Psychosocial outcome and quality of life following childhood stroke – A systematic review

O’Keeffe, Fiadhnait; Stark, Daniel; Murphy, Orlagh; Ganesan, Vijeya; King, John A.; Murphy, Tara

doi:10.1080/17518423.2017.1282052

Cited by 25 publications

(14 citation statements)

References 54 publications

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“…In line with these findings, researchers have uncovered similar needs in their samples, ranging from requiring help in class to placement in a special education program (De Schryver et al, 2000;Ganesan et al, 2000). In fact, a recent systematic review examining psychosocial outcome after childhood stroke calculated that, across 36 studies, approximately half of patients required extra educational help (O'Keeffe et al, 2017). Although our results highlight academic struggles, they also illustrate a positive finding: that youth are receiving assistance.…”

Section: Discussionsupporting

confidence: 77%

“…Analyses of differences in school-related quality of life, as reported by youth and parents separately, indicated that youth with and without stroke seem to experience similar levels of satisfaction with their school environment, peer support, and social acceptance. Hypotheses had posited significant differences based on the literature; namely, a recent systematic review concluded that childhood stroke significantly affects quality of life, including domains relating to school (O'Keeffe et al, 2017). Although negative outcomes in quality of life were consistently found in the literature, some studies have focused on positive outcomes after stroke.…”

Section: Discussionmentioning

confidence: 99%

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Academic Outcome in Pediatric Stroke: A Multifaceted Approach to Exploring Challenges and Achievements

Champigny¹,

Deotto²,

Westmacott³

et al. 2019

Archives of Clinical Neuropsychology

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Objective An important cause of acquired brain injury in children, pediatric stroke can engender sequelae across a wide range of cognitive domains, including language, attention, memory, and processing speed. As a result, survivors are especially vulnerable to academic difficulties and face unique challenges compared to their peers. Despite this knowledge, pediatric stroke remains an understudied neurological condition, and its impact on school functioning is poorly understood. Addressing this gap in knowledge, the present clinical research study assesses academic outcome with a multifaceted approach. Methods This study evaluated youth with (n = 23) and without (n = 18) histories of stroke. Families were recruited at the Hospital for Sick Children in Toronto. Participants were administered an extensive battery of neuropsychological and psychoeducational tests, quality of life questionnaires, and behavior rating scales. Medical records and school report cards provided additional data. Results Compared to their peers, youth with stroke exhibited more deficits in processing speed and core academic skills and were more likely to have a learning disability, an Individual Education Plan, school accommodations, and access to assistive technologies. Controlling for the effects of intelligence, a hierarchical regression suggested that processing speed and reading skills predicted grades for youth with stroke. Finally, quality of life was similar between groups, indicating comparable experiences in school environment, peer support, and social acceptance. Conclusions This study makes a meaningful contribution to the field of pediatric stroke and promotes a nuanced understanding of the struggles that patients encounter, what impairments they tend to incur, and how these difficulties impact academic achievement.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Academic Outcome in Pediatric Stroke: A Multifaceted Approach to Exploring Challenges and Achievements

Champigny¹,

Deotto²,

Westmacott³

et al. 2019

Archives of Clinical Neuropsychology

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show abstract

“…[2–5] Patients with stroke bring about physical, psychological, social and economic burdens, and health related quality of life (QOL) of the patients are low. [6–8]…”

Section: Introductionmentioning

confidence: 99%

Health related quality of life in stroke patients and risk factors associated with patients for return to work

Chen¹,

Cao

Gong³

et al. 2019

Medicine

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To clarify dynamic change of quality of life (QOL) in patients with stroke after treatment, and to explore the predictors associated with return to work (RTW) within 48 weeks. Patients diagnosed with stroke were enrolled. All patients enrolled were asked to fill in the Short Form 36 Health Survey. For patients with stroke, SF-36 questionnaires were measured repeatedly 4 weeks after treatment. We used phone call to find out if the patient was RTW. The investigation time was 48 weeks. Patients with stroke had lower scores in terms of physiological dimensions, such as physical functional, role limitations due to physical problems, and general health ( P < .001). While patients with strokes scored significantly lower in all mental dimensions including vitality, social functioning, role limitations due to emotional problems, and mental health ( P < .001). After 4-weeks treatment, we found that, except for bodily pain, scores in dimensions like physical functioning, role limitations due to physical problems, and general health had increased significantly ( P < .001). Multivariate logistic regression analysis was conducted, and the result showed that older age ( P = .04) and singleness ( P = .03) were risk factors associated with QOL improvement in stroke patients after treatment. Outcomes of stroke patients within 48 weeks were explored. The results showed that 108 out of 136 patients RTW within 48 weeks. Average days it took for patients with cerebral infarction to return to work were 77 ± 79, significantly less than patients with cerebral hemorrhage (206 ± 159 days) and patients with subarachnoid hemorrhage (117 ± 113 days, P < .001). Multivariate analysis indicated that only QOL improvement ( P = .04) and subtype of stroke ( P = .01) were independent factors associated with RTW within 48 weeks. QOL of stroke patients was significantly reduced. After treatments, the physiological quality of stroke patients increased, but the psychological quality remained low. In addition, patients with cerebral hemorrhage and patients with no significant improvement in QOL are independent risk factors for RTW. Therefore, for this subgroup of the population, early diagnosis, close follow-up and monitor of the psychological state should be provided to avoid the occurrence of adverse events.

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“…Research focusing on healthy behaviors and quality of life and their determinants offers additional insights into what factors are associated with well-being after ABI such as stroke, brain tumors, and TBI (e.g., Di Battista et al, 2014;Gupta & Jalali, 2017;O'Keeffe et al, 2017). For example, health promotion and self-efficacy have been shown to be positively associated with health status, life satisfaction, and participation after TBI (Braden et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Introduction to JINS Special Section: Resilience and Wellness after Pediatric Acquired Brain Injury

Beauchamp

Yeates

2019

J Int Neuropsychol Soc

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Psychosocial outcome and quality of life following childhood stroke – A systematic review

Cited by 25 publications

References 54 publications

Academic Outcome in Pediatric Stroke: A Multifaceted Approach to Exploring Challenges and Achievements

Academic Outcome in Pediatric Stroke: A Multifaceted Approach to Exploring Challenges and Achievements

Health related quality of life in stroke patients and risk factors associated with patients for return to work

Introduction to JINS Special Section: Resilience and Wellness after Pediatric Acquired Brain Injury

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