scholarly journals Predictors of Health-Related Quality of Life in Stroke Survivors After Inpatient rehabilitation

2019 ◽  
Author(s):  
Nataša Rančić ◽  
Milan Mandić ◽  
Dragan Bogdanović ◽  
Biljana Kocić ◽  
Konstanca Lazarević
Keyword(s):  
Quality Of Life ◽  
Right Hemisphere ◽  
Hand Function ◽  
Inpatient Rehabilitation ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Female Sex ◽  
Related Quality ◽  
Health Related

Abstract Background. Disordered and decreased quality of life is the most important consequence of stroke for stroke survivors. The aim of the study was to determine the predictors of the health-related quality of life (HRQOL) in stroke survivors six months after discharge from inpatient rehabilitation. Methods. We conducted prospective cohort study which involved 136 (48.5% males and 51.5% females) survivors. We examined seven potential predictors of HRQOL: age, sex, stroke type, stroke side, functional status (Barthel Index-BI and modified Rankin Scale-mRS), cognition (Mini-Mental State Examination; MMSE) and stroke severity (National Institutes of Health Stroke Scale; NIHSS). HRQOL was assessed by Stroke Impact Scale (SIS) 3.0. Using Pearson's correlation and multiple logistic regression analysis we described the relationships between mRS, NIHSS, BI, MMSE and HRQOL. Results. Baseline mRS and NIHSS scores negatively correlated with seven SIS domains except with strength. Baseline BI scores positively correlated with seven SIS domains except mobility and baseline MMSE scores positive correlated with memory, ADL, hand function and participation role and negatively correlated with emotion, communication and mobility domains. Decrease of both mRS and NIHSS scores during the observed period positively correlated with increase of all SIS domains. Ischaemic stroke positively correlated with emotion and communication and stroke in brainstem negatively correlated with communication domain. Memory domain positively correlated with female sex and with stroke in the right hemisphere. Age wasn't significantly associated with any SIS domain. Conclusion. We conclude that major factors in predicting the improvement of strength, physical functioning, mobility, hand function, ADL and participation role were increase of BI and decrease of mRS and NIHSS scores. Female sex, stroke in right hemisphere and increase of BI and MMSE scores predicted better memory. Baseline mRS and NIHSS scores were predictors for improvement of hand function and increase of mRS predicted decrease of hand function and participation role. Key words: stroke, survivors, health-related quality of life, inpatient rehabilitation

scholarly journals Health-Related Quality of Life in Stroke Survivors in Relation to the Type of Inpatient Rehabilitation in Serbia: A Prospective Cohort Study

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 666
Author(s):  
Natasa K. Rancic ◽  
Milan N. Mandic ◽  
Biljana N. Kocic ◽  
Dejan R. Veljkovic ◽  
Ilija D. Kocic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Regression Analysis ◽  
Linear Regression Analysis ◽  
Inpatient Rehabilitation ◽  
Stroke Survivors ◽  
Multivariate Linear Regression Analysis ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background and objectives: Health-related quality of life after stroke is an important public health issue. The objective of the study was to investigate the relationship between the perceived health-related quality of life in stroke survivors in relation to the type of inpatient rehabilitation. Materials and Methods: Using a random selection method out of a total of 688 patients, every fourth survivor who had a stroke in the period from 1 January 2017 to 31 December 2019 was selected from the admission protocol of the Clinic for Rehabilitation and Physical Medicine of the Clinical Centre Niš, Serbia. A total of 160 first-ever stroke survivors were included (80 underwent additional inpatient rehabilitation and 80 underwent only inpatient rehabilitation in a tertiary health institution) in a twelve-month prospective study. The EuroQuol-5 Dimension (EQ5D) questionnaire and Stroke Impact Scale were used for the assessment. Multivariate linear regression analysis was done. Results: Multivariate linear regression analysis showed that additional inpatient rehabilitation from six up to eight weeks after discharge was significantly associated with better self-reported health condition by 3.9 times (from 1.9 to 8.2), significantly decreased the ranks of EQ5D by 1.78 times (from 1.02 to 3.11), and showed a higher health-related quality of life. We determined a significant increase of strength, emotions, mobility, and participation role in survivors who underwent additional inpatient rehabilitation compared with those who did not. Conclusions: There was a significant difference in health-related quality of life perceived by stroke survivors who underwent additional hospital rehabilitation in relation to those who underwent only inpatient rehabilitation.

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 Hand Rehabilitation Programs Used for Second to Fifth Metacarpal Fractures: A Systematic Literature Review Protocol

2020 ◽  
Author(s):  
Monique Marie Keller ◽  
Roline Y Barnes ◽  
Corlia Brandt
Keyword(s):  
Quality Of Life ◽  
Meta Analysis ◽  
Hand Function ◽  
Health Related Quality ◽  
Hand Rehabilitation ◽  
Metacarpal Fractures ◽  
Rehabilitation Programs ◽  
Related Quality ◽  
Health Related

Abstract BackgroundMetacarpal fractures have an incidence rate of 13.6 per 100000, affects males more than females and accounts for 33% of all hand fractures. No evidence-based rehabilitation program exists for second to fifth metacarpal fractures potentially causing poor health related quality of life, decrease hand function and disability.MethodsExperimental study designs, quasi-experimental, cohort studies and case control studies for the last ten years from January 2008 to September 2018 with English as a language restriction will be included. Sources investigating hand rehabilitation, immobilization, splinting and home programs after surgical and conservative management for second to fifth metacarpal fractures, will be included. MEDLINE, Academic Search Ultimate, CINAHL, CAB Abstracts, Health Source - Consumer Edition, Health Source: Nursing/Academic Edition, SPORTDiscus, Africa-Wide Information, MasterFILE Premier, Google Scholar and other grey literature will be searched. Two independent reviewers will independently conduct the study selection, methodology quality assessment and extraction of data. Findings will be pooled, meta-analysis performed, Summary of Findings provided according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis if deemed appropriate.DiscussionIt is imperative to implement effective rehabilitation to prevent poor health related quality of life, decrease hand function and disability. In this systematic literature review, we will determine the existing evidence on hand rehabilitation programs used after post-surgical and conservative management for 20 to 59-year-old humans who sustained a single or multiple second to fifth metacarpal fracture.

The Association Between Sleep and Health-Related Quality of Life in Stroke Survivors

2021 ◽  
Vol 102 (10) ◽  
pp. e28-e29
Author(s):  
David Levine ◽  
Cindy Poole ◽  
Christine Hostetler ◽  
Kendall Jeter ◽  
Cara Kingrea ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Health-Related Quality of Life of Asylum Seekers and Refugees in Germany: a Cross-Sectional Study with Data from the German Socio-Economic Panel

2020 ◽  
Author(s):  
Thomas Grochtdreis ◽  
Hans-Helmut König ◽  
Steffi G. Riedel-Heller ◽  
Judith Dams
Keyword(s):  
Quality Of Life ◽  
Asylum Seekers ◽  
Refugee Crisis ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Female Sex ◽  
Related Quality ◽  
Health Related ◽  
Asylum Seekers And Refugees

Abstract The purpose of this study was to estimate the health-related quality of life (HrQoL) of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017. The analysis was based on the 2016 and 2017 refugee samples of the German Socio-Economic Panel (n = 6821). HrQoL was measured using a modified version of the SF-12v2 questionnaire and presented as physical (PCS) and mental (MCS) component summary scores. PCS and MCS scores for the total sample, males and females were calculated by sociodemographic characteristics. Associations between PCS and MCS scores and sociodemographic variables were examined by a linear regression with bootstrapped standard errors. The mean PCS and MCS scores of the sample were 53.4 and 47.9, respectively. Female sex was statistically significantly associated with lower PCS and MCS scores. The SF-12 subscale general health was valued highest with a score of 55.4, whereas the subscale role emotional was valued lowest with a score of 46.9. Employment was statistically significantly associated with higher PCS and MCS scores. Persons from Afghanistan had statistically significantly lower MCS scores than persons from Syria, whereas MCS scores were statistically significantly higher for persons from Eritrea. Physical and mental HrQoL of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017 was higher and lower than the German norm, respectively. Female sex, older age, unemployment and being separated, divorced or widowed were negatively associated with HrQoL. The three largest ethnical groups of asylum seekers and refugees, Syrians, Afghans and Eritreans, differ inherently in their HrQoL.

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.

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