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|Title:||Handicap 5 years after stroke in the North East Melbourne Stroke Incidence Study||Authors:||Sturm, Jonathan ;Gall, S.L.;Dewey, H.M.;Macdonell, R.A.;Thrift, A.G.||Issue Date:||2009||Source:||Volume 27, Issue 2, pp. 123 - 130||Journal title:||Cerebrovascular Diseases||Abstract:||BACKGROUND: Handicap is rarely comprehensively examined after stroke. We examined handicap among 5-year stroke survivors from an 'ideal' stroke incidence study. METHODS: Survivors were assessed with the London Handicap Scale [LHS, score range: 0 (greatest handicap) to 100 (least handicap)]. Multivariable regression was used to examine demographic, risk and stroke-related factors associated with handicap. RESULTS: 351 of 441 (80%) survivors were assessed. Those assessed were more often Australian born than those not assessed (p < 0.05). The mean LHS score was 73 (SD = 21). The greatest handicap was present for physical independence and occupation/leisure items. Handicap was associated with older age, manual occupations, smoking, initial stroke severity, recurrent stroke and mood disorders. CONCLUSION: Reducing recurrent stroke, through better risk factor management, is likely to reduce handicap. The association between handicap and mood disorders, which are potentially modifiable, warrants further investigation.||URI:||https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1307||DOI:||10.1159/000177919||Pubmed:||https://www.ncbi.nlm.nih.gov/pubmed/19039216||ISSN:||1421-9786||Publicaton type:||Journal Article||Keywords:||Neurology
|Appears in Collections:||Neurology|
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