Saturday, August 8, 2015

Potential predictors for health-related quality of life in stroke patients undergoing inpatient rehabilitation


Quality of life is dependent of how close your doctors can get you to 100% recovery. If you really want predictors you have to get away from all the scales/indexes they use. You have objective 3d scans of the dead and dying areas. That way you can pinpoint exactly how much destruction there was, none of this guessing, small, medium, large.
http://www.hqlo.com/content/13/1/118/

Chien-Min Chen12, Chih-Chien Tsai34, Chia-Ying Chung23, Chia-Ling Chen34*, Katie PH Wu23 and Hsieh-Ching Chen5

1 Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, No.6, Sec. W., Jiapu Rd., Puzih City 61363, Chiayi County, Taiwan
2 School of Medicine, College of Medicine, Chang Gung University, Taoyuan, No.259, Wunhua 1st Rd., Taoyuan City 33302, Kuei-Shan Dist., Taiwan
3 Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, No.5, Fushing St. , Taoyuan City 33305, Kuei-Shan Dist., Taiwan
4 Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, No.259, Wunhua 1st Rd. , Taoyuan City 33302, Kuei-Shan Dist., Taiwan
5 Department of Industrial Engineering & Management, National Taipei University of Technology, No.1, Sec. 3, Zhongxiao E. Rd., Taipei City 10608, Daan Dist., Taiwan
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Health and Quality of Life Outcomes 2015, 13:118  doi:10.1186/s12955-015-0314-5
The electronic version of this article is the complete one and can be found online at: http://www.hqlo.com/content/13/1/118

Received:18 March 2015
Accepted:24 July 2015
Published:5 August 2015
© 2015 Chen et al.

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

  

Abstract

Background

Improving HRQOL is the desired outcome for patients with stroke undergoing inpatient rehabilitation services. This study aimed to comprehensively identify the potential health-related quality of life (HRQOL) predictors in patients with stroke undergoing inpatient rehabilitation within the first year after stroke; thus far, such an investigation has not been conducted.

Methods

We enrolled 119 patients (88 males, 31 females) with stroke, and examined 12 potential predictors: age, sex, stroke type, stroke side, duration after onset, cognition (Mini-Mental State Examination; MMSE), depression (Beck Depression Inventory-II), stroke severity (National Institutes of Health Stroke Scale; NIHSS), upper- and lower-extremity motor function scores of the Fugl–Meyer Assessment (FMA) scale, balance (Berg Balance Scale; BBS), and functional status (Functional Independence Measure). HRQOL was measured using Stroke Impact Scale (SIS) 3.0.

Results

NIHSS score predicted the strength domain and total SIS score (41.5 % and 41.7 % of the variances, respectively). BBS score was a major predictor of mobility and participation/role domains (48.6 % and 10 % of the variances, respectively). MMSE score predicted the memory and communication domains (22.5 % and 36.3 % of the variances, respectively). Upper extremity score of the FMA scale predicted the daily living/instrumental activities of daily life and hand function domains (40.3 % and 20.6 % of the variances, respectively). Stroke side predicted the emotion domain (11.6 % of the variance).

Conclusions

NIHSS, MMSE, BBS, FMA, and stroke side predicted most HRQOL domains. These findings suggest that different factors predicted various HRQOL domains in patients with stroke.

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