Functional Outcomes: One Year after a Cardiac Arrest

Objective. The study aim was to characterize the time-course of recovery in impairments, activity limitations, participation restrictions, disability, and quality of life during the first year after cardiac arrest. Secondarily, the study described the associations between the instruments used to measure each of these domains.Methods. Measures of global disability (Cerebral Performance Category, CPC, Modified Rankin Scale, mRS), quality of life, activity limitations, participation restrictions, and affective and cognitive impairments were administered to 29 participants 1, 6, and 12 months after cardiac arrest.Results. Global measures of disability indicated recovery between one month and one year after cardiac arrest (mean CPC: 2.1 versus 1.69, P<0.05; mean mRS: 2.55 versus 1.83,P<0.05). While global measures of disability were moderately associated with participation, they were poorly associated with other measures. The cohort endorsed depressive symptomatology throughout the year but did not have detectable cognitive impairment.Conclusions. Recovery from cardiac arrest is multifaceted and recovery continues for months depending upon the measures being used. Measures of global disability, reintegration into the community, and quality of life yield different information. Future clinical trials should include a combination of measures to yield the most complete representation of recovery after cardiac arrest.

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Activity Limitations and Participation Restrictions in People With Upper Extremity Peripheral Nerve Disorders: Relationships With Quality of Life

Journal of Hand Therapy ◽

10.1016/j.jht.2012.07.019 ◽

2012 ◽

Vol 25 (4) ◽

pp. e14

Author(s):

Vicki Kaskutas ◽

Ching-Hsien Chung

Keyword(s):

Quality Of Life ◽

Peripheral Nerve ◽

Upper Extremity ◽

Activity Limitations ◽

Participation Restrictions

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The impact of Post-COVID-Syndrome on functioning – results from a community survey in patients after mild and moderate SARS-CoV-2-infections in Germany

Journal of Occupational Medicine and Toxicology ◽

10.1186/s12995-021-00337-9 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Christina Lemhöfer ◽

Christian Sturm ◽

Dana Loudovici-Krug ◽

Norman Best ◽

Christoph Gutenbrunner

Keyword(s):

Quality Of Life ◽

Activity Limitations ◽

Handling Stress ◽

Respiratory Problems ◽

Daily Routines ◽

Participation Restrictions ◽

Fear And Anxiety ◽

The Impact

Abstract Background In COVID-19 survivors a relatively high number of long-term symptoms have been observed. Besides impact on quality of life, these symptoms (now called Post-COVID-Syndrome) may have an impact on functioning and may also hinder to participation in social life in affected people. However, little is known about developing such syndrome a for patients with mild and moderate COVID-19 who did not need hospitalization or intensive care. Methods A cross-sectional study in 1027 patients with mild or moderate COVID-19 was performed in two communities in Bavaria, Germany. The Rehabilitation-Needs-Survey (RehabNeS) including the Short Form 36 Health Survey (SF-36) on health-related quality of life, was used. Descriptive statistics were calculated. Results In all, 97.5% of patients reported one symptom in the infection stage, such as fatigue, respiratory problems, limitations of the senses of taste and smell, fear and anxiety and other symptoms. In this time period, 84.1% of the participants experienced activity limitations and participation restrictions such as carrying out daily routines, handling stress, getting household tasks done, caring for/supporting others, and relaxing and leisure concerns. In all, 61.9% of participants reported persisting symptoms more than 3 months after infection. These were fatigue, sleep disturbances, respiratory problems, pain, fear and anxiety, and restrictions in movement; 49% of the participants reported activity limitations and participation restrictions. Predominately, these were handling stress, carrying out daily routines, looking after one’s health, relaxing and leisure activities and doing house work. The impacts on quality of life and vocational performance were rather low. Conclusion The results show that long-term symptoms after mild and moderate COVID-19 are common and lead to limitations of activities and participation. However, it seems that in most cases they are not severe and do not lead to frequent or serious issues with quality of life or work ability.

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One-year survival and quality of life after out-of-hospital cardiac arrest in the city of Ulm (Germany)

Resuscitation ◽

10.1016/j.resuscitation.2016.07.158 ◽

2016 ◽

Vol 106 ◽

pp. e65

Author(s):

Matthias Treutlein ◽

Claus-Martin Muth ◽

Alexander Dinse-Lambracht

Keyword(s):

Quality Of Life ◽

Cardiac Arrest ◽

One Year ◽

The City ◽

Hospital Cardiac Arrest

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The Effect of Depression on Health-Related Quality of Life Is Mediated by Fatigue in Persons with Multiple Sclerosis

Brain Sciences ◽

10.3390/brainsci11060751 ◽

2021 ◽

Vol 11 (6) ◽

pp. 751

Author(s):

Stephanie Rodgers ◽

Zina-Mary Manjaly ◽

Pasquale Calabrese ◽

Nina Steinemann ◽

Marco Kaufmann ◽

...

Keyword(s):

Quality Of Life ◽

Multiple Sclerosis ◽

Depressive Symptomatology ◽

Longitudinal Design ◽

Health Related Quality ◽

Impact Scale ◽

Related Quality ◽

Health Related ◽

One Year

The interrelations between fatigue, depression and health-related quality of life (HRQoL) in persons with multiple sclerosis (PwMS) are complex, and the directionality of the effects is unclear. To address this gap, the current study used a longitudinal design to assess direct and indirect effects of fatigue and depression on HRQoL in a one-year follow-up survey. A sample of 210 PwMS from the nationwide Swiss MS Registry was used. HRQoL was assessed using the European Quality of Life 5-Dimension 5-Level questionnaire. Path analysis on HRQoL, with fatigue and depression as predictors, was applied. Fatigue was measured by the Modified Fatigue Impact Scale (MFIS), including physical, cognitive and psychosocial subscales, and non-somatic depressive symptomatology was examined with the Beck Depression Inventory-Fast Screen (BDI-FS). Fatigue acted as a fully mediating variable (B = −0.718, SE = 0.253) between non-somatic depressive symptomatology and HRQoL. This indirect effect became apparent in the physical (B = −0.624, SE = 0.250), psychosocial (B = −0.538, SE = 0.256) and cognitive subscales (B = −0.485, SE = 0.192) of fatigue. In contrast, non-somatic depressive symptomatology did not act as a mediator. Our findings provide novel and clinically relevant longitudinal evidence showing that the debilitating effect of non-somatic aspects of depression on HRQoL was fully mediated and therefore explainable via fatigue.

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The Impact of Long-COVID on Functioning – Results from a Community Survey in Patients After Mild and Moderate SARS-CoV-2-Infection in Germany

10.21203/rs.3.rs-383483/v1 ◽

2021 ◽

Author(s):

Christina Lemhöfer ◽

Christian Sturm ◽

Dana Loudovici-Krug ◽

Norman Best ◽

Christoph Gutenbrunner

Keyword(s):

Quality Of Life ◽

Activity Limitations ◽

Daily Routine ◽

Handling Stress ◽

Respiratory Problems ◽

Participation Restrictions ◽

Routine Handling ◽

The Impact

Abstract BackgroundIn COVID-19 survivors a relatively high number of long-term symptoms have been observed. Besides impact on quality of life, these symptom (now called long-COVID) may have an impact on functioning and my hinder affected people to participate in social life. However, little is known if and to what extent patients with mild and moderate COVID-19 who did not need hospitalization or intensive care develop such a syndrome.MethodsA cross-sectional study in 1027 patients with mild or moderate COVID-19 has been performed in two communities in Bavaria, Germany. The Rehabilitation-Needs-Survey (RehabNeS) that includes Short Form 36 health questionnaire (SF-36) on health-related quality of life, was performed. Descriptive statistics were calculated. Results97.5 % of patients reported one symptom in infection phase such as fatigue, respiratory problems, limitations of the sense of taste and smell, as well as fear and anxiety and other symptoms. In this phase 84.1% of participants experienced activity limitations and participation restrictions such as carrying out daily routine, handling stress, getting household tasks done, care/support for others, and relaxing and leisure.61.9% of participants reported persisting symptoms after more than 3 months after infection. These were among others fatigue, sleep disturbances, respiratory problems pain, fears and anxiety, and restrictions in movement. 49% of the participants reported on activity limitations and participation restrictions. Predominately these were handling stress, carrying out daily routine, looking after one’s health, relaxing and leisure activities as well as doing house work.The impact on quality of life and vocational performance were rather low.ConclusionThe results show that long-term symptoms after mild and moderate COVID-19 are common and lead to limitations of activities and participation. However, it seems that in most cases they are not very severe and do not lead to frequent or severe issues with quality of live or work ability.

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Relation of Quality of Life, Activities and Participation with Contracture Categories, and Contracture Sites in Elderly Residents With Joint Contractures in Long-Term Care Facilities

10.21203/rs.3.rs-144731/v1 ◽

2021 ◽

Author(s):

Yi-chang Chen ◽

Keh-chung Lin ◽

Shu-Hui Yeh ◽

Chih-Hung Wang ◽

Ay-Woan Pan ◽

...

Keyword(s):

Quality Of Life ◽

Long Term Care ◽

Lower Limbs ◽

Activity Limitations ◽

Term Care ◽

Joint Contractures ◽

Care Facilities ◽

Participation Restrictions

Abstract Background: Joint contractures and degenerative osteoarthritis are the most common joint diseases in the elderly, can lead to limited mobility in the elderly with diseases, can exacerbate symptoms, such as pain, stiffness and disability, and can interfere with social participation and quality of life, affecting mental health. However, relevant studies on this topic are very limited. The purpose of this study is to investigate the relationship of demographic characteristics and joint contracture categories and sites with the quality of life, activity limitations, and participation restrictions of elderly residents in long-term care facilities.Methods: A cross-sectional observational study. Elderly individuals with joint contractures who were residents in long-term care facilities were recruited. The World Health Organization (WHO) Quality of Life and the WHO Disability Assessment Schedule 2.0 were used to survey the participants. Correlations, multiple linear regressions, and multiple analyses of variance, with joint contractures as the response variable, were used in the statistical analysis.Results: The final statistical analysis included 232 participants. The explanatory power of contracture sites on activities and participation had a moderate strength of association (η2 = .113). Compared with elderly residents with joint contractures and osteoarthritis in isolated upper limbs, elderly residents with joint contractures and osteoarthritis in both the upper and lower limbs had significantly worse activity and participation limitations. There were no significant differences in activity and participation between elderly residents with joint contractures affecting isolated upper limbs and elderly residents with joint contractures affecting isolated lower limbs (F1,226 = 2.604 and F1,226 =.674, n.s.). Osteoarthritis had the greatest impact on activity limitations and participation restrictions of elderly residents with joint contractures affecting both upper and lower limbs (F1,226 = 6.251, p = .014).Conclusions: Elderly residents in long-term care facilities who are minorities and have non-mainstream religious beliefs, history of stroke and osteoarthritis are at high risk of developing activity limitations and participation restrictions. Moreover, compared with other contractile sites, regardless of osteoarthritis, elderly residents with joint contractures affecting both upper and lower limbs had the most substantial activity limitations and participation restrictions.Trial registration: This study has been registered in the Chinese Clinical Trial Registry, Registration number and date: ChiCTR2000039889

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