Quality of life after carotid endarterectomy: a review of the literature

Chabowski, Mariusz; Grzebień, Anna; Ziomek, Agnieszka; Dorobisz, Karolina; Leśniak, Michał; Janczak, Dariusz

doi:10.1007/s13760-017-0811-x

Cited by 12 publications

(5 citation statements)

References 48 publications

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“…However, in the BMT group measures of RP, BP and MCS worsened after 6 and 12 months compared to SF-36v2 scores at the beginning of the study. So far, literature review and meta-analysis have shown that CEA and CAS maintain preoperative HRQoL for at least 1 year which is partially congruent with our findings [32, 54]. In our study, most of the patients in the CEA and CAS groups were asymptomatic, whereas symptomatic patients had TIA or minor stroke that was not disabling.…”

Section: Discussionsupporting

confidence: 91%

Changes in Cognition, Depression and Quality of Life after Carotid Stenosis Treatment

Pūcīte

Krievina

Miglāne

et al. 2019

CNR

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Background: Although several studies have evaluated the change of cognitive performance after severe carotid artery stenosis, the results still remain elusive. The objective of this study was to assess changes in cognitive function, depressive symptoms and Health Related Quality of Life (HRQoL) after carotid stenosis revascularisation and Best Medical Treatment (BMT).Methods: Study involved 213 patients with ≥70% carotid stenosis who underwent assessment of cognitive function using Montreal Cognitive Assessment scale (MoCA), depressive symptoms - using Patient Health Questionnaire-9 (PHQ-9) and HRQoL - using Medical Outcome Survey Short Form version 2 (SF-36v2). The assessment was performed before and at 6 and 12 months follow-up periods in patients who had Carotid Endarterectomy (CEA), Carotid Artery Stenting (CAS) or received BMT only.Results: Improvement in the total MoCA scores was observed after 6 and 12 months (p<0.001, Kendall's W=0.28) in the CEA group. In the CAS group - after 12 months (p=0.01, Kendall's W=0.261) whereas in the BMT group - no significant changes (p=0.295, Kendall's W=0.081) were observed. Reduction of depressive symptoms was not found in any of the study groups. Comparing mean SF-36v2 scores in the CEA group, there was no significant difference in any of 10 subscales. Likewise in the CAS group - no significant difference in 9 of 10 subscales (p=0.028, η2=0.343) was observed. Three subscales worsened in the BMT group during the 1-year follow-up period.Conclusion: Patients with severe carotid stenosis who underwent revascularisation enhanced their cognitive performance without exerting significant change of depressive symptoms. Preoperative HRQoL may be maintained for at least one year in the CEA group.

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Section: Discussionsupporting

confidence: 91%

Changes in Cognition, Depression and Quality of Life after Carotid Stenosis Treatment

Pūcīte

Krievina

Miglāne

et al. 2019

CNR

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“…This is consistent with previous reports. [7,10] The study also found that after 4 weeks of treatment, although the physiological quality of the patients increased significantly, the patient's mental QOL did not show significant improvement. This suggests that in the clinical management of stroke patients, more attention should be paid to improving the psychological conditions of the patients.…”

Section: Discussionmentioning

confidence: 87%

Health related quality of life in stroke patients and risk factors associated with patients for return to work

Chen¹,

Cao

Gong³

et al. 2019

Medicine

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To clarify dynamic change of quality of life (QOL) in patients with stroke after treatment, and to explore the predictors associated with return to work (RTW) within 48 weeks. Patients diagnosed with stroke were enrolled. All patients enrolled were asked to fill in the Short Form 36 Health Survey. For patients with stroke, SF-36 questionnaires were measured repeatedly 4 weeks after treatment. We used phone call to find out if the patient was RTW. The investigation time was 48 weeks. Patients with stroke had lower scores in terms of physiological dimensions, such as physical functional, role limitations due to physical problems, and general health ( P < .001). While patients with strokes scored significantly lower in all mental dimensions including vitality, social functioning, role limitations due to emotional problems, and mental health ( P < .001). After 4-weeks treatment, we found that, except for bodily pain, scores in dimensions like physical functioning, role limitations due to physical problems, and general health had increased significantly ( P < .001). Multivariate logistic regression analysis was conducted, and the result showed that older age ( P = .04) and singleness ( P = .03) were risk factors associated with QOL improvement in stroke patients after treatment. Outcomes of stroke patients within 48 weeks were explored. The results showed that 108 out of 136 patients RTW within 48 weeks. Average days it took for patients with cerebral infarction to return to work were 77 ± 79, significantly less than patients with cerebral hemorrhage (206 ± 159 days) and patients with subarachnoid hemorrhage (117 ± 113 days, P < .001). Multivariate analysis indicated that only QOL improvement ( P = .04) and subtype of stroke ( P = .01) were independent factors associated with RTW within 48 weeks. QOL of stroke patients was significantly reduced. After treatments, the physiological quality of stroke patients increased, but the psychological quality remained low. In addition, patients with cerebral hemorrhage and patients with no significant improvement in QOL are independent risk factors for RTW. Therefore, for this subgroup of the population, early diagnosis, close follow-up and monitor of the psychological state should be provided to avoid the occurrence of adverse events.

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“…Stroke patients face the problems of physical, psychological, social and economic burdens. The patients' health-related quality of life (QOL) was found as low level [3] [4]. Some stroke survivors stated that their QOL would consider as being worse than death after having a stroke [5].…”

Section: Introductionmentioning

confidence: 99%

Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge

Chaleoykitti¹,

Srithumsuk²,

Jaipong³

et al. 2020

AAR

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Objective: The number of people with stroke increases worldwide. The stroke survivors live with disabilities and those influence their quality of life (QOL). This study was aimed to investigate the association between clinical characteristics and QOL of the older people with stroke at discharge from the hospital. Methods: This is a cross-sectional study. The participants were 113 stroke survivors aged 60 years and older admitted to the stroke unit. Quality of life was the study's outcome which measured by using the abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF). Primary clinical characteristics were measured by the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and Modified Rankin Scale (mRS). Potential confounding factors were age, sex, education levels, marital status, current occupation, and comorbidity (hypertension, diabetes mellitus, dyslipidemia, and heart disease). Multiple linear regression was used for data analysis. Results: The main effects of clinical outcomes were high BI Score that had a significant difference association with QOL (β = 0.312, 95% CI = 0.042, 0.296, P = 0.009), lower mRS score also had significant difference association with QOL (β = −0.371, 95%CI = −5.394, −1.162, P = 0.003) after all adjusting. Additional risk factor in this study was marital status (currently married) (β = 0.155, 95% CI = 0.226, 8.666, P = 0.039). Conclusion: Low function status and severe stroke disability as the clinical characteristics were associated with QOL in older people with stroke at hospital discharge. An additional factor was marital status (currently married).

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Quality of life after carotid endarterectomy: a review of the literature

Cited by 12 publications

References 48 publications

Changes in Cognition, Depression and Quality of Life after Carotid Stenosis Treatment

Changes in Cognition, Depression and Quality of Life after Carotid Stenosis Treatment

Health related quality of life in stroke patients and risk factors associated with patients for return to work

Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge

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