Are we looking to stroke and quality of life?

Zétola, Viviane Flumignan

doi:10.15406/mojgg.2019.04.00196

Cited by 2 publications

(5 citation statements)

References 12 publications

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“…Prospective studies should measure QoL before and after implementing rehabilitation strategies to confirm our hypothesis that better and early rehabilitation can improve QoL after stroke. 34 In conclusion, our study shows that $ 30% of patients had poor QoL after their first ischemic stroke, which impaired their ability to participate in daily activities and probably interfered with mental health. No regular rehabilitation and not returning to work appeared to be crucial factors related to it.…”

Section: Discussionmentioning

confidence: 68%

Quality of life: predictors and outcomes after stroke in a Brazilian public hospital

et al. 2023

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Background Some scales are applied after stroke to measure functional independence but qualify of life (QoL) is sometimes neglected in this scenario. Objective To analyze predictors and outcomes of QoL after stroke using a validated scale in our population. Methods Our study included patients who had their first ischemic stroke and were followed in the outpatient clinic for at least 6 months from stroke index. Disability status was assessed using the modified Rankin scale (mRS), the Barthel index (BI), and the Lawton and Brody scale. Quality of life was assessed by a stroke-specific QoL (SSQoL) scale. Statistical significance was accepted for p < 0.05. The estimated measure of association was the odds ratio (OR) for which 95% confidence intervals (95%Cis) were presented. Results Of 196 patients studied, the median age was 60.4 (±13.4) years, and 89 (45.40%) of the patients were female. In a stepwise model considering risk factors, basic activities of daily living scales, satisfaction with life, and outcomes, we found four independent variables related to a poor QoL after stroke, namely hypertension, non-regular rehabilitation, not returning to work, and medical complications. The National Institutes of Health stroke scale (NIHSS) score at admission ≥ 9 was also an independent clinical marker. Approximately 30% of all participants had a negative score under 147 points in the SSQoL. Conclusions Our results showed that QoL after stroke in a developing country did not seem to differ from those of other countries, although there is a gap in rehabilitation programs in our public system. The functional scales are important tools, but they have failed to predict QoL, in some patients, when compared with specific scales.

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Section: Discussionmentioning

confidence: 68%

Quality of life: predictors and outcomes after stroke in a Brazilian public hospital

et al. 2023

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“…Studies have applied the concept of QoL with two different approaches: a more generic perspective, without reference to dysfunction or injuries, and health-related quality of life (HRQoL) associated with diseases or health interventions ( 13 ). HRQoL evaluates the patient's perception in four dimensions: physical, functional, psychological, and social, encompassing personal beliefs ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

“…Although studies present different assessment methods in different populations and different degrees of health impact, data shows that stroke significantly affects various domains of QoL ( 13 , 14 ), compromising functionality ( 6 , 15 , 16 ). Specifically, in HRQOL, stroke survivors present lower mean scores for physical health (−7.9 %), mental health (−4.1 %), and health utility (−6.9 %) than the non-stroke population ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

“…Studies often use the mRS, the Barthel Index (BI), and the Lawton and Body Inventory to assess health outcomes after stroke. These tools can include relevant information to improve rehabilitation planning, and patients may be guided to primary and secondary prevention recommendations and healthcare in the early stages of rehabilitation, according to their specific needs ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

“…Post-stroke neurological recovery peaks especially in the first three months after stroke and continues in the following three months ( 35 ). A vision of functional recovery and a global approach to QoL improvement during rehabilitation may improve stroke survivors' health outcomes ( 13 , 36 ). This study aimed to investigate if there is a relationship between functional activities performed before the stroke and functionality and quality of life measures in the first six months after stroke.…”

Section: Introductionmentioning

confidence: 99%

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Functionality and quality of life in Brazilian patients 6 months post-stroke

et al. 2023

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BackgroundSurviving a stroke poses a social and economic impact that requires the care system to be reformulated and the patient to be addressed in a comprehensive approach.PurposeThis study aims to investigate if there is a relationship between functional activities performed before the stroke, patients' clinical and hospitalization data, and functionality and quality of life measures in the first 6 months after the stroke.MethodsThis study used a prospective cohort of 92 patients. We investigated sociodemographic and clinical data, the modified Rankin Scale (mRS), and the Frenchay Activities Index (FAI) during hospitalization. The Barthel Index (BI) and EuroQol-5D (EQ-5D) were applied at the following time points: 30 days (T1), 90 days (T2), and 180 days (T3) following postictal state. Statistical analysis was conducted using Spearman's coefficient, Friedman's non-parametric test, and multiple linear regression models.ResultsNo correlation was found between FAI, BI, and EQ-5D average scores. Severe patients, patients with comorbidities, and patients with extended hospital stays showed lower BI and EQ-5D scores □in the follow-up. BI and EQ-5D scores increased.ConclusionThis research found no relationship between activities performed before the stroke and functionalities and quality of life after the stroke, but comorbidities and extended hospital stay were associated with worse outcomes.

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Are we looking to stroke and quality of life?

Cited by 2 publications

References 12 publications

Quality of life: predictors and outcomes after stroke in a Brazilian public hospital

Quality of life: predictors and outcomes after stroke in a Brazilian public hospital

Functionality and quality of life in Brazilian patients 6 months post-stroke

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