Functional Measures Upon Admission to Acute Inpatient Rehabilitation Predict Quality of Life After Ischemic Stroke

2019 ◽  
Vol 100 (3) ◽  
pp. 481-487.e2 ◽  
Author(s):  
Chen Lin ◽  
Mansi Katkar ◽  
Jungwha Lee ◽  
Elliot Roth ◽  
Richard L. Harvey ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Inpatient Rehabilitation ◽  
Functional Measures

Gait Measures at Admission to Inpatient Rehabilitation after Ischemic Stroke Predict 3‐Month Quality of Life and Function

PM&R ◽  
2020 ◽  
Author(s):  
Chen Lin ◽  
Jungwha Lee ◽  
Christopher P. Hurt ◽  
Ronald M. Lazar ◽  
Yurany A. Arevalo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Inpatient Rehabilitation ◽  
And Function

Assessment of quality of life in patients with the effects of transient ischemic stroke

2016 ◽  
pp. 37-39
Author(s):  
A. Babirad
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Large Scale ◽  
Cerebrovascular Diseases ◽  
Control Measures ◽  
Sociological Research ◽  
Cerebrovascular Events ◽  
Sf 36 ◽  
Angioplasty And Stenting

Cerebrovascular diseases are a problem of the world today, and according to the forecast, the problem of the near future arises. The main risk factors for the development of ischemic disorders of the cerebral circulation include oblique and aging, arterial hypertension, smoking, diabetes mellitus and heart disease. An effective strategy for the prevention of cerebrovascular events is based on the implementation of large-scale risk control measures, including the use of antiagregant and anticoagulant therapy, invasive interventions such as atheromectomy, angioplasty and stenting. In this connection, the efforts of neurologists, cardiologists, angiosurgery, endocrinologists and other specialists are the basis for achieving an acceptable clinical outcome. A review of the SF-36 method for assessing the quality of life in patients with the effects of transient ischemic stroke is presented. The assessment of quality of life is recognized in world medical practice and research, an indicator that is also used to assess the quality of the health system and in general sociological research.

scholarly journals Quality of life after ischaemic stroke—accent on patients with thrombolytic therapy

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Mihael Emilov Tsalta-Mladenov ◽  
Silva Peteva Andonova
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Thrombolytic Therapy ◽  
Functional Outcomes ◽  
Intravenous Thrombolysis ◽  
Treatment Method ◽  
The Third ◽  
Related Quality ◽  
Health Related

Abstract Background Intravenous thrombolysis is a widely approved treatment method for acute ischemic stroke (AIS). Nevertheless, there is a growing interest in its impact on functional outcomes and Health-related Quality of life (HR-QoL). We aimed to evaluate and compare the HR-QoL in patients receiving intravenous thrombolysis (IVT) and in those without thrombolytic therapy during the first 3-month post-stroke in a defined Bulgarian population. Results Patients treated with IVT have simillar functional outcomes and HR-QoL on the third month as the group with conservative treatment, besides their higher NIHSS on admission. Patients with IVT had better self-assessed recovery after the AIS. The higher NIHSS and mRS scores and the lower HR-QoL on discharge are reliable predictors for a poor functional outcome on the third month. A door-to-needle of 60 min or less, and the absence of pathological neuroimaging findings 24-h post IVT predict more beneficial HR-QoL outcome. Conclusion There were no significant differences in HR-QoL and functional outcomes between the groups. Nevertheless, IVT is a treatment option with great importance for improving the clinical outcomes after ischemic stroke, which should be performed in well selected patients.

scholarly journals Quality of Life in Physical, Social, and Cognitive Domains Improves With Endovascular Therapy in the DEFUSE 3 Trial

Stroke ◽  
2021 ◽  
Author(s):  
Laura C. Polding ◽  
William J. Tate ◽  
Michael Mlynash ◽  
Michael P. Marks ◽  
Jeremy J. Heit ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Medical Therapy ◽  
Social Participation ◽  
Endovascular Therapy ◽  
Neurological Disorders ◽  
Measurement Tool ◽  
Modified Rankin Scale ◽  
Standard Medical Therapy

Background and Purpose: The DEFUSE 3 (Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke 3) randomized clinical trial demonstrated the efficacy of endovascular therapy in treating ischemic stroke 6 to 16 hours after onset, resulting in better functional outcomes than standard medical therapy alone. The objective of this secondary analysis is to analyze the effect of late-window endovascular treatment of ischemic stroke on quality of life (QoL) outcomes. Methods: Patients (n=182) who presented between 6 and 16 hours after they were last known to be well with acute anterior circulation ischemic stroke were randomized to endovascular thrombectomy plus standard medical therapy or standard medical therapy alone and followed-up through 90 days poststroke. QoL at day 90 was assessed with the QoL in Neurological Disorders measurement tool. Results: Of the 146 subjects alive at day 90, 136 (95%) filled out QoL in Neurological Disorders short forms. Patients treated with endovascular therapy had better QoL scores in each domain: mobility, social participation, cognitive function, and depression ( P <0.01 for all). Variables other than endovascular therapy that were independently associated with better QoL included lower baseline National Institutes of Health Stroke Scale, younger age, and male sex. The degree to which the modified Rankin Scale captures differences in QoL between patients varied by domain; the modified Rankin Scale score accounted for a high proportion of the variability in mobility (Rs 2 =0.82), a moderate proportion in social participation (Rs 2 =0.62), and a low proportion in cognition (Rs 2 =0.31) and depression (Rs 2 =0.19). Conclusions: Patients treated with endovascular therapy 6 to 16 hours after stroke have better QoL than patients treated with medical therapy alone, including better mobility, more social participation, superior cognition, and less depression. The modified Rankin Scale fails to capture patients’ outcomes in cognition and depression, which should therefore be assessed with dedicated QoL tools. REGISTRATION: URL: https://www.clinicaltrials.gov . Unique identifier: NCT02586415.

Management of lower urinary tract, bowel, and sexual dysfunction

2020 ◽  
pp. 315-338
Author(s):  
Ulrich Mehnert ◽  
Thomas M. Kessler
Keyword(s):  
Quality Of Life ◽  
Urinary Tract ◽  
Sexual Dysfunction ◽  
Organ Dysfunction ◽  
Lower Urinary Tract ◽  
Inpatient Rehabilitation ◽  
Pelvic Organ ◽  
Major Surgery ◽  
Lower Urinary

Lower urinary tract, bowel, and sexual dysfunctions are frequent sequelae of neurotrauma and neurodegenerative diseases that require adequate management. All three pelvic organ dysfunction severely compromise quality of life and can jeopardize health. Thus, treatment is mandatory and therapy options range from simple conservative measures to major surgery. The main therapeutic principles that should be considered in regard to treatment of pelvic organ dysfunction include protection of kidney function, reduction of urinary and/or faecal incontinence, independent management of lower urinary tract and bowel function, ability to sustain a satisfactory sexual relationship, fertility support, and improvement of quality of life. To comply with such principles and to select, initiate, maintain, and eventually adapt the ‘optimal’ treatment regimen for each patient requires a specialized multidisciplinary team not only during inpatient rehabilitation but also during outpatient follow-up. This chapter provides an overview on the management of lower urinary tract, bowel, and sexual dysfunction and aims to sensitize healthcare professionals for this essential part/aspect of neurorehabilitation.

The relationship between Home-time, quality of life and costs after ischemic stroke: the impact of the need for mobility aids, home and car modifications on Home-time

2018 ◽  
Vol 42 (3) ◽  
pp. 419-425 ◽  
Author(s):  
Sarah Dewilde ◽  
Lieven Annemans ◽  
Andre Peeters ◽  
Dimitri Hemelsoet ◽  
Yves Vandermeeren ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Mobility Aids ◽  
The Impact ◽  
The Relationship

scholarly journals Impaired Emotion Recognition after Left Hemispheric Stroke: A Case Report and Brief Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Hugo P. Aben ◽  
Yael D. Reijmer ◽  
Johanna M. A. Visser-Meily ◽  
Jacoba M. Spikman ◽  
Geert Jan Biessels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Case Report ◽  
Emotion Recognition ◽  
Social Participation ◽  
Neural Correlates ◽  
Brain Regions ◽  
Social Competency ◽  
Review Of The Literature

Impaired recognition of emotion after stroke can have important implications for social competency, social participation, and consequently quality of life. We describe a case of left hemispheric ischemic stroke with impaired recognition of specifically faces expressing fear. Three months later, the patient’s spouse reports that the patient was irritable and slow in communication, which may be caused by the impaired emotion recognition. The case is discussed in relation to the literature concerning emotion recognition and its neural correlates. Our case supports the notion that emotion recognition, including fear recognition, is regulated by a network of interconnected brain regions located in both hemispheres. We conclude that impaired emotion recognition is not uncommon after stroke and can be caused by dysfunction of this emotion-network.

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