Timecourse of health-related quality of life as determined 3, 6 and 12 months after stroke

Nowak, Margarete; Misselwitz, Björn; Kugler, Christof; Schreiber, Wolfgang; Oertel, Wolfgang H.; Back, Tobias

doi:10.1007/s00415-002-0792-3

Cited by 131 publications

(149 citation statements)

References 33 publications

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“…Earlier studies have also indicated that the most significant predictors of HRQOL are functional status and depression (3,4,10,(16)(17)(18)(19)25,36), although a study demonstrated a more generalized adverse effect on HRQOL than functional disabilities (37), and some who have demonstrated disability alone explained little regarding the variance in the QOL (2,38). The results produced from the current study demonstrated that the anxiety and depression scores in patients were significantly higher compared with those in controls.…”

Section: Discussionmentioning

confidence: 99%

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Determining Quality of Life and Associated Factors in Patients with Stroke

Em¹,

Bozkurt²,

Karakoç³

et al. 2015

Turk J Phys Med Rehab

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Objective: This study aims to examine the overall and domain-specific quality of life in patients with stroke and to identify variables predicting quality of life after stroke. Material and Methods: A total of 104 patients with sufficient cognitive functions having hemiplegia because of cerebrovascular accident and 108 controls were included in this study. Demographic and clinical features were recorded. The Barthel Index (BI) and Functional Ambulation Category scale were employed to assess the functional state of patients. Quality of life was evaluated by the Short Form 36 (SF-36) health survey, whereas the emotional state of the patients was evaluated by the Hospital Anxiety and Depression Scale (HADS). Functional status, motor impairment, and emotional state were determined as independent variables, and multiple regression analysis was used to predict quality of life. Results: Patients had significantly lower scores in the quality of life subscores and total scores in comparison with the controls (p<0.001). The mean anxiety and depression rates in the patients were significantly higher than those in controls (p<0.001). The sum of subscores and physical composite score of SF-36 were significantly lower in female and illiterate patients than in male and educated patients. Multiple regression analyses indicated that HADS depression was associated with mental health (p<0.001), whereas BI was independently associated with the physical health total score (p<0.05). The power of the statistical analysis for study population was 100% according to the given effect size (α=0.01). Conclusion: Present results demonstrated that patients with stroke have a significantly poor quality of life than the general population. The reduced quality of life after stroke appears to be related the emotional state, physical disability, and demographic properties such as gender and education. Therefore, prevention of disability and early diagnosis and treatment of depression are vital in improving the quality of life of patients with stroke.

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Section: Discussionmentioning

confidence: 99%

“…Emotional alterations are often observed after stroke (14,15) that are generally associated with reduced QOL in stroke survivors (10,(16)(17)(18). Earlier studies have also indicated that the functional status and depression are significant predictors of HRQOL (3,19).…”

Section: Introductionmentioning

confidence: 99%

Determining Quality of Life and Associated Factors in Patients with Stroke

Em¹,

Bozkurt²,

Karakoç³

et al. 2015

Turk J Phys Med Rehab

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show abstract

“…The often-used neurological and functional scales have limitations with regard to picking up changes in patient health, especially among minimally compromised individuals 2,3 . HRQoL not only focuses on deficits or compromised functioning, but also takes into consideration the fact that quality of life (QoL) is an inherent attribute of self-perception and is able to measure various aspects of patients' general health 4 .…”

mentioning

confidence: 99%

Factors associated with health-related quality of life for adults with stroke sequelae

Froes

Valdés²,

Lopes

et al. 2011

Arq. Neuro-Psiquiatr.

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Objective: To assess health-related quality of life (HRQoL) among adults with stroke sequelae and to identify the factors that influenced the domains of HRQoL. Method: The subjects were adults with stroke who were admitted to a rehabilitation program between March and August 2008. They were investigated using the following instruments: Medical Outcomes 36-Item Short-Form Health Survey (SF-36), Functional Independence Measure (FIM) and Beck Depression Inventory (BDI). Sixty-four adults of mean age 58.8 years were evaluated. Results: The individuals who had had their injuries for longer times and who were more independent and younger had better HRQoL regarding physical functioning. Social participation was associated with better HRQoL, and there was a difference between groups with and without depressive symptoms. Conclusion: HRQoL was compromised primarily with regard to functional characteristics. Moreover, the presence of depressive symptoms contributed towards a decline in HRQoL. Rehabilitation needs to focus on improving functionality and social participation, which may stimulate reductions in depressive symptoms and improvement of HRQoL.

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“…It should be noted that the outer modifiable factors (such as appropriate social support) also determine the long-term prognosis and must be taken into account. Other authors point out to the important impact of such disorders as depression on forecasting [19].…”

Section: Discussionmentioning

confidence: 99%

The predictive value of selected functional and clinical parameters in stroke rehabilitation

Kasprzak

Nyka²,

Chwojnicki³

et al. 2017

Medical Research Journal

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Timecourse of health-related quality of life as determined 3, 6 and 12 months after stroke

Abstract: Despite stable neurologic function and disability, global as well as domain-specific measures of QOL deteriorated over the 12-months observation period in a cohort of stroke survivors.

Cited by 131 publications

References 33 publications

Determining Quality of Life and Associated Factors in Patients with Stroke

Determining Quality of Life and Associated Factors in Patients with Stroke

Factors associated with health-related quality of life for adults with stroke sequelae

The predictive value of selected functional and clinical parameters in stroke rehabilitation

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