Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1317
Title: Long-term outcome in the North East Melbourne Stroke Incidence Study: predictors of quality of life at 5 years after stroke
Authors: Sturm, Jonathan ;Paul, S.L.;Dewey, H.M.;Donnan, G.A.;Macdonell, R.A.;Thrift, A.G.
Issue Date: Oct-2005
Source: Volume 36, Issue 10, pp. 2082 - 2086
Journal title: Stroke
Abstract: BACKGROUND AND PURPOSE: Although much is known about the long-term outcome of stroke patients in terms of mortality and disability, there has been little research on the patient-centered outcome of health-related quality of life (HRQoL). There are limited natural history data on HRQoL beyond 2 years after stroke and no data on those factors present at stroke onset that predict HRQoL beyond 2 years after stroke. For these reasons, we aimed to examine these aspects of HRQoL in an unselected population of stroke patients. METHODS: All cases of first-ever stroke from a prospective community-based stroke incidence study (excluding subarachnoid hemorrhage) were assessed 5 years after stroke. HRQoL was measured with the assessment of quality of life instrument. ANOVA was used to determine baseline predictors of HRQoL. RESULTS: In total, 978 cases were recruited, 45% were male, and the mean age (+/-SD) was 75.5+/-13.8 years. Five years after stroke, 441 (45.1%) were alive and 356 were assessed (80.7%). Those assessed were more often born in Australia and older in age (both P<0.05). Seventy-one survivors (20%) had a very low HRQoL (score < or =0.1). The independent baseline predictors of low HRQoL at 5 years after stroke were increasing age, lower socioeconomic status, and markers of stroke severity. CONCLUSIONS: At 5 years after stroke, we found that a substantial proportion of survivors were suffering from poor HRQoL. As our population ages, the number of strokes and, thus, stroke survivors with poor HRQoL is likely to increase. Therefore, strategies to improve HRQoL should be vigorously pursued.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1317
DOI: 10.1161/01.STR.0000183621.32045.31
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/16179566
ISSN: 1524-4628
Publicaton type: Journal Article
Keywords: Neurology
Stroke
Appears in Collections:Neurology

Show full item record

Page view(s)

8
checked on Feb 5, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.