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

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

Arq Neuropsiquiatr

Universidade Federal do Paraná, Hospital de Clínicas, Unidade de AVC, Departamento de Clínica Médica, Curitiba PR, Brazil.

Published: January 2023

AI Article Synopsis

Article Abstract

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  < 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014206PMC
http://dx.doi.org/10.1055/s-0042-1758364DOI Listing

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