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Profile and health-related quality of life of Ghanaian stroke survivors

BACKGROUND: Stroke is a leading cause of mortality with a major effect on health-related quality of life (HRQoL). There are no previous studies exploring HRQoL among stroke survivors in Ghana, despite the increasing public health significance of the disease in this country. Here we describe the prof...

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Autores principales: Donkor, Eric S, Owolabi, Mayowa O, Bampoh, Patrick O, Amoo, Philip K, Aspelund, Thor, Gudnason, Vilmundur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4199965/
https://www.ncbi.nlm.nih.gov/pubmed/25336935
http://dx.doi.org/10.2147/CIA.S62371
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author Donkor, Eric S
Owolabi, Mayowa O
Bampoh, Patrick O
Amoo, Philip K
Aspelund, Thor
Gudnason, Vilmundur
author_facet Donkor, Eric S
Owolabi, Mayowa O
Bampoh, Patrick O
Amoo, Philip K
Aspelund, Thor
Gudnason, Vilmundur
author_sort Donkor, Eric S
collection PubMed
description BACKGROUND: Stroke is a leading cause of mortality with a major effect on health-related quality of life (HRQoL). There are no previous studies exploring HRQoL among stroke survivors in Ghana, despite the increasing public health significance of the disease in this country. Here we describe the profile of and factors associated with HRQoL among stroke survivors in Ghana. METHODS: This was a cross-sectional study involving 156 stroke survivors and 156 age- and sex-matched, apparently healthy controls. A robust HRQoL questionnaire involving seven domains was used to collect data from the study participants. Clinical epidemiology data were also collected from stroke survivors on parameters such as stroke severity and risk factors. Statistical analyses were performed on the interrelationships among the study variables. RESULTS: The mean ages of the stroke survivors and healthy controls were 58.0 (standard deviation, 11.4) and 57.6 (standard deviation, 12.0) years, respectively. Fifty-three percent (86) of the stroke survivors had mild stroke and 35.3% (55) had moderate stroke, whereas 12.2% (19) had severe stroke. Ischemic infarction was the prevalent stroke subtype (78.1%). Hypertension was the most common risk factor (89%) among the stroke survivors, followed by diabetes (29%). HRQoL scores ranged from 57.7% (cognitive domain) to 80.0% (spirit domain) for stroke survivors, whereas HRQoL scores of the control group ranged from 65.6% (cognitive domain) to 85.2% (soul domain). For each HRQoL domain, significantly higher scores were observed for the control group compared with the stroke survivors, at P<0.05. Determinants of HRQoL of stroke survivors in multivariate analysis included age, stroke severity, poststroke duration, stroke recurrence, frequency of laughter, and negative emotions. CONCLUSION: The most affected HRQoL domains are of the physical, psychoemotional, and cognitive domains. Rehabilitation of stroke patients in this region should include interventions targeted at these domains and modifying the statistical determinants of HRQoL where possible.
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spelling pubmed-41999652014-10-21 Profile and health-related quality of life of Ghanaian stroke survivors Donkor, Eric S Owolabi, Mayowa O Bampoh, Patrick O Amoo, Philip K Aspelund, Thor Gudnason, Vilmundur Clin Interv Aging Original Research BACKGROUND: Stroke is a leading cause of mortality with a major effect on health-related quality of life (HRQoL). There are no previous studies exploring HRQoL among stroke survivors in Ghana, despite the increasing public health significance of the disease in this country. Here we describe the profile of and factors associated with HRQoL among stroke survivors in Ghana. METHODS: This was a cross-sectional study involving 156 stroke survivors and 156 age- and sex-matched, apparently healthy controls. A robust HRQoL questionnaire involving seven domains was used to collect data from the study participants. Clinical epidemiology data were also collected from stroke survivors on parameters such as stroke severity and risk factors. Statistical analyses were performed on the interrelationships among the study variables. RESULTS: The mean ages of the stroke survivors and healthy controls were 58.0 (standard deviation, 11.4) and 57.6 (standard deviation, 12.0) years, respectively. Fifty-three percent (86) of the stroke survivors had mild stroke and 35.3% (55) had moderate stroke, whereas 12.2% (19) had severe stroke. Ischemic infarction was the prevalent stroke subtype (78.1%). Hypertension was the most common risk factor (89%) among the stroke survivors, followed by diabetes (29%). HRQoL scores ranged from 57.7% (cognitive domain) to 80.0% (spirit domain) for stroke survivors, whereas HRQoL scores of the control group ranged from 65.6% (cognitive domain) to 85.2% (soul domain). For each HRQoL domain, significantly higher scores were observed for the control group compared with the stroke survivors, at P<0.05. Determinants of HRQoL of stroke survivors in multivariate analysis included age, stroke severity, poststroke duration, stroke recurrence, frequency of laughter, and negative emotions. CONCLUSION: The most affected HRQoL domains are of the physical, psychoemotional, and cognitive domains. Rehabilitation of stroke patients in this region should include interventions targeted at these domains and modifying the statistical determinants of HRQoL where possible. Dove Medical Press 2014-10-08 /pmc/articles/PMC4199965/ /pubmed/25336935 http://dx.doi.org/10.2147/CIA.S62371 Text en © 2014 Donkor et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Donkor, Eric S
Owolabi, Mayowa O
Bampoh, Patrick O
Amoo, Philip K
Aspelund, Thor
Gudnason, Vilmundur
Profile and health-related quality of life of Ghanaian stroke survivors
title Profile and health-related quality of life of Ghanaian stroke survivors
title_full Profile and health-related quality of life of Ghanaian stroke survivors
title_fullStr Profile and health-related quality of life of Ghanaian stroke survivors
title_full_unstemmed Profile and health-related quality of life of Ghanaian stroke survivors
title_short Profile and health-related quality of life of Ghanaian stroke survivors
title_sort profile and health-related quality of life of ghanaian stroke survivors
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4199965/
https://www.ncbi.nlm.nih.gov/pubmed/25336935
http://dx.doi.org/10.2147/CIA.S62371
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