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Relationships between long-term stroke disability, handicap and health-related quality of life
Author(s)M D Patel, K Tilling, E Lawrence
Journal titleAge and Ageing, vol 35, no 3, May 2006
Pagespp 273-279
Sourcehttp://www.ageing.oxfordjournals.org
KeywordsStroke ; Physical disabilities ; Long term ; Health [elderly] ; Quality of life ; Correlation ; Longitudinal surveys ; London.
AnnotationThis report of a longitudinal, observational study provides a broader and more representative description of long-term stroke outcome than has been previously reported. 490 people from the South London Stroke Register (SLSR) sustaining strokes 1995-1997 were assessed at 1 year; 342 were assessed 3 years post-stroke for disability (Barthel index, BI), handicap (Frenchay activity index, FAI) and health-related quality of life (HRQoL) (SF-36). At 1 and 3 years, 26.1% and 26.3%, respectively, were disabled (BI <15), 55% and 51%, respectively were handicapped (FAI = 0-15), and survivors had low mean Physical Health Summary Scores (PHSS), 37.1 and 37.9, but satisfactory mean Mental Health Summary Scores (MHSS), 46.6 and 47.7. There was a gradual positive relationship between all SF-36 domains; and the categories of BI and FAI Spearman rank correlations were significant between BI and all SF-36 domains at both time points. The correlation of disability and handicap is variable with different domains of HRQoL; it is strong with PHSS and weak with MHSS. Future studies on stroke should assess disability, handicap and HRQoL as primary outcome measures in order to acquire a broader measure of stroke outcome. (RH).
Accession NumberCPA-060825209 A
ClassmarkCQA: BN: 4Q: CC: F:59: 49: 3J: 82L

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