Determinants of health status after stroke: A cohort study with repeated measurements

Well this was totally useless. Nothing of how well their recovery went based upon the rehab they were given, that will determine your health status. You are not even measuring the right things.  Who the fuck approved this crapola?

Determinants of health status after stroke: A cohort study with repeated measurements

Larsen LP, Johnsen SP, Andersen G, et al.

Clinical Epidemiology|November 16, 2020

Researchers used a large population-based cohort of first time Danish stroke patients to determine the course as well as the determinants of the course of physical and mental health status post-stroke with repeated measurements. They assessed 2,414 first time stroke patients who were admitted to any hospital in the Central Denmark Region, Denmark, between October 1, 2008 and January 1, 2012 with five questionnaires over 2 years. No comorbidity, older age, male gender, and mild stroke severity were identified as variables related to increasing self-rated mental health, while mild stroke severity, no comorbidity, higher educational level, and younger age were reported as the variables related to increasing ratings of physical health. Findings demonstrated a slight improvement over time in the majority of SF-12 sub-scales and the mental component score in a large, geographically well-defined population of first time stroke patients. The first 2 years post-stroke may reveal small improvements in self-rated mental health. Among sub-groups, disparity in level as well as course exist, and treatment of comorbidity may represent an essential target with respect to rehabilitation.

Read the full article on Clinical Epidemiology.

 

Determinants of health status after stroke: A cohort study with repeated measurements

Notice they didn't measure the interventions your doctors and therapists did. WHY? BECAUSE THEY ARE MOSTLY WORTHLESS?

Determinants of health status after stroke: A cohort study with repeated measurements

Larsen LP, Johnsen SP, Andersen G, et al.

Clinical Epidemiology|November 16, 2020

Researchers used a large population-based cohort of first time Danish stroke patients to determine the course as well as the determinants of the course of physical and mental health status post-stroke with repeated measurements. They assessed 2,414 first time stroke patients who were admitted to any hospital in the Central Denmark Region, Denmark, between October 1, 2008 and January 1, 2012 with five questionnaires over 2 years. No comorbidity, older age, male gender, and mild stroke severity were identified as variables related to increasing self-rated mental health, while mild stroke severity, no comorbidity, higher educational level, and younger age were reported as the variables related to increasing ratings of physical health. Findings demonstrated a slight improvement over time in the majority of SF-12 sub-scales and the mental component score in a large, geographically well-defined population of first time stroke patients. The first 2 years post-stroke may reveal small improvements in self-rated mental health. Among sub-groups, disparity in level as well as course exist, and treatment of comorbidity may represent an essential target with respect to rehabilitation.

Read the full article on Clinical Epidemiology.

 

Very Low Quality of Life After Acute Stroke

At day 90 you still have no idea what recovery is possible. Don't checkout at this point. 

Very Low Quality of Life After Acute Stroke

Data From the Efficacy of Nitric Oxide in Stroke Trial

1. Nikola Sprigg, DM;
2. James Selby, BMBS;
3. Lydia Fox, MSc;
4. Eivind Berge, MD;
5. David Whynes, Mlitt;
6. Philip M.W. Bath, MD
7. for the Efficacy of Nitric Oxide in Stroke Investigators

+ Author Affiliations

1. From the Stroke Trials Unit (N.S., J.S., L.F., P.M.W.B.) and School of Economics (D.W.), University of Nottingham, Nottingham, United Kingdom; and Department of Internal Medicine, Ullevaal University Hospital, Oslo, Norway (E.B.).

1. Correspondence to Nikola Sprigg, DM, Stroke Trials Unit, Division of Clinical Neurosciences, University of Nottingham, Clinical Sciences Bldg, City Hospital Campus, Nottingham NG7 2UH, United Kingdom. E-mail nikola.sprigg@nottingham.ac.uk

Abstract

Background and Purpose—Health-related quality of life, a key outcome after stroke, plays a role in the analysis of treatment cost-effectiveness.(Survivors don't give a flying fuck about cost! What is your 100% recovery percentage?) Some measures of health-related quality of life allow for a quality of life worse than death; the characteristics of such patients have not been well described.

Methods—Data from the Efficacy of Nitric Oxide in Stroke (ENOS) trial were used to explore health-related quality of life after stroke. The EuroQol questionnaire (EQ-5D) was performed at day 90, and a health utility score (HUS) was calculated. HUS was defined as follows: poor-good HUS >0, death HUS=0, and very poor HUS <0. The characteristics and outcomes of patients with HUS <0 were then explored.

Results—Of the 2569 patients, 303 (11.8%) died, and of the 2238 with quality of life data available, of whom 724 (32.3%) were completed by a proxy, 1959 (87.5%) had an HUS >0 and 279 (12.5%) had an HUS <0. Patients with HUS <0 were more likely to be older, women, have severe stroke, have proxy responders, and be institutionalized. Dominant hemisphere strokes were more likely to have proxy responders but not HUS <0. HUS was strongly correlated with dependency (modified Rankin Scale, r=−0.78) and disability (Barthel index, r=0.84) and moderately correlated with mood (Zung depression score, r=−0.59) and baseline severity (r=0.51). All but 1 patient with modified Rankin Scale of 5 had an HUS <0.

Conclusions—Very low health-related quality of life is relatively common after stroke, particularly in patients with mobility problems or who are dependent on help for usual activities, and is related to poor functional outcome measures.

Clinical Trial Registration—URL: http://www.controlled-trials.com/. Unique identifier: ISRCTN99414122.