Well shit, are you that blitheringly stupid that you don't know that the unmet need is 100% recovery.?
Effects of long-term unmet needs and unmet rehabilitation needs on the quality of life in stroke survivors
Yookyung Lee MD MS1*, Won-Seok Kim MD PhD2*, Won Kee Chang MD MS2, Yun Sun3
Jung MPH PhD2, Sungju Jee MD PhD3, Sung-Hwa Ko MD PhD4, Min Kyun Sohn MD4
PhD3, Yong-Il Shin MD PhD4, Hee-Joon Bae MD PhD5, Beom Joon Kim MD PhD5, Jun Yup5
Kim MD MS5, Dong-Ick Shin MD PhD6, Kyu Sun Yum MD PhD6, Hee-Yun Chae MD MS6,6
Dae-Hyun Kim MD PhD7, Jae-Kwan Cha MD PhD7, Man-Seok Park MD PhD8, Joon-Tae7
Kim MD PhD8, Kang-Ho Choi MD PhD8, Jihoon Kang MD PhD5, Nam-Jong Paik MD PhD2
8
9
1Department of Physical and Rehabilitation Medicine, Chung-Ang University Gwang-10
Myeong Hospital, Gwang-Myeong, Gyeonggi-do, Republic of Korea11
2Department of Rehabilitation Medicine, Seoul National University College of Medicine,12
Seoul National University Bundang Hospital, Republic of Korea13
3Department of Rehabilitation Medicine, Chungnam National University Hospital and14
Chungnam National University College of Medicine, Daejeon, Korea15
4Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Pusan16
National University School of Medicine, Pusan, Korea17
5Department of Neurology, Cerebrovascular Center, Seoul National University Bundang18
Hospital, Seoul National University, Republic of Korea19
6Department of Neurology, Chungbuk National University Hospital, Chungbuk National20
University College of Medicine, Cheongju, Korea21
7Department of Neurology, Dong-A University Hospital, Dong-A University College of22
Medicine, Busan, Korea23
8Department of Neurology, Chonnam National University Medical School and Hospital,24
Gwangju, Korea25All rights reserved. No reuse allowed without permission.
perpetuity.
preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 11, 2024.;https://doi.org/10.1101/2024.03.08.24304010doi:medRxiv preprint
NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.
*These authors contributed equally to this work.26
27
Short title: Unmet rehabilitation needs in stroke survivors28
29
Corresponding authors30
Nam-Jong Paik, MD, PhD31
Department of Rehabilitation Medicine, Seoul National University College of Medicine,32
Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu,33
Seongnam 13620, Korea34
Tel: +82-31-787-773135
Fax: +82-31-712-391336
E-mail: njpaik@snu.ac.kr37
38
Jihoon Kang, MD, PhD39
Department of Neurology, Cerebrovascular Center, Seoul National University Bundang40
Hospital, Seoul National University, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam41
13620, Korea42
Tel +82-31-787-781843
Fax +82-31-787-405944
E-mail: kangjihoon0913@gmail.com45
46
Word count: 4,80147
48All rights reserved. No reuse allowed without permission.
perpetuity.
preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 11, 2024.;https://doi.org/10.1101/2024.03.08.24304010doi:medRxiv preprint
Jung MPH PhD2, Sungju Jee MD PhD3, Sung-Hwa Ko MD PhD4, Min Kyun Sohn MD4
PhD3, Yong-Il Shin MD PhD4, Hee-Joon Bae MD PhD5, Beom Joon Kim MD PhD5, Jun Yup5
Kim MD MS5, Dong-Ick Shin MD PhD6, Kyu Sun Yum MD PhD6, Hee-Yun Chae MD MS6,6
Dae-Hyun Kim MD PhD7, Jae-Kwan Cha MD PhD7, Man-Seok Park MD PhD8, Joon-Tae7
Kim MD PhD8, Kang-Ho Choi MD PhD8, Jihoon Kang MD PhD5, Nam-Jong Paik MD PhD2
8
9
1Department of Physical and Rehabilitation Medicine, Chung-Ang University Gwang-10
Myeong Hospital, Gwang-Myeong, Gyeonggi-do, Republic of Korea11
2Department of Rehabilitation Medicine, Seoul National University College of Medicine,12
Seoul National University Bundang Hospital, Republic of Korea13
3Department of Rehabilitation Medicine, Chungnam National University Hospital and14
Chungnam National University College of Medicine, Daejeon, Korea15
4Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Pusan16
National University School of Medicine, Pusan, Korea17
5Department of Neurology, Cerebrovascular Center, Seoul National University Bundang18
Hospital, Seoul National University, Republic of Korea19
6Department of Neurology, Chungbuk National University Hospital, Chungbuk National20
University College of Medicine, Cheongju, Korea21
7Department of Neurology, Dong-A University Hospital, Dong-A University College of22
Medicine, Busan, Korea23
8Department of Neurology, Chonnam National University Medical School and Hospital,24
Gwangju, Korea25All rights reserved. No reuse allowed without permission.
perpetuity.
preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 11, 2024.;https://doi.org/10.1101/2024.03.08.24304010doi:medRxiv preprint
NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.
*These authors contributed equally to this work.26
27
Short title: Unmet rehabilitation needs in stroke survivors28
29
Corresponding authors30
Nam-Jong Paik, MD, PhD31
Department of Rehabilitation Medicine, Seoul National University College of Medicine,32
Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu,33
Seongnam 13620, Korea34
Tel: +82-31-787-773135
Fax: +82-31-712-391336
E-mail: njpaik@snu.ac.kr37
38
Jihoon Kang, MD, PhD39
Department of Neurology, Cerebrovascular Center, Seoul National University Bundang40
Hospital, Seoul National University, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam41
13620, Korea42
Tel +82-31-787-781843
Fax +82-31-787-405944
E-mail: kangjihoon0913@gmail.com45
46
Word count: 4,80147
48All rights reserved. No reuse allowed without permission.
perpetuity.
preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 11, 2024.;https://doi.org/10.1101/2024.03.08.24304010doi:medRxiv preprint
Abstract
BackgroundUnmet long-term needs and rehabilitation needs are prevalent among stroke survivors and
affect their quality of life. We aimed to identify the long-term unmet needs and unmet
rehabilitation needs among stroke survivors in South Korea and evaluate their
intercorrelations with health-related quality of life.
Methods
affect their quality of life. We aimed to identify the long-term unmet needs and unmet
rehabilitation needs among stroke survivors in South Korea and evaluate their
intercorrelations with health-related quality of life.
Methods
Stroke survivors who were admitted to four Regional Cardiocerebrovascular Disease Centers
between January 1, 2015 and December 31, 2019 were telephonically surveyed using a
computer-assisted telephone interview method. With the aim of surveying approximately
1,000 patients, 9,204 people were recruited through random sampling. Unmet needs were
evaluated on the basis of Longer-term Unmet Needs after Stroke questionnaire items. Quality
of life was evaluated using the EuroQoL 5-dimension, 3-level (EQ-5D-3L) questionnaire and
the EQ-5D index.
between January 1, 2015 and December 31, 2019 were telephonically surveyed using a
computer-assisted telephone interview method. With the aim of surveying approximately
1,000 patients, 9,204 people were recruited through random sampling. Unmet needs were
evaluated on the basis of Longer-term Unmet Needs after Stroke questionnaire items. Quality
of life was evaluated using the EuroQoL 5-dimension, 3-level (EQ-5D-3L) questionnaire and
the EQ-5D index.
Results
Among the participants, 93.6% experienced at least one unmet need and 311 (32.6%)
reported unmet rehabilitation needs. The number of unmet needs, age, modified Rankin Scale
(mRS) score, and previous stroke showed significant negative correlations with the EQ-5D
index (p-value < 0.05). The age-adjusted odds ratio (OR) for reporting unmet rehabilitation
needs significantly increased with problems in mobility (OR, 4.96; 95% confidence interval
[CI], 3.64-6.76), self-care (OR, 4.46; 95% CI, 3.32-5.98), usual activities (OR, 5.78; 95% CI,
4.21-7.93), pain/discomfort (OR, 3.76; 95% CI, 2.76-5.06), anxiety/depression (OR, 3.67;
95% CI, 2.74-4.91), higher mRS score (OR, 3.13; 95% CI, 2.29-4.28), prior hyperlipidemia
(OR, 1.35; 95% CI, 1.00-1.81), and number of unmet needs (OR, 1.30; 95% CI, 1.25-1.36).
reported unmet rehabilitation needs. The number of unmet needs, age, modified Rankin Scale
(mRS) score, and previous stroke showed significant negative correlations with the EQ-5D
index (p-value < 0.05). The age-adjusted odds ratio (OR) for reporting unmet rehabilitation
needs significantly increased with problems in mobility (OR, 4.96; 95% confidence interval
[CI], 3.64-6.76), self-care (OR, 4.46; 95% CI, 3.32-5.98), usual activities (OR, 5.78; 95% CI,
4.21-7.93), pain/discomfort (OR, 3.76; 95% CI, 2.76-5.06), anxiety/depression (OR, 3.67;
95% CI, 2.74-4.91), higher mRS score (OR, 3.13; 95% CI, 2.29-4.28), prior hyperlipidemia
(OR, 1.35; 95% CI, 1.00-1.81), and number of unmet needs (OR, 1.30; 95% CI, 1.25-1.36).
Conclusions
Unmet needs were prevalent among stroke survivors and were associated with a lower quality
of life and increased odds of reporting unmet rehabilitation needs. Further research is needed(No further research is needed you idiots! 100% recovery is the only goal in stroke! Since you don't know that; self select yourself and get the hell out of stroke!)
to investigate strategies for addressing these subjective unmet needs with the aim of
improving the long-term quality of life of stroke survivors.
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