My conclusion is that predicting quality of life is totally worthless. Survivors want to get back to their old way of life. 100% recovery. DO YOU NOT UNDERSTAND? Or do we need to train your mentors and senior researchers about the only goal in stroke so we don't waste more research on useless crapola like this? You are trying to make a prediction without even starting with an objective diagnosis, so totally useless.
Predictors of Health-Related Quality of Life in Stroke Survivors After Inpatient Rehabilitation
Rančić Nataša1,2 Mandić M 3, Bogdanović D 2,4, Kocić B 1,2, Lazarević K 2,4 1University of Niš, Faculty of Medicine Niš, Serbia 2 Institute for Public Health Niš, Serbia 3 Clinic for Physical Medicine and Rehabilitation, Clinical Center Niš, Serbia 4 State University of Novi Pazar, SerbiaCorresponding author: Nataša Rančić Ph.D, epidemiologist Assistant Professor of Epidemiology Faculty of Medicine Niš, Serbia Nataša Rančić -ORCID iD:0000-0002-8472-9282 Mobile phone: +381 631581489 e-mail: drrancicnatasa@gmail.com
Abstract
Background. Disordered and decreased quality of life is the most important consequence of stroke for stroke survivors. The aim of the study was to determine the predictors of the health-related quality of life (HRQOL) in stroke survivors six months after discharge from inpatient rehabilitation. Methods. We conducted prospective cohort study which involved 136 (48.5% males and 51.5% females) survivors. We examined seven potential predictors of HRQOL: age, sex, stroke type, stroke side, functional status (Barthel Index-BI and modified Rankin Scale-mRS), cognition (Mini-Mental State Examination; MMSE) and stroke severity (National Institutes of Health Stroke Scale; NIHSS). HRQOL was assessed by Stroke Impact Scale (SIS) 3.0. Using Pearson's correlation and multiple logistic regression analysis we described the relationships between mRS, NIHSS, BI, MMSE and HRQOL.Results. Baseline mRS and NIHSS scores negatively correlated with seven SIS domains except with strength. Baseline BI scores positively correlated with seven SIS domains except mobility and baseline MMSE scores positive correlated with memory, ADL, hand function and participation role and negatively correlated with emotion, communication and mobility domains. Decrease of both mRS and NIHSS scores during the observed period positively correlated with increase of all SIS domains. Ischaemic stroke positively correlated with emotion and communication and stroke in brainstem negatively correlated with communication domain. Memory domain positively correlated with female sex and with stroke in the right hemisphere. Age wasn't significantly associated with any SIS domain.
Conclusion. We conclude that major factors in predicting the improvement of strength, physical functioning, mobility, hand function, ADL and participation role were increase of BI and decrease of mRS and NIHSS scores. Female sex, stroke in right hemisphere and increase of BI and MMSE scores predicted better memory. Baseline mRS and NIHSS scores were predictors for improvement of hand function and increase of mRS predicted decrease of hand function and participation role.
How do these people get funding? Any man on the street could tell you that quality of life is drastically reduced for a stroke victim, and these people got paid to do a paper on it?
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