Abstract 2472: The Negative Impact of Spasticity on the Health-Related Quality of Life of Stroke Survivors

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Patrick Gillard ◽  
Heidi Sucharew ◽  
Sepideh Varon ◽  
Kathleen Alwell ◽  
Charles Moomaw ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Negative Impact ◽  
Stroke Severity ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Stroke Patients ◽  
Related Quality ◽  
Health Related

Background: Spasticity can lead to numerous symptomatic and functional problems that can cause substantial disability. No published studies have quantified the independent effect spasticity has on the health-related quality of life (HRQoL) of stroke survivors. Objective: To assess the hypothesis that spasticity has a negative impact on HRQoL among stroke survivors. Design: In 2005, as part of the Greater Cincinnati/Northern Kentucky Stroke Study, a cohort of 460 ischemic stroke patients were interviewed during hospitalization and then followed over time. Detailed in-person interviews and medical record abstractions were undertaken during the early post-stroke period to capture key information about demographics; pre-stroke level of functioning; social, family, and medical histories; medications; laboratory results; and stroke severity. Follow-up interviews at 3 months, 1 year, and 2 years gathered information on HRQoL as measured by the Short Form-12 (SF-12), EuroQol-5D (EQ-5D), and Stroke Specific Quality of Life (SSQOL). SF-12 scores are divided into mental (MCS) and physical (PCS) components that range from 0 to 100, with higher scores indicating better health. EQ-5D scores range from 0 (death) to 1 (perfect health). SSQOL scores are stroke specific and range between 0 and 5, with lower scores indicating better HRQoL. HRQoL differences between stroke survivors with and without spasticity (as reported by the patient) were cross-sectionally compared using generalized linear models, adjusting for age, race, stroke severity, pre-stroke function, and comorbidities. Results: Of the 460 ischemic stroke patients, 328 had spasticity data available at the 3-month interview, with 54 (16%) reporting spasticity following their stroke. The patients included in the 3-month analysis had a mean age of 66 years; 49% were female, and 26% black. Patients who reported spasticity at 3 months had lower mean PCS, EQ-5D index, and SSQOL total score compared with patients without spasticity ( Table ). Similar differences in HRQoL were also observed at year 1 and year 2 (data not shown). Conclusions: We found statistically and clinically meaningful differences in HRQoL between stroke survivors with and without spasticity at 3 months, 1 year, and 2 years following stroke. Clinically, these results suggest an opportunity to improve HRQoL among stroke survivors with effective spasticity management.

A Comparison of the Long-term Health Related Quality of Life and Handicap of Stroke Patients in Mainland China and Hong Kong

2010 ◽  
Vol 3 ◽  
pp. 117863291000300
Author(s):  
T Kwok ◽  
X Jin ◽  
F Yeung ◽  
J Cheng ◽  
RSK Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hong Kong ◽  
Mainland China ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Stroke Patients ◽  
Related Factors ◽  
Related Quality ◽  
Health Related

Purpose To compare health related quality of life (HRQOL) and handicap of stroke survivors in Hong Kong (HK) and Chengdu (CD) in Mainland China. Method Fifty-four pairs of first ever stroke patients in CD and in HK matched by age, sex and Modified Barthel Index (MBI) were interviewed using a structured questionnaire at 16–36 months after stroke. HRQOL and handicap outcomes were evaluated by the Chinese version of the Short-Form Health Survey (SF-36) and London Handicap Scale (LHS) respectively. Results Compared to stroke patients in CD, HK subjects reported significantly greater handicap, especially in the occupation domain. HK subjects also had significantly lower HRQOL Z scores in domains of role limitations due to emotional or physical problems, and bodily pain. CD subjects had more social support, but had more difficulties in meeting medical costs, and were less likely to have regular medical follow-up and dysphagia symptom. After adjusting for social and health related factors, the site differences in handicap and the role limitation (physical) domain of SF36 became insignificant. Conclusions CD stroke survivors had better scores in HRQOL and fewer handicaps than their counterparts in HK, because of social and health related factors.

scholarly journals Prevalence of Worsening Problems Using Post-stroke Checklist and Associations with Quality of Life in Patients with Stroke

2019 ◽  
Author(s):  
Hyowon Im ◽  
Won-Seok Kim ◽  
SeungYeun Kim ◽  
Ji-Hong Park ◽  
Nam-Jong Paik
Keyword(s):  
Quality Of Life ◽  
Management Strategy ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Stroke Patients ◽  
Post Stroke ◽  
Related Quality ◽  
Health Related

Background: This study investigated the prevalence of worsening problems using Post Stroke Checklist (PSC) at 3, 6, and 12 months post-stroke and their associations with health-related quality of life. Methods: In stroke patients admitted between June 2014 and December 2015, PSC and EuroQol-5Dthree level (EQ-5D-3L) were assessed at post-stroke 3 (n=181), 6 (n=175), and 12months (n=89). The prevalence of worsening problems and its association withEQ-5D-3L at post-stroke 3 and 6months were analyzed. Results: An average of 0.59 (range 0–12), 1.47 (range 0–12), and 1.00 (range 0–10) worsening problems per patient was identified at 3, 6, and 12months after stroke, respectively. The most frequently and continuously identified worsening problems were mood disturbances (reported by 8.8%, 16.0% and13.5% of patients at 3, 6, and 12 months post-stroke, respectively). Worsening mobility was significantly associated with worse EQ-5D index at post-stroke 3 months (β,-0.583; 95% CI, -1.045 to -0.120). The worsening of mobility and communication was significantly associated with worse EQ-5D index at post-stroke 6 months (mobility: β,-0.170; 95% CI, -0.305 to -0.034, communication: β,-0.164; 95% CI, -0.309 to -0.020). Conclusions: PSC may be useful for the detection of various subjective worsening problems during serial clinical follow-up after stroke. Appropriate rehabilitation and management strategy to solve the identified problems could improve the quality of life in stroke survivors.

scholarly journals Prevalence of Worsening Problems Using Post-stroke Checklist and Associations with Quality of Life in Patients with Stroke

2019 ◽  
Author(s):  
Hyowon Im ◽  
Won-Seok Kim ◽  
SeungYeun Kim ◽  
Ji-Hong Park ◽  
Nam-Jong Paik
Keyword(s):  
Quality Of Life ◽  
Management Strategy ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Stroke Patients ◽  
Post Stroke ◽  
Related Quality ◽  
Health Related

Background: This study investigated the prevalence of worsening problems using Post Stroke Checklist (PSC) at 3, 6, and 12 months post-stroke and their associations with health-related quality of life. Methods: In stroke patients admitted between June 2014 and December 2015, PSC and EuroQol-5Dthree level (EQ-5D-3L) were assessed at post-stroke 3 (n=181), 6 (n=175), and 12months (n=89). The prevalence of worsening problems and its association withEQ-5D-3L at post-stroke 3 and 6months were analyzed. Results: An average of 0.59 (range 0–12), 1.47 (range 0–12), and 1.00 (range 0–10) worsening problems per patient was identified at 3, 6, and 12months after stroke, respectively. The most frequently and continuously identified worsening problems were mood disturbances (reported by 8.8%, 16.0% and13.5% of patients at 3, 6, and 12 months post-stroke, respectively). Worsening mobility was significantly associated with worse EQ-5D index at post-stroke 3 months (β,-0.583; 95% CI, -1.045 to -0.120). The worsening of mobility and communication was significantly associated with worse EQ-5D index at post-stroke 6 months (mobility: β,-0.170; 95% CI, -0.305 to -0.034, communication: β,-0.164; 95% CI, -0.309 to -0.020). Conclusions: PSC may be useful for the detection of various subjective worsening problems during serial clinical follow-up after stroke. Appropriate rehabilitation and management strategy to solve the identified problems could improve the quality of life in stroke survivors.

scholarly journals Age at stroke onset influences the clinical outcome and health-related quality of life in pediatric ischemic stroke survivors

2015 ◽  
Vol 57 (11) ◽  
pp. 1027-1034 ◽  
Author(s):  
Satvinder K Ghotra ◽  
Jeffrey A Johnson ◽  
Weiyu Qiu ◽  
Amanda Newton ◽  
Carmen Rasmussen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Clinical Outcome ◽  
Stroke Onset ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Oral health related quality of life and it’s related factors of stroke patients at home in Korea

2015 ◽  
Vol 61 (3) ◽  
pp. 523-528 ◽  
Author(s):  
Eun-Jin Jang ◽  
Eun-Kyong Kim ◽  
Kyeong-Soo Lee ◽  
Hee-Kyung Lee ◽  
Youn-Hee Choi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Related Quality ◽  
Stroke Patients ◽  
Related Factors ◽  
Related Quality ◽  
Health Related ◽  
At Home

scholarly journals Health-related Quality of Life in 5-year Stroke Survivors Assessed with EQ-5D-3L

2019 ◽  
Vol 8 (2) ◽  
pp. 62-68 ◽  
Author(s):  
Barbara Grabowska-Fudala ◽  
Anna Smelkowska ◽  
Krytyna Górna ◽  
Krystyna Jaracz
Keyword(s):  
Quality Of Life ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Impact of malocclusion on oral health–related quality of life in young adults

2014 ◽  
Vol 85 (6) ◽  
pp. 986-991 ◽  
Author(s):  
Mu Chen ◽  
Zhi-Cai Feng ◽  
Xue Liu ◽  
Zheng-Ming Li ◽  
Bin Cai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Negative Impact ◽  
Health Related Quality ◽  
Treatment Need ◽  
Related Quality ◽  
Health Related ◽  
Psychological Disability

ABSTRACT Objective:  To assess oral health–related quality of life (OHRQoL) in young adult patients with malocclusion and to measure the association between orthodontic treatment need and OHRQoL. Materials and Methods:  The study sample comprised 190 young adults aged 18 to 25 years who were attending orthodontic clinics at the Faculty of Dentistry. The Index of Orthodontic Treatment Need-Dental Health Component was used to measure orthodontic treatment need. Each participant was assessed for OHRQoL before and after treatment by using the Oral Health Impact Profile, Chinese version (OHIP-14). Results:  Patients who had little or no, borderline, and actual need for orthodontic treatment represented 21.6%, 50.5%, and 27.9% of the total sample, respectively. OHRQoL (total OHIP-14 score and score for each domain) improved after treatment (P < .05). Significant differences in summary OHIP-14 scores were apparent with respect to orthodontic treatment need. Participants with high treatment need reported a significantly greater negative impact on the overall OHRQoL score. The greatest impact was seen in the psychological discomfort domain and the psychological disability domain. Conclusion:  Malocclusion has a significant negative impact on OHRQoL. This is greatest for the psychological discomfort and psychological disability domains. The orthodontic treatment of malocclusion improves OHRQoL of patients.

Sign in / Sign up

Export Citation Format

Share Document