Sequelae and Quality of Life in Patients Living at Home 1 Year After a Stroke Managed in Stroke Units

Broussy, Sylvain; Saillour-Glénisson, F.; García-Lorenzo, Borja; Rouanet, François; Lesaine, É.; Maugeais, M.; Aly, Florence; Glize, Bertrand; Salamon, Roger; Sibon, Igor

doi:10.3389/fneur.2019.00907

Cited by 52 publications

(41 citation statements)

References 28 publications

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“…All patients living with at least one relative had significantly higher SSQOL indices than those living alone or in nursing homes. Our research data are similar to the results of a study conducted in Portugal and Luxembourg that demonstrated a strong correlation between patient satisfaction and family integration in aphasia rehabilitation therapy [49] as well as other works [59][60][61][62].…”

Section: Discussionsupporting

confidence: 89%

The Influence of Neurological Rehabilitation on Patients’ Quality of Life After Ischemic Stroke: A Prospective Study in Romania

Schreiner¹

2020

J Neurol Res

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Background: Stroke is a public health problem in Romania, with important medical, social and financial implications, and sustained efforts are being made to improve post-stroke rehabilitation phase. A significant concern nowadays is the patient's quality of life (QOL); a successful stroke recovery therapy implies the increasing of QOL index. However, there are very few studies evaluating patients' QOL after stroke in Romania. In this context, the aim of this study was to evaluate the benefits that 1-year rehabilitation therapy brings to a patient with a history of ischemic stroke, highlighting the factors that influence the QOL index. Methods: A prospective study was conducted in which the QOL (calculated using the stroke-specific QOL (SSQOL) questionnaire) was measured in a group of 40 patients who had suffered an ischemic stroke in the left middle cerebral artery territory and benefited from rehabilitation therapy for 1 year. Patients admitted in our Neurology Department between January 2018 and June 2019 were divided into several subgroups according to age, gender, domicile, educational level, familial support and comorbidities. Statistical data were processed in SPSS v.20. Results: Among the individual factors studied, young age (under 60) showed a positive impact on QOL improvement after 1 year of stroke rehabilitation therapy (P = 0.005). This was explained by the young patient's profile, with urban domicile (55% vs. 45%), higher educational level (60% vs. 40%) and family support. The best recovered functions as noted by the questionnaire were language (18.25 ± 4.95; P = 0.015), upper motor functions (21.50 ± 2.70; P = 0.039), personality (12 ± 0.81; P = 0.032) and family roles (11.53 ± 1.81; P = 0.007). On the other hand, patient's gender (male 155.55 ± 31.21 vs. female 152.94 ± 28.14) did not influence the outcome of the therapy (P = 0.267). Conclusion: Stroke rehabilitation treatment is an essential component for improving the QOL of the patient after stroke; it has become topic of concern in the literature nowadays. This work complements the existing data on this topic for stroke patients in Romania.

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Section: Discussionsupporting

confidence: 89%

The Influence of Neurological Rehabilitation on Patients’ Quality of Life After Ischemic Stroke: A Prospective Study in Romania

Schreiner¹

2020

J Neurol Res

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“…13 Post-stroke fatigue is one of the most disabling symptoms in stroke survivors; it reduces the quality of life, increases mortality, and is a barrier to stroke rehabilitation, and has also been shown to affect patients' return to working life. 14,15 In addition, health professionals still lack a regimen or a coping strategy to equip the patient with at discharge from hospital. 16 Efficient management of post-stroke fatigue should be a priority in stroke rehabilitation given the incidence of stroke and the prevalence and detrimental impact of poststroke fatigue on independent living and overall survival.…”

Section: Discussionmentioning

confidence: 99%

Stroke survivors’ priorities for research related to life after stroke

Rudberg

Berge

Laska

et al. 2020

Topics in Stroke Rehabilitation

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Background: Stroke has transitioned from an untreatable, unpreventable disease to a highly treatable and preventable disease over recent decades, and the number of stroke survivors is expected to increase. The number is also foreseen to grow larger as a result of an aging population. With an escalating number of stroke survivors, research on how to improve life after stroke is needed. Aims: The primary aim was to determine which area of research related to life after stroke that stroke patients and their informal carers prioritized as being relevant and valuable. Methods: A cross-sectional study of all patients who had completed the 12 months of follow-up in the EFFECTS trial. In the questionnaire the stroke patients and their informal carers were asked to prioritize areas of research they considered important and valuable with respect to their life after stroke. Results: Of the 731 patients who were still alive after the 12 months-follow-up, 589 responded. The most prioritized areas of research were Balance and walking difficulties (290 (49%) responders) and Post-stroke fatigue (173 (29%) responders). Women answered the undefined alternative "other" more often than men (43 women (11%) versus 11 men (6%), p = .04). Younger patients prioritized Post-stroke fatigue to a higher extent (88 (45%) versus (22%), p < .001), and elderly prioritized Balance and walking difficulties (214 (54%) versus 76 (40%), p = .002) and Speech difficulties (38 (10%) versus 9 (5%), p = .045). Conclusions: Life after stroke is perceived differentely with aging. Future research should address strategies to face challenges such as imbalance and walking difficulties and post-stroke-fatigue.

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“…PSF is linked to undesirable stroke outcomes and affects patients’ participation in studies, adherence to medication, and effectiveness of rehabilitation 3 . This has a negative impact on patients’ quality of life and daily life activities 4 – 7 , and also contributes to the burden on family members and carers 8 .…”

Section: Introductionmentioning

confidence: 99%

Post-stroke fatigue: a scoping review

et al. 2020

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Background: Post-stroke fatigue (PSF) is one of the most common and frustrating outcomes of stroke. It has a high prevalence and it can persist for many years after stroke. PSF itself contributes to a wider range of undesirable outcomes that affect all aspects of daily life. The aim of this review was to identify and summarise the most recent research on PSF, in order to update the evidence base. Methods: We updated an existing review (Hinkle et al. 2017) systematically searching CINAHL, MEDLINE, PsycINFO, and PubMed to cover new research studies between 1st March 2016 and the search date (19th January 2020). We included interventional and observational research, and clinical practice guidelines that were not covered in the original review. After duplicate removal in EndNote, two reviewers screened the search results in Rayyan, and data from eligible full texts were extracted onto an Excel spreadsheet. Finally, we used RobotReviewer and a human reviewer to assess the risk of bias of randomised trials for this scoping review. Results: We identified 45 records for 30 studies (14 observational, 10 interventional studies, and 6 guidelines). Apart from one, the interventional studies were single-centred, had high risk of bias and small sample size (median 50). They investigated exercise, pharmacotherapy, psychotherapy, education, and light therapy. Observational studies mainly reported the factors related to PSF including co-morbidities, depression and anxiety, quality of life, activities of daily living, stroke severity, medication use and polypharmacy, polymorphism, pain, apathy, limb heaviness, neuroticism, mobility, and thyroid-stimulating hormone. Guidelines either did not report on PSF or, when reported, their recommendations were supported by little or low level of evidence. Conclusion: Although we identified a number of recent studies which have added to our current knowledge on PSF, none are robust enough to change current clinical practice.

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Sequelae and Quality of Life in Patients Living at Home 1 Year After a Stroke Managed in Stroke Units

Cited by 52 publications

References 28 publications

The Influence of Neurological Rehabilitation on Patients’ Quality of Life After Ischemic Stroke: A Prospective Study in Romania

The Influence of Neurological Rehabilitation on Patients’ Quality of Life After Ischemic Stroke: A Prospective Study in Romania

Stroke survivors’ priorities for research related to life after stroke

Post-stroke fatigue: a scoping review

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