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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
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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. |
format | Online Article Text |
id | pubmed-4199965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
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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