A Retrospective Analysis of Stroke Survivors’ Health-Related Quality of Life and Function

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.

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Neighborhood Socioeconomic Status and Trajectories of Physical Health-Related Quality of Life Among Stroke Survivors

Stroke ◽

10.1161/strokeaha.119.025874 ◽

2019 ◽

Vol 50 (11) ◽

pp. 3191-3197 ◽

Cited By ~ 4

Author(s):

Erica Twardzik ◽

Philippa Clarke ◽

Michael R. Elliott ◽

William E. Haley ◽

Suzanne Judd ◽

...

Keyword(s):

Quality Of Life ◽

Socioeconomic Status ◽

Physical Health ◽

Stroke Survivors ◽

Health Related Quality ◽

Neighborhood Socioeconomic Status ◽

Related Quality ◽

Health Related ◽

Over Time

Background and Purpose— Stroke is the leading cause of serious, long-term disability in the United States, and the number of stroke survivors is projected to rise. Physical functioning status may be compromised in survivors living in low socioeconomic status environments in comparison to higher socioeconomic status environments. Higher socioeconomic status environments may include benefits in the built environment such as sidewalks, accessible transit, or low traffic volume. Investigation is needed to understand the effects of the socioenvironmental context on trajectories of stroke survivors’ physical health-related quality of life (PH-QOL) over time. Methods— Participants from the REGARDS (REasons for Geographic and Racial Differences in Stroke) study enrolled in the ancillary Caring for Adults Recovering from the Effects of Stroke project completed the SF-12 around 6 to 12, 18, 27, and 36 months poststroke. Measures of area-level income, wealth, education, and employment at the census tract level were combined to represent participants’ neighborhood socioeconomic status. Linear mixed models were used to predict trajectories of PH-QOL over time, controlling for individual characteristics. Results— The average trajectory of PH-QOL was flat over time. However, women and younger stroke survivors had better trajectories over time than men and older stroke survivors. Higher neighborhood socioeconomic status was significantly associated with better PH-QOL across all time points (β=1.73; 95% CI, 0.17–3.30), after controlling for demographic variables and severity of stroke. Conclusions— Our findings demonstrate that neighborhood socioeconomic status, sex, and age are associated with the poststroke recovery process. The results of this study suggest the importance of evaluating the environment surrounding stroke survivors when they return to their home communities. Future research should identify specific features of the environment within different socioeconomic status neighborhoods to better understand how they contribute to PH-QOL among stroke survivors.

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Health-related quality of life and function in middle-aged individuals with thalidomide embryopathy

Journal of Children s Orthopaedics ◽

10.1007/s11832-016-0797-6 ◽

2016 ◽

Vol 10 (6) ◽

pp. 691-703 ◽

Cited By ~ 6

Author(s):

Shadi A. Ghassemi Jahani ◽

Jon Karlsson ◽

Helena Brisby ◽

Aina J. Danielsson

Keyword(s):

Quality Of Life ◽

Health Related Quality ◽

Middle Aged ◽

Related Quality ◽

Health Related ◽

And Function

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Determinants of Health-Related Quality of Life in Taiwanese Middle-Aged Women Stroke Survivors

Rehabilitation Nursing ◽

10.1002/rnj.183 ◽

2017 ◽

Vol 42 (2) ◽

pp. 80-89 ◽

Cited By ~ 1

Author(s):

Hsiang-Chu Pai ◽

Ming-Hsiu Wu ◽

Mei-Yueh Chang

Keyword(s):

Quality Of Life ◽

Determinants Of Health ◽

Stroke Survivors ◽

Health Related Quality ◽

Middle Aged ◽

Related Quality ◽

Health Related

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Objectively measured physical activity and its influence on physical capacity and clinical parameters in patients with primary Sjögren’s syndrome

Lupus ◽

10.1177/0961203316674819 ◽

2016 ◽

Vol 26 (7) ◽

pp. 690-697 ◽

Cited By ~ 6

Author(s):

T Dassouki ◽

F B Benatti ◽

A J Pinto ◽

H Roschel ◽

F R Lima ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Physical Capacity ◽

Activity Levels ◽

Health Related Quality ◽

Physical Activity Levels ◽

Related Quality ◽

Health Related ◽

And Function

Objective The objectives of this paper are to objectively measure habitual physical activity levels in patients with primary Sjögren’s syndrome (pSS) with mild disease activity and to determine to which extent it may be associated with physical capacity and function and clinical features. Methods In this cross-sectional study, 29 women with pSS were objectively assessed for habitual physical activity levels (using accelerometry) and compared with 20 healthy women (CTRL) frequency-matched for physical activity levels, age, body mass index, and body fat percentage with regard to physical capacity and function, fatigue, depression, pain, and health-related quality of life. Results pSS showed 8.5 min/day of moderate-to-vigorous physical activity (MVPA) when only MVPA accumulated in bouts ≥ 10 min was considered; when considering total MVPA (including bouts < 10 min), average levels were 26.3 min/day, with 62% of pSS patients achieving the recommendation (≥ 21.4 min/day). Moreover, pSS showed lower VO2peak, lower muscle strength and function, higher fatigue, and poorer health-related quality of life when compared with CTRL ( p < 0.05). These differences (except for aerobic capacity) were sustained even when only individuals achieving the minimum of 21.4 min/day of total MVPA in both groups were compared. Finally, MVPA time was significantly correlated with aerobic conditioning, whereas total counts and sedentary time were associated with lower-body muscle strength and the bodily-pain domain of SF-36 in patients with pSS. Conclusion When compared to physical activity-matched healthy controls, pSS patients showed reduced physical capacity and function, increased fatigue and pain, and reduced health-related quality of life. Except for aerobic conditioning, these differences were sustained when only more physically active participants were compared, indicating that minimum recommended levels of physical activity for the general population may not be sufficient to counteract pSS comorbidities.

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