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Prognostic factors for recovery in Portuguese patients with Bell’s palsy

2016Journal article Open access
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dc.contributor.authorFerreira, Margarida
dc.contributor.authorFirmino-Machado, João
dc.contributor.authorMarques, Elisa A.
dc.contributor.authorSantos, Paula Clara
dc.contributor.authorSimões, Ana Daniela
dc.contributor.authorDuarte, José A.
dc.date.accessioned2017-01-23T11:10:21Z
dc.date.available2017-01-23T11:10:21Z
dc.date.issued2016
dc.description.abstractThe main aim of this study was to identify the prognostic factors that contribute to complete recovery at 6 weeks and 6 months in patients with Bell’s palsy. Material and Methods: This is a prospective, longitudinal, and descriptive study that included 123 patients diagnosed with facial nerve palsy (FNP) at a hospital in Guimarães, Portugal. However, only 73 patients with Bell’s palsy (BP) were included in the assessment of recovery at 6 weeks and 6 months. We analyzed the demographic and clinical characteristics of the patients, including sex, age, paralyzed side, occupation, previous and associated symptoms, seasonal occurrence, familial facial palsy, patient perception, intervention options, and baseline grade according to the House-Brackmann facial grading system (HB-FGS). Of the 123 cases with FNP, 79 (64.2%) patients had BP. Age, sex, and baseline HB-FGS grades were significant predictors of complete recovery at 6 weeks. Patients with HB-FGS grade III or lower (6 weeks baseline) had significant recovery of function at 6 months. Baseline severity of BP, elderly patients, and male sex were early predictors of poor prognosis. Patients with mild and moderate dysfunction according to the HB-FGS achieved significant normal facial function at 6 months. Further prospective studies with longer observation periods and larger samples are needed to verify the results.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1080/01616412.2016.1209620pt_PT
dc.identifier.issn1743-1328
dc.identifier.urihttp://hdl.handle.net/10400.22/9341
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.relation.publisherversionhttp://www.tandfonline.com/doi/abs/10.1080/01616412.2016.1209620pt_PT
dc.subjectBell Palsypt_PT
dc.subjectDiagnosis, Differentialpt_PT
dc.subjectFacial Paralysispt_PT
dc.subjectIncidencept_PT
dc.subjectLongitudinal Studiespt_PT
dc.subjectPrognosispt_PT
dc.subjectROC Curvept_PT
dc.subjectRecovery of Functionpt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectSeverity of Illness Indexpt_PT
dc.titlePrognostic factors for recovery in Portuguese patients with Bell’s palsypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage856pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage851pt_PT
oaire.citation.titleNeurological Researchpt_PT
oaire.citation.volume38pt_PT
person.familyNameSantos
person.givenNamePaula Clara
person.identifier.ciencia-id5C16-2441-F091
person.identifier.orcid0000-0003-3548-700X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication78bef72f-1c59-47e1-a79d-3e4f8e0d438d
relation.isAuthorOfPublication.latestForDiscovery78bef72f-1c59-47e1-a79d-3e4f8e0d438d

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