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Health-related quality of life in first-ever stroke patients

BACKGROUND AND OBJECTIVES: Health-related quality of life (HRQOL) is important to measure as it is an indication of outcome after stroke. Our objectives were to assess HRQOL in patients 3 months after stroke and to identify factors that predict HRQOL in stroke survivors. PATIENTS AND METHODS: This c...

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Autores principales: Gurcay, Eda, Bal, Ajda, Cakci, Aytul
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2813619/
https://www.ncbi.nlm.nih.gov/pubmed/19139621
http://dx.doi.org/10.4103/0256-4947.51814
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author Gurcay, Eda
Bal, Ajda
Cakci, Aytul
author_facet Gurcay, Eda
Bal, Ajda
Cakci, Aytul
author_sort Gurcay, Eda
collection PubMed
description BACKGROUND AND OBJECTIVES: Health-related quality of life (HRQOL) is important to measure as it is an indication of outcome after stroke. Our objectives were to assess HRQOL in patients 3 months after stroke and to identify factors that predict HRQOL in stroke survivors. PATIENTS AND METHODS: This cross-sectional study included 67 first-ever stroke patients hospitalized in the Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital Physical Therapy and Rehabilitation Clinic. HRQOL was measured by means of the Stroke Impact Scale-16 (SIS-16). Patients were characterized by age, sex, duration of education, comorbidities, stroke type, affected side, concordance (paretic arm=dominant hand), cognitive function (Mini-Mental State Examination [MMSE]), and functional status (Functional Independence Measure [FIM]). We used a linear regression model to examine the influence of demographic and clinical characteristics on the different SIS-16 domains. RESULTS: The mean (SD) for age of the 67 patients was 62.03 (13.22) years (range, 33 to 81 years). The MMSE and FIM scores were significantly correlated with the SIS-16 score (P<.001). Linear regression analysis showed that age and functional status were the major independent determinants affecting HRQOL (P=.002 and P<.001, respectively). CONCLUSION: In this study, we found that age and functional status had a powerful influence on HRQOL. Comprehensive therapy programs aimed to improve HRQOL should focus on improving functional disability, particularly in older stroke patients. There is a need for long-term follow-up studies in stroke patients throughout all recovery stages to evaluate HRQOL in more detail.
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spelling pubmed-28136192010-02-08 Health-related quality of life in first-ever stroke patients Gurcay, Eda Bal, Ajda Cakci, Aytul Ann Saudi Med Original Article BACKGROUND AND OBJECTIVES: Health-related quality of life (HRQOL) is important to measure as it is an indication of outcome after stroke. Our objectives were to assess HRQOL in patients 3 months after stroke and to identify factors that predict HRQOL in stroke survivors. PATIENTS AND METHODS: This cross-sectional study included 67 first-ever stroke patients hospitalized in the Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital Physical Therapy and Rehabilitation Clinic. HRQOL was measured by means of the Stroke Impact Scale-16 (SIS-16). Patients were characterized by age, sex, duration of education, comorbidities, stroke type, affected side, concordance (paretic arm=dominant hand), cognitive function (Mini-Mental State Examination [MMSE]), and functional status (Functional Independence Measure [FIM]). We used a linear regression model to examine the influence of demographic and clinical characteristics on the different SIS-16 domains. RESULTS: The mean (SD) for age of the 67 patients was 62.03 (13.22) years (range, 33 to 81 years). The MMSE and FIM scores were significantly correlated with the SIS-16 score (P<.001). Linear regression analysis showed that age and functional status were the major independent determinants affecting HRQOL (P=.002 and P<.001, respectively). CONCLUSION: In this study, we found that age and functional status had a powerful influence on HRQOL. Comprehensive therapy programs aimed to improve HRQOL should focus on improving functional disability, particularly in older stroke patients. There is a need for long-term follow-up studies in stroke patients throughout all recovery stages to evaluate HRQOL in more detail. Medknow Publications 2009 /pmc/articles/PMC2813619/ /pubmed/19139621 http://dx.doi.org/10.4103/0256-4947.51814 Text en © Annals of Saudi Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gurcay, Eda
Bal, Ajda
Cakci, Aytul
Health-related quality of life in first-ever stroke patients
title Health-related quality of life in first-ever stroke patients
title_full Health-related quality of life in first-ever stroke patients
title_fullStr Health-related quality of life in first-ever stroke patients
title_full_unstemmed Health-related quality of life in first-ever stroke patients
title_short Health-related quality of life in first-ever stroke patients
title_sort health-related quality of life in first-ever stroke patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2813619/
https://www.ncbi.nlm.nih.gov/pubmed/19139621
http://dx.doi.org/10.4103/0256-4947.51814
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