Contributing factors to quality of life after vertebral artery dissection: a prospective comparative study

Strege, Rainer J.; Kiefer, Reinhard; Herrmann, Manfred

doi:10.1186/s12883-019-1541-x

Cited by 11 publications

(7 citation statements)

References 59 publications

(87 reference statements)

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“…In the present study, mRS score also indicated a significant differences association with QOL. These findings were consistent with Strege and et al [23] who found that functional disability reported by mRS score at follow-up was significantly associated with a reduced model of both univariate and multivariate regression analysis model of QOL. In a cross-sectional study by Ali and et al [24], mRS score captured more quality of life information than either NIHSS or BI scores.…”

Section: Discussionsupporting

confidence: 92%

Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge

Chaleoykitti¹,

Srithumsuk²,

Jaipong³

et al. 2020

AAR

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Objective: The number of people with stroke increases worldwide. The stroke survivors live with disabilities and those influence their quality of life (QOL). This study was aimed to investigate the association between clinical characteristics and QOL of the older people with stroke at discharge from the hospital. Methods: This is a cross-sectional study. The participants were 113 stroke survivors aged 60 years and older admitted to the stroke unit. Quality of life was the study's outcome which measured by using the abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF). Primary clinical characteristics were measured by the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and Modified Rankin Scale (mRS). Potential confounding factors were age, sex, education levels, marital status, current occupation, and comorbidity (hypertension, diabetes mellitus, dyslipidemia, and heart disease). Multiple linear regression was used for data analysis. Results: The main effects of clinical outcomes were high BI Score that had a significant difference association with QOL (β = 0.312, 95% CI = 0.042, 0.296, P = 0.009), lower mRS score also had significant difference association with QOL (β = −0.371, 95%CI = −5.394, −1.162, P = 0.003) after all adjusting. Additional risk factor in this study was marital status (currently married) (β = 0.155, 95% CI = 0.226, 8.666, P = 0.039). Conclusion: Low function status and severe stroke disability as the clinical characteristics were associated with QOL in older people with stroke at hospital discharge. An additional factor was marital status (currently married).

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Section: Discussionsupporting

confidence: 92%

Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge

Chaleoykitti¹,

Srithumsuk²,

Jaipong³

et al. 2020

AAR

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“…21 Two more studies were from the CADISP group and had two different first authors, from which the most recent study was selected which also had the biggest number of patients in the sCeAD arm. That resulted in 17 studies 8,16,17,20,21,[24][25][26][27][28][29][30][31][32][33][34][35] to be included in the qualitative and quantitative synthesis (including studies cited in tables 1 and 2). Figure 1 shows PRISMA study flow diagram.…”

Section: Study Selectionmentioning

confidence: 99%

Diabetes, hypertension, smoking, and hyperlipidemia as risk factors for spontaneous cervical artery dissection: Meta-analysis of case-control studies

Abdelnour

Abdalla

Elhassan

et al. 2022

CJN

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Background: Spontaneous cervical artery dissection (sCeAD) is an important cause of ischemic stroke in the young population and has a different cardiovascular risk profile from other causes of ischemic stroke. No study provided a comprehensive evidence for cardiovascular risk factors of sCeAD. Methods: We searched PubMed, MEDLINE, and Embase without date or language restrictions for relevant studies. Bibliographies of included studies were also searched. We included case-control studies where patients with sCeAD were on one arm, and controls were on the other arm. The investigated risk factors were diabetes, hypertension, smoking, and hyperlipidemia. Data extraction and quality assessment were performed independently by two reviewers. Results: Seventeen qualifying case-control studies were identified, comparing 2185 patients with sCeAD and 3185 healthy control subjects. Heterogeneity was low for diabetes, moderate for hypertension and hyperlipidemia, and high for smoking. The meta-analysis showed a significant association between hypertension and sCeAD [pooled odds ratio (OR) = 1.70, 95% confidence interval (CI): 1.40-2.07, P < 0.001]. There was no association between sCeAD and diabetes (pooled OR = 0.71, 95% CI: 0.50-1.01, P = 0.060) or smoking (pooled OR = 0.90, 95% CI: 0.68-1.20, P = 0.480). Hyperlipidemia was negatively-associated with sCeAD (OR = 0.65, 95% CI: 0.48-0.89, P = 0.007), but with sensitivity analysis, there was no association (OR = 0.72, 95% CI: 0.44-1.19, P = 0.200). Conclusion: The meta-analysis reveals that sCeAD has a significant association with hypertension and no association with smoking, diabetes, or hyperlipidemia. These results should direct future research towards exploring biological mechanism of hypertension-induced arterial dissection.

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“…This athlete continued to suffer from ongoing symptoms post-discharge and subsequently died in the intensive care unit (ICU) following a return trip to the ER [ 28 ]. The failure to adequately detect and manage vertebral artery dissection clearly can lead to neurologic sequelae and/ or death [ 85 , 86 ]. Yet, the variety of clinical presentations make it difficult for physicians to make a correct diagnosis, particularly when confronted by an unconscious athlete, on or off the field of play with the potential of spinal injury, or in the ER with limited symptomatology.…”

Section: Discussionmentioning

confidence: 99%

Stroke and Athletes: A Scoping Review

Doyle‐Baker

Mitchell

Hayden

2021

IJERPH

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Stroke (i.e., cerebrovascular accident) affects one in 10,000 people between the ages of 14 and 45; however, very little is known about the frequency and type of stroke that occurs in athletes. The risk of injury to the neurovascular structures may depend on the type of sport involvement, although, sport-specific incidence rates are not known. Therefore, the goal of our scoping review was to provide some guidance to better inform the development of a context-fit stroke model by summarizing studies on a broad research topic related to stroke or cerebrovascular accident in sport based on a strict athlete definition. We used the guidance of Arksey and O’Malley’s five-stage-process for a scoping review. Databases included MEDLINE(R) Epub Ahead of Print, In-Process & Other Non- Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R), and Embase (OVID databases); CINAHL Plus with Full Text, SportDiscus with Full Text (Ebsco databases); and Scopus. Publication dates were from 1979–2020 across nine different countries resulting in 39 individual cases of stroke with an athlete age range of 14–56 years (95% male). The major inciting event(s) prior to stroke onset were headaches (38.4%), head trauma (30.7%), and neck injury and/or vertebral artery dissection (20.5%). Several sporting activities were represented with American football as the most prevalent (30.7%). In summary, we found that sports with an aspect of impact, collision, or microtrauma can lead to subsequent stroke. These sport-related traumatic events were often difficult to diagnose because of the longer interval before ischemia occurred. Therefore, health care providers should be particularly attuned to the possibility of stroke when evaluating athletes presenting with or without neurological deficit.

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Contributing factors to quality of life after vertebral artery dissection: a prospective comparative study

Cited by 11 publications

References 59 publications

Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge

Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge

Diabetes, hypertension, smoking, and hyperlipidemia as risk factors for spontaneous cervical artery dissection: Meta-analysis of case-control studies

Stroke and Athletes: A Scoping Review

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