ocasionalmente, la ira se ha asociado a localizaciones anteriores y afasia. Los datos de su asociacion con deficits motores y deterioro cognitivo son poco concluyentes. Sin embargo, la asociacion con antecedentes psiquiatricos, clinica depresiva e incontinencia emocional comorbida se ha replicado ampliamente. Los factores ambientales, dificiles de estudiar, podrian tener relevancia. Conclusion. La prevalencia de la ira tras un ictus es elevada. Se ha asociado a patologia psiquiatrica, y otras asociaciones son poco concluyentes. Para un mejor conocimiento de la ira y los factores asociados tras un ictus, seria necesario mejorar sus definiciones e instrumentos de medida.