Social dysfunctioning after mild to moderate first-ever stroke at vocational age

Hommel, Marc; Trabucco-Miguel, Sandra; Joray, Sabine; Naëgelé, Bernadette; Gonnet, Nicolas; Jaillard, Assia

doi:10.1136/jnnp.2008.157875

Cited by 68 publications

(54 citation statements)

References 38 publications

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“…912 The percentage of individuals who were working before their stroke who return to work after stroke varies widely across studies, from 20% 913 to 66%. 914 This stems from large differences in sample characteristics, healthcare and social system differences in different countries, various definitions of work, and variable follow-up periods. It is clear, however, that a large percentage of individuals with stroke who are of vocational age do not return to work.…”

Section: Return To Workmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,068

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Return To Workmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,068

840

View full text Add to dashboard Cite

show abstract

“…Other studies looking at predictors of related concepts post stroke, for example, social dysfunction (Hommel et al, 2009) or participation (Desrosiers et al, 2006), may have underestimated the impact of aphasia, as they excluded people with language difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…Another limitation is that some factors which could impact on social network were not assessed. Hommel et al (2009), for example, found that cognition, particularly working memory, was a significant predictor of a related concept, social dysfunction, post stroke. It may also be that cognitive communication disorders, as well as concepts such as self-esteem, self-efficacy and personality traits, affect social network functioning but were not assessed.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

What Factors Predict Who Will Have a Strong Social Network Following a Stroke?

Northcott

Marshall

Hilari

2016

J Speech Lang Hear Res

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Results: 87 participants (37% with aphasia) were recruited; 71 (16% with aphasia) were followed up at six months. Social network scores declined post stroke (p = .001). While the Children and Relatives factors remained stable, the Friends factor significantly weakened (p <.001). Concurrent predictors of social network at six months were: perceived social support, ethnicity, aphasia and extended ADL (adjusted R 2 = .42). There were two baseline predictors: Permanent repository linkpre-morbid social network and aphasia (adjusted R 2 = .60).Conclusions: Social networks declined post stroke. Aphasia was the only stroke-related factor measured at the time of the stroke that predicted social network six months later.3

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“…Most of the existing literature implicates increased physical disability as the main factor contributing to decreased QOL in stroke survivors even in cases of mild stroke [12,[15][16][17][18][19][20][21][22]. This is quite significant, particularly as it relates to ischemic stroke where it has been proven that patients who received intravenous recombinant tissue plasminogen activator (rtPA) within the first 3 h of stroke onset were 30% more likely to have either negligible physical disability or no disability at all [23].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life in Stroke Survivors at the University Hospital of the West Indies

et al. 2017

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Background: Stroke remains a major contributor to mortality and morbidity both locally and globally. To date, there has been no study examining the impact of stroke on quality of life (QOL) in the Jamaican population. Our study was the first to look at QOL among Jamaican stroke survivors across the vast spectrum of stroke severity ranging from mild to severe. We also aimed to identify variables that led to decreased QOL in this cohort when compared to healthy adults. Methods:This was a hospital-based case-control study comparing the QOL of 50 stroke patients admitted to the University Hospital of the West Indies (UHWI) in Jamaica between 2012 and 2013 to that of 50 apparently healthy adults (AHAs). Stroke severity was calculated using the National Institutes of Health stroke scale (NIHSS) at admission. The health-related quality of life in stroke patients (HRQOLISP) tool was used to attain the QOL score in each group. Results:Of the 108 patients that were coded as having an acute ischemic stroke in the year 2012, 38 (35.1%) were deceased and 20 (18.5%) were lost to follow-up at the time of the study. There was no statistical difference between the stroke group and the AHAs with regard to age, race and traditional risk factors for stroke. Within the stroke population, the mean age was 61 ± 17.8 years. The mean age among the AHAs was 60 ± 13.1 years. Of the stroke survivors, 25 (50%) were male and 25 (50%) were female. Forty-five (90%) patients were hypertensive. Health-related quality of life (HRQOL) was significantly reduced across most domains when compared to AHAs (P = 0.0001). Greater stroke severity, presence of depression and previous stroke were all significantly associated with worse QOL. Conclusions:In Jamaica, HRQOL among stroke survivors at the UHWI is consistently and significantly lower than that of healthy adults. Strategic interventions that target stroke severity, depression and non-adherence to secondary prevention regimens must be implemented in order to improve patient outcomes.

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Social dysfunctioning after mild to moderate first-ever stroke at vocational age

Abstract: Background: With improvements in stroke treatments,

Cited by 68 publications

References 38 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

What Factors Predict Who Will Have a Strong Social Network Following a Stroke?

Health-Related Quality of Life in Stroke Survivors at the University Hospital of the West Indies

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