Replicability of SF-36 Summary Scores by the SF-12 in Stroke Patients

Pickard, A. Simon; Johnson, Joy L.; Penn, Andrew M.; Lau, Francis; Noseworthy, Tom

doi:10.1161/01.str.30.6.1213

Cited by 104 publications

(93 citation statements)

References 16 publications

(13 reference statements)

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“…One dimension that is rarely measured is health-related quality of life (HRQOL) which aims to assess the impact of disease from the perspective of the patient [7]. Measurement of HRQOL after stroke would provide researchers with a more holistic picture of stroke recovery, especially because of the wide spectrum of symptoms and impairments associated with stroke [8,9].…”

Section: Introductionmentioning

confidence: 99%

Clinical determinants of long-term quality of life after stroke

et al. 2007

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Objectives: to determine factors that independently predict health-related quality of life (HRQOL) 1 and 3 years after stroke. Methods: subjects numbering 397, from a population-based register of first-ever strokes were assessed for HRQOL using the Short Form 36 (SF36) 1 year after stroke. Physical (PHSS) and mental health (MHSS) summary scores were derived from the eight domains of HRQOL in the SF36. Multivariate stepwise regression analyses were conducted to determine independent predictors of these scores; β coefficients with 95% CI were obtained. β coefficient is the difference between average value of the variable (e.g. male) and average value under consideration (e.g. female). Demographic and stroke risk factors, neurological impairments and cognitive impairment (MMSE <24) were included in the models. Similar analyses were undertaken on 150 subjects 3 years post-stroke. Results: a year after stroke, independent predictors of the worst PHSS were of females (β coefficient −3.3 : 95% CI −5.7 to −0.8), manual workers (−3.2: −5.9 to −0.4), diabetes (−4.2: −7.7 to −0.8), right hemispheric lesions (−4.9: −8.7 to −1.2), urinary incontinence (−7.8: −11.6 to −4.1) and cognitive impairment (−2.7: −5.5 to −0.1); the worst MHSS were associated with being Asian (−11.8: −20.6 to −3.0), ischaemic heart disease (−2.7: −5.4 to −0.03), cognitive impairment (−3.04: −5.8 to −0.3). Subjects aged 65-75 years (5.4 : 2.5 to −8.4) had better MHSS than those <65 years. Three years post-stroke, independent predictors of worse PHSS were hypertension (−8.7: −13.5 to −3.9), urinary incontinence (−8.1: −15 to −1.1) and cognitive impairment (−8.3: −13.2 to −3.5). Conclusions: determinants of HRQOL vary both over time after stroke and whether physical or psychosocial aspects of HRQOL are being considered. This study provides valuable information on factors predicting long-term HRQOL, which can be taken into consideration in audits of clinical practice or in future interventional studies aiming to improve HRQOL after stroke.

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Section: Introductionmentioning

confidence: 99%

Clinical determinants of long-term quality of life after stroke

et al. 2007

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“…Reference values for a Swedish general population aged 60-64 years, which are comparable to the mean age of the respondents in the present study, are for the PCS scale 45.4 and for the MCS scale 53.5 [20] . The SF-12 has demonstrated good validity and reliability in previous studies [17,21,22] . In the present study, Cronbachs's alpha values for the scales ranged between 0.73 and 0.91.…”

Section: Sf-12mentioning

confidence: 83%

“…Also other groups of patients with long-term illnesses, e.g. stroke patients [22] , patients with advanced lung-, breast-and gastrointestinal cancer [19] , have reported low HRQL. This indicates that long-term care per se affects HRQL.…”

Section: Discussionmentioning

confidence: 99%

Patients living with home enteral tube feeding: Side effects, health-related quality of life and nutritional care

Bjuresäter

Larsson²,

Athlin³

et al. 2014

Clinical Nursing Studies

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The aim of the study was to examine patients' perceptions of side effects, health-related quality of life (HRQL), general health, and nutritional care among patients receiving home enteral tube feeding (HETF) at two occasions after discharge from hospital. Three questionnaires, one study-specific, the Short Form 12 (SF-12) and the Health Index (HI), were sent to patients with HETF (n=62) twice, two weeks after discharge from hospital and two months later. Forty patients responded two weeks after discharge and out of these 29 patients also responded after two months. Data were collected in central Sweden from March 2006 to January 2010. Side effects were common at both points of data collection (70% of the patients after two weeks and 72% after two month). Patients using bolus feeding reported significantly fewer side effects than patients using intermittent feeding. HRQL and HI scores for the total group were low at both points of data collection. The bolus feeding group reported significantly higher physical HRQL and emotional HI than the intermittent feeding group did. Most patients were satisfied with the information and support they received from the health care team. This study has revealed that patients treated with HETF experienced side effects limiting their daily life to a great extent. Differences in HRQL related to feeding methods were found. Individualized support and regular controls are needed in order to meet patient needs. Bolus feeding may be a suitable feeding method to improve well-being.

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“…[36][37] Finally, the SF-12 has been validated in several unique patient populations including individuals with HIV, stroke, and heart disease and heart failure. [38][39][40][41] Repeat procedures and long-term survival. Confirmation of repeat procedures and subsequent hospitalizations were assessed and verified by querying the procedural database and hospital records of the Mid America Heart Institute.…”

Section: Long-term Health Statusmentioning

confidence: 99%

Impact of obesity on disease-specific health status after percutaneous coronary intervention in coronary disease patients

et al. 2004

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OBJECTIVE: Several investigators have focused on obesity as a specific risk factor for mortality in patients undergoing bypass surgery, but few have examined it as a risk factor among patients undergoing percutaneous coronary interventions (PCI). In addition, none have evaluated the impact of obesity on post-PCI quality of life or disease-specific health status. This study examined whether obesity is a risk factor for poor quality of life or diminished health status 12-months postprocedure among a large cohort of PCI patients. RESEARCH METHODS AND PROCEDURES: A total of 1631 consecutive PCI patients were enrolled into the study and classified as underweight (BMI o20 kg/m 2 ), normal weight range (BMI Z20 and o25 kg/m 2 ), overweight (BMI Z25 and o30 kg/m 2 ), class I obese (BMI Z30 kg/m 2 ), or class II and III obese (BMI Z35 kg/m 2 ). The 12-month postprocedure outcomes included need for repeat procedure, survival, quality of life and health status, assessed using the Seattle Angina Questionnaire (SAQ) and the Short Form-12. RESULTS: Obese patients with and without a history of revascularization were significantly younger than overweight, normal weight range, or underweight patients at the time of PCI. However, obese patients demonstrated similar long-term recovery and improved disease-specific health status and quality of life when compared to patients in the normal weight range after PCI. In addition, mortality and risk for repeat procedure was similar to those patients in the normal weight range patients at 12-months postrevascularization. Underweight patients who had no previous history of revascularization reported lower quality of life (F ¼ 3.02; P ¼ 0.018) and poorer physical functioning (F ¼ 2.82; P ¼ 0.024) than other BMI groups. CONCLUSION: Obese patients presenting for revascularization were younger when compared to patients in the normal weight range, regardless of previous history of revascularization. However, weight status was not a significant predictor of differences in long-term disease-specific health status, quality of life, repeat procedures, or survival. Underweight patients demonstrated less improvement in quality of life and physical functioning than other BMI groups.

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Replicability of SF-36 Summary Scores by the SF-12 in Stroke Patients

Cited by 104 publications

References 16 publications

Clinical determinants of long-term quality of life after stroke

Clinical determinants of long-term quality of life after stroke

Patients living with home enteral tube feeding: Side effects, health-related quality of life and nutritional care

Impact of obesity on disease-specific health status after percutaneous coronary intervention in coronary disease patients

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