Functional outcome of stroke inpatients according to human immunodeficiency virus status: A feasibility study

Hartley, Tasneem; Burger, Marlette; Esterhuizen, Tonya; Inglis-Jassiem, Gakeemah

doi:10.4102/ajod.v9i0.618

Cited by 3 publications

(1 citation statement)

References 40 publications

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“…The Katz Index of Activities of Daily Living (Katz ADL) is another commonly used measure for assessing disability and functional status post-injury [18,19]. While the Katz ADL has been used primarily in geriatric and chronically ill patient populations to evaluate functional capacity to independently perform activities typical in daily life, it has not been commonly studied among younger patient populations and those recovering from acute trauma [20][21][22][23]. One previous study comparing postoperative disability among surgical patients found correlation between the Katz ADL and WHODAS 2.0, suggesting that either could be useful in characterizing the functional status in such populations [24].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Post-Injury Functional Status among Patients Presenting for Emergency Care in Kigali, Rwanda

et al. 2022

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Despite high injury-related morbidity, approaches for evaluating post-injury functional status after emergency care are poorly characterized in resource-limited settings. This study evaluated the feasibility of standardized disability assessments among patients presenting with significant trauma to the Centre Hospitalier Universitaire de Kigali ED in Rwanda from January–June 2020. The functional status at 28-days post-injury was assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS-2), the Katz Activities of Daily Living (ADL) Scale, and self-reported functional state. The primary outcome was a descriptive profile of the disability status at 28-days post-injury. The WHODAS 2.0, Katz ADL Scale and patients’ self-perceived functional status was compared using Kendall’s rank correlation coefficient. Twenty-four patients were included. The most common injury mechanism was road traffic accident (70.8%); 58.3% of patients had traumatic brain injury. The self-perception questionnaire and the Katz ADL scale were strongly correlated with the WHODAS 2.0 scale; however, self-perception was not well correlated with the ADL scale. Post-injury morbidity was high and morbidity assessment was feasible, with a strong correlation between patients’ self-perceived functional status and the WHODAS-2 scale. Structured post-injury assessments may serve to inform the development of rehabilitation services in Rwanda, although larger studies are needed to inform such initiatives.

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Section: Introductionmentioning

confidence: 99%

Evaluating Post-Injury Functional Status among Patients Presenting for Emergency Care in Kigali, Rwanda

et al. 2022

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Functioning Problems Associated with Health Conditions with Greatest Disease Burden in South Africa: A Scoping Review

Charumbira

Berner

Louw

2022

IJERPH

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A notable rise in health-related disability for which evidence-based rehabilitation is beneficial is evident in low-to-middle income countries. This scoping review aimed to systematically identify and map the most common functioning problems associated with health conditions that contribute most to disability in South Africa using the International Classification of Functioning, Disability and Health (ICF) framework. Peer-reviewed evidence published from January 2006 to December 2021 was systematically searched from five databases. Some 268 studies reporting on functioning problems (impairments, activity limitations, and participation restrictions) in South African adults (>18 years) related to 10 health conditions were included. A total of 130 different functioning problems were mapped to the ICF. The most prevalent problems (top 20) were related to mobility, pain, and mental health but spanned across several ICF domains and were mostly in patients at primary care. The high prevalence and wide range of functioning problems may be particularly burdensome on an already strained primary health care (PHC) system. This points towards targeted planning of innovative strategies towards strengthening rehabilitation service delivery at primary care to address these complexities where there is an inadequate rehabilitation workforce.

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Post stroke health-related quality of life, stroke severity and function: A longitudinal cohort study

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Background: Health related quality of life (HRQoL) is a determinant of physical, social and emotional well-being post-stroke.Objectives: This study aimed to correlate self-reported HRQoL with activities of daily living (ADL) and stroke severity.Method: A longitudinal observational study was conducted at a rehabilitation centre in the Western Cape, South Africa. Stroke inpatients were sampled over 6 months. The Euro-QoL Five Dimensions instrument (EQ5D-3L) for self-reported HRQoL, Barthel Index (BI) for function and independence in ADL, and modified Rankin Scale (mRS) for stroke severity were administered on admission and discharge. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 25.Results: Of the 54 potential participants, 49 met inclusion criteria and 41 completed reassessments (median age 48 years [interquartile range {IQR} 39–60]; median length of stay 53 days [IQR 46–60]). Most participants had infarctions (89.90%); with hypertension or diabetes risk factors (73.47% and 28.57%, respectively). The BI and mRS scores improved significantly (p 0.001) with very strong correlation between scores (rs = -0.874, p 0.001); indicating a trend of decreased stroke severity as function improved. The EQ5D Visual Analog Scale (VAS) scores (p 0.001) and domains mobility, self-care, usual activities (p 0.001) and pain/discomfort (p = 0.034) improved significantly. The anxiety/depression domain showed a non-significant change (p = 0.378). A weak negative significant correlation existed between EQ5D VAS and mRS scores (rs = -0.362; p = 0.02); indicating a trend that HRQoL was not improving to the degree stroke severity decreased. A weak positive significant correlation was seen between EQ5D VAS and BI scores (rs = 0.329; p = 0.036).Conclusion: Although an improvement was noted in HRQoL, EQ5D VAS scores tended not to improve as strongly, despite significant improvements in function and stroke severity. These findings demonstrate the need for psychological support and pain management interventions for adjustment post-stroke.

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Functional outcome of stroke inpatients according to human immunodeficiency virus status: A feasibility study

Cited by 3 publications

References 40 publications

Evaluating Post-Injury Functional Status among Patients Presenting for Emergency Care in Kigali, Rwanda

Evaluating Post-Injury Functional Status among Patients Presenting for Emergency Care in Kigali, Rwanda

Functioning Problems Associated with Health Conditions with Greatest Disease Burden in South Africa: A Scoping Review

Post stroke health-related quality of life, stroke severity and function: A longitudinal cohort study

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