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A cohort study on the active life expectancy of stroke patients using a community-based registry in a Japanese rural district
Author(s)Isamu Matsubara, Shigeru Sokejima, Sadanobu Kagamimori
Journal titleHealth & Social Care in the Community, vol 6, no 5, September 1998
Pagespp 301-307
KeywordsStroke ; Living in the community ; Life span ; Mobility ; Self care capacity ; At risk ; Registers [elderly] ; Longitudinal surveys ; Japan.
AnnotationIn order to support patients with a history of stroke, public health nurses, hospitals and ambulance stations in the Oyabe Health District, Japan provided initial information on 1032 stroke patients, which the authors compiled into a register during the period 1966-79. Of 494 patients identified as living at home in 1980, contact was maintained with a study cohort of 452, who were asked several questions on physical status, mobility status, central nervous function, emotional problems and living conditions. These data were used to construct the baseline of the study cohort; information on mobility status was gathered every year until 1993. The risk factors reducing active life expectancy were investigated using Kaplan-Meier's method, log-rank test and Cox's proportional hazard model. For active life expectancy, the end point was defined as commencement of immobile status or death. Emotional problems, difficulty in bathing, and disorder of memory function were shown to contribute to a reduction in active life expectancy after adjustment for age, sex, years after stroke, types of stroke, mobility status, and living with spouse. (RH).
Accession NumberCPA-981020217 A
ClassmarkCQA: K4: BG6: C4: CA: CA3: QKB: 3J: 7DT

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