“Sometimes we get it wrong but we keep on trying”: A cross-sectional study of coping with communication problems by informal carers of stroke survivors with aphasia

Background There is a paucity of data relating to the association of gout with the occurrence of hypertension and diabetes mellitus in patients with stroke. This study aimed to determine the association of gout with the risk of hypertension and diabetes mellitus in a cohort of stroke patients from Auckland, Aotearoa New Zealand. Methods A cross-sectional study was conducted among stroke survivors in South and East Auckland, New Zealand from the years 2010 to 2014. Electronic health record data were collected and analysed using Statistical Package for Social Science version 23. Multivariate logistic regression modelling adjusted for age, gender, and ethnicity was conducted to determine the association of gout with the risk of hypertension and diabetes mellitus in patients discharged with a diagnosis of stroke. Results The age-, gender-, and ethnicity-adjusted odds ratio for having hypertension and diabetes mellitus among stroke survivors with gout history were 3.25 (95% confidence interval 1.32–8.03) and 1.94 (95% confidence interval 1.12–3.36), respectively. Māori stroke survivors with gout history had the highest risk of having diabetes mellitus with age- and gender-adjusted odds ratio of 5.10 (95% confidence interval 1.90–18.93). Conclusion The findings from this study suggest gout may be independently associated with an increased risk of hypertension and diabetes mellitus in patients with stroke. Māori who are the indigenous population of New Zealand show a greater risk of diabetes mellitus associated with a gout diagnosis compared to other populations. This finding highlights the importance of the need for further research with Māori stroke survivors and other indigenous populations.

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Cutoff Score of the Lower-Extremity Motor Subscale of Fugl-Meyer Assessment in Chronic Stroke Survivors: A Cross-Sectional Study

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2019.01.027 ◽

2019 ◽

Vol 100 (9) ◽

pp. 1782-1787 ◽

Cited By ~ 4

Author(s):

Patrick W.H. Kwong ◽

Shamay S.M. Ng

Keyword(s):

Lower Extremity ◽

Cross Sectional Study ◽

Chronic Stroke ◽

Cutoff Score ◽

Stroke Survivors ◽

Sectional Study ◽

Cross Sectional ◽

Motor Subscale

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Acceptability and Attitude towards a Mobile-Based Home Exercise Program among Stroke Survivors and Caregivers: A Cross-Sectional Study

International Journal of Telemedicine and Applications ◽

10.1155/2019/5903106 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Amreen Mahmood ◽

Vevita Blaizy ◽

Aparajita Verma ◽

Joel Stephen Sequeira ◽

Dola Saha ◽

...

Keyword(s):

Exercise Program ◽

Cross Sectional Study ◽

Home Exercise ◽

Stroke Survivors ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Home Exercise Program ◽

Chi Square Analysis ◽

The Cost

Background. Stroke is a leading cause of disability and requires continued care after hospital discharge. Mobile-based interventions are suitable to reduce the cost of stroke rehabilitation and facilitate self-management among stroke survivors. However, before attempting to use mobile-based home exercise program, it is crucial to recognize the readiness of stroke survivors and their caregivers to opt for such interventions. Objective. To assess the acceptability and attitude towards a mobile-based home exercise program among stroke survivors and their primary caregivers. Methods. A cross-sectional study was conducted among 102 participants to understand their attitude and acceptability towards mobile-based home exercise program. A validated 10-item questionnaire was adapted for the study. The questions which assessed the attitude were rated on a three-point Likert scale, with three denoting agree and one denoting disagree. The acceptability was assessed by their willingness to opt for a mobile-based home program services. A Chi-square analysis and cross-tabulation were performed to test differences between caregivers and patients. A logistic regression was performed to determine the effects of age, gender, and mobile phone on acceptability. Results. Ninety-two percent of caregivers and 90% of patients showed willingness to opt for mobile-based intervention. Majority of the participants showed a positive attitude towards this mode of treatment. There was no difference in the attitude noted among caregivers and patients (p>0.05) towards mobile-based intervention. Conclusion. The stroke survivors and caregivers welcomed the concept of mobile-based home exercise program even in a low-resource settings, but further studies to understand treatment and cost-effectiveness of this technology among the stroke survivors would lead to better implementation.

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Is Fatigue After Stroke Associated With Physical Deconditioning? A Cross-Sectional Study in Ambulatory Stroke Survivors

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2010.10.030 ◽

2011 ◽

Vol 92 (2) ◽

pp. 295-298 ◽

Cited By ~ 28

Author(s):

Susan J. Lewis ◽

Amanda J. Barugh ◽

Carolyn A. Greig ◽

David H. Saunders ◽

Claire Fitzsimons ◽

...

Keyword(s):

Cross Sectional Study ◽

Stroke Survivors ◽

Sectional Study ◽

Cross Sectional ◽

Physical Deconditioning

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The caregiving relationship and quality of life among partners of stroke survivors: A cross-sectional study

Health and Quality of Life Outcomes ◽

10.1186/1477-7525-9-29 ◽

2011 ◽

Vol 9 (1) ◽

pp. 29 ◽

Cited By ~ 36

Author(s):

Christine J McPherson ◽

Keith G Wilson ◽

Livia Chyurlia ◽

Charles Leclerc

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Stroke Survivors ◽

Sectional Study ◽

Cross Sectional

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Health-related Quality of Life Using WHODAS 2.0 and Associated Factors 1 Year After Stroke in Korea: a Multi-center and Cross-sectional Study

10.21203/rs.3.rs-593276/v1 ◽

2021 ◽

Author(s):

HeyJean Lee ◽

Jung-Kook Song ◽

Jiyoung Moon ◽

Keonyeop Kim ◽

Hyeung-Keun Park ◽

...

Keyword(s):

Associated Factors ◽

Recurrent Stroke ◽

Cross Sectional Study ◽

The Self ◽

Stroke Survivors ◽

Sectional Study ◽

Cross Sectional ◽

Neurological Sequelae ◽

Whodas 2.0 ◽

General Weakness

Abstract Background: The self-perceived level of disability for stroke survivors in community is little known. We aimed to characterize HRQoL 1 year after stroke and to investigate how socio-demographic and stroke-related factors and medical adherence explain the self-perceived level of disability among a Korean stroke population.Methods: This study was a multi-center and cross-sectional study. A total of 426 ischemic stroke survivors at 1 year after onset recruited from 11 university hospitals underwent a one-session assessment including: socioeconomic variables, the modified Rankin Scale (mRS), various neurological sequelae, the modifed Morisky scale (MMS), and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 36-items. The relationship between disability and different variables was analyzed using ordinal logistic regression. Results: The prevalence of disability by global WHODAS 2.0 score was 62.6% (41.6% for mild; 16.0% for moderate; 5.0% for severe) in subjects. Prevalence of severe disability was higher in Participation in society (16.8%) and Getting around (11.8%) than in the other domains. Low MMS motivation was the only factor determining the significant association between all six domains of disability after adjustment. Different predictors for specific domains were age, mRS, dysarthria, trouble seeing, cognition problem and MMS-motivation for Understanding and communicating; age, recurrent stroke, mRS, hemiplegia, facial palsy, general weakness and MMS-motivation for Getting around; age, education, mRS, hemiplegia and MMS-motivation for Self-care; age, education, recurrent stroke, hemiplegia, dysarthria and MMS-motivation for Getting along with people; age, education, income, mRS, hemiplegia, dysarthria, MMS-knowledge and MMS-motivation for Life activities; living without spouse, recurrent stroke, mRS, hemiplegia, dysarthria, trouble seeing, cognition problem, general weakness and MMS-motivation for Participation in society.Conclusions: Self-perceived disability by the WHODAS 2.0 had almost double the prevalence compared to hemiplegia, one of the most common neurological sequelae 1 year after stroke. Each domain of disability increased with various associated factors. Interventions promoting medical adherence of motivation seem to help high HRQoL in all domains.

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The psychological burden in survivors of stroke and caregivers dyads in Kinshasa (Democratic Republic of Congo): a cross-sectional study

10.21203/rs.3.rs-336489/v1 ◽

2021 ◽

Author(s):

Germain Manzekele Bin Kitoko ◽

Bives Mutume. Vivalya ◽

Martial Mumbere Vagheni ◽

Thierry Matonda Ma Nzuzi ◽

Sam Mampunza Lusambulu ◽

...

Keyword(s):

Democratic Republic Of Congo ◽

Healthcare Providers ◽

Depression Scale ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Stroke Survivors ◽

Sectional Study ◽

Cross Sectional ◽

Psychological Burden ◽

Zarit Burden Inventory

Abstract Background: Stroke exposes the patients and the caregivers to the development of burden in terms of health, economic and social costs. Few studies have focused on the relationship between the psychological burden and the level of disability in stroke survivors and caregiver dyads. Methods: This cross-sectional study aimed at determining the psychological burden of stroke in patients and caregivers in Kinshasa. 85 stroke survivors and caregivers dyads were screened using the Hospital Anxiety and Depression Scale, the Zarit Burden Inventory, and the Rankin’s modified Scale to determine respectively the depression, the anxiety in stroke survivors as well as the caregivers’ psychological burden. Results: Up to fifty percent of survivors of stroke had a severe disability, associated with a high risk of the occurrence of the psychological burden. Nearly eighty-five percent of caregivers showed a moderate psychological burden. The stroke survivors developed more depression than anxiety. Caregivers developed more likely anxiety and depression than stroke survivors. Conclusions: There is a positive relationship between the psychological burden in caregivers and the level of disability in stroke survivors far from the acute phase of the stroke. Healthcare providers working with the survivors of stroke should assess for anxiety and depression in caregivers.

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