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Clinical determinants of long-term quality of life after stroke
Author(s)M D Patel, C McKevitt, E Lawrence
Journal titleAge and Ageing, vol 36, no 3, May 2007
Pagespp 316-322
Sourcehttp://www.ageing.oupjournals.org
KeywordsStroke ; Quality of life ; Health [elderly] ; Long term ; Longitudinal surveys ; London.
Annotation397 subjects recruited from the South London Stroke Register, a longitudinal population-based register of first-ever strokes, were assessed for health-related quality of life (HRQOL) using the Short Form 36 (SF-36) one year after stroke. Physical (PHSS) and mental health (MHSS) summary scores were derived from the eight domains of HRQOL in the SF-36. Multivariate stepwise regression analyses were conducted to determine independent predictors of these scores. The study found that long-term HRQOL remains low up to 3 years after stroke, regardless of demographic factors, risk factors, stroke subtypes or initial impairments. Determinants of HRQOL vary both over time after stroke as well as whether the physical or psychosocial aspects of HRQOL are being considered. The study found that PHSS 1 year after stroke is independently associated with being female, a manual worker and having diabetes mellitus, right hemispheric lesions, minor incontinence and cognitive impairment. Poor MHSS 1 year post stroke is independently associated with being under 65 years old, being Asian, having ischaemic heart disease and cognitive impairment. The study provides valuable information for professionals and providers of stroke care in considering ways to improve HRQOL for future stroke patients. (RH).
Accession NumberCPA-070521221 A
ClassmarkCQA: F:59: CC: 4Q: 3J: 82L

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