Evaluation of Health Related Quality of Life in Sub-acute stroke subjects using Stroke Impact Scale - A Descriptive Study
DOI:
https://doi.org/10.37506/sqs2g488Keywords:
Quality of life, stroke impact scale, stroke, SI.Abstract
Health related quality of life (HRQoL) is becoming important to measure as it is an indication of an outcome after stroke and Stroke Impact scale can be used as a stroke outcome measure that aims to effectively assess the various domains important in determining HRQoL in stroke subjects. So, the purpose of this study was to assess the HRQoL in sub-acute stroke subjects using Stroke Impact Scale (SIS) version 3∙0. Second aim was to estimate the impact of individual characteristics such as age, duration of stroke, co-morbidities and clinical correlates such as cognitive level, functional level and severity on HRQoL in stroke subjects.
A total of fifty subjects after eight to thirty days from stroke onset participated in this study. They were evaluated for eligibility using Mini Mental State Examination (MMSE) and Modified Barthel Index (MBI). After history taking, the severity of stroke was assessed using the National Institute of Health Stroke Scale (NIHSS) and the HRQoL was assessed using SIS questionnaire with eight domains: strength, hand function, mobility, physical and instrumental activities of daily living, memory and thinking, communication, emotion and social participation. There was poor HRQoL in areas of hand function, mobility, social participation and stroke recovery with the highest areas in memory and communication. SIS domain: Strength, mobility, emotion, communication, participation and recovery negatively correlated with co morbidity whereas only memory positively correlated with MMSE.
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References
Katan, Mira; Luft, Andreas. Global Burden of Stroke.
Seminars in Neurology.2018; 38(2):208-211.
Pan J. H., Song X. Y., Lee S. Y. and Kwok T. Longitudinal
analysis of quality of life for stroke survivors using
latent curve models. Stroke. 2008;2795-2802.
Caroline H., Astrid A., Annika S., Uwe S., Tobias B.
and Richard D., Long-Term Outcome after Stroke:
Evaluating Health-Related Quality of Life Using
Utility Measurements, Stroke, 37(1), 193-198 (2006)
Tarannum Ahmed, Tamanna Rajesh Kumar,
YogeshBahurupi. Factors affecting quality of life
among post-stroke patients in the sub – Himalayan
region. Journal of Neurosciences in Rural Practice.2020
Oct;11:616–622
Van Straten, R. J. de Haan, et al. A stroke-adapted 30
item version of the sickness Impact profile to assess
QoL (SA-SIP30).Stroke.1997; 28:2155–2161.
Linda S. Williams, Morris Weinberger, Lisa E. Harris,
et al. Development of a Stroke-Specific Quality of Life
Scale. Stroke.2014; Vol 30, No.7.
Patel M. D., Tilling K., Lawrence E., Rudd A. G., Wolfe
C. D. A. and Mckevitt C., Relationships between long
term stroke disability, handicap and health-related
quality of life, Age and Ageing, 35(3), 273–279 (2006)
Nichols-Larsen Deborah S., Clark P. C., Zeringue
Angelique, Greenspan Arlene and Blanton Sarah,
Factors Influencing Stroke Survivors’ Quality of Life
during Subacute Recovery, Stroke, 36(7), 1480-1484
(2005)
Jenkinson C., Gibbons E. and Fitzpatrick R., A
structured review of patient-reported outcome
measures in relation to stroke, Report to the
Department of Health (2009)
Brett C. M., Thomas M. H., Christy M. J. and Patrick
D. L., Modified National Institutes of Health Stroke
Scale for Use in Stroke Clinical Trials: Prospective
Reliability and Validity, Stroke, 33(5), 1261-1266 (2002)
Lai S. M., Studenski S., Duncan P. W. and Perera S.,
Persisting consequences of stroke measured by the
Stroke Impact Scale, Stroke, 33(7), 1840–1844 (2002)
Duncan P. W., Bode K. R., Lai S. M. and Perera S.,
Rasch Analysis of a New Stroke-Specific Outcome
Scale: The Stroke Impact Scale, Arch Phys Med Rehabil,
(7), 950-963 (2003)
Deborah S. Nichols-Larsen,P.C. Clark, Angelique
Zeringue,et al. Factors Influencing Stroke Survivors’
Quality of Life During SubacuteRecovery.Stroke.
; 36:1480-1484.
S. A. Abubakar& S. A. Isezuo. Health Related Quality
of Life of Stroke Survivors: Experience of a Stroke
Unit. International Journal of Biomedical Sciences.
; v.8(3) Sep.
Copytzy Cruz- Cruz, Juan Manuel Martinez-Nuñez,
Mirza E. Perez, et al. Evaluation of the Stroke
Specific Quality-of-Life (SSQOL) Scale in Mexico:
A preliminary approach. Value in Health Regional
issues.2013; 392 – 397.
Helena Hybbinette, EllikaSchalling, Jeanette Plantin,
et al. Recovery of Apraxia of Speech and Aphasia in
Patients with Hand Motor Impairment After Stroke.
Frontiers in Neurology.2021; Volume 12.
Hackett M. L., Duncan J. R., Anderson C. S., Broad
J.
B. and Bonita R., Health-related quality of life
among long-term survivors of stroke: results from the
Auckland Stroke Study, 1991-1992, Stroke, 31, 440-447
(2000)
Edwardson M. Overview of ischemic stroke prognosis
in adults [Updated 2019. Cited 2020 April 2]. URL:
https://www.uptodate.com/contents/ischemic
stroke-prognosis-in-adults
Pacian A, Kulik TB, Bednarz J, et al. Quality of Life
Assessment in Post-Stroke Patients. Pielegniarstwo
XXI wieku.2018; Vol.17, Nr 2 (63)/2.
Kong K. H. and Yang S. Y., Health-related quality
of life among chronic stroke survivors attending a
rehabilitation clinic, Singapore Med J., 47(3), 213-218
(2006)
Sarah M. Alotaibi, S, Horia M. Alotaibi,Amira M.
Alolyani, et al. Assessment of the stroke-specific
quality-of-life scale in KFHU, Khobar.Neurosciences.
; Apr; 26(2): 171–178
Marja-Liisa Niemi. Quality of Life 4 Years After
Stroke. Stroke.1988; Vol 19, No 9.
Williams Linda S., Morris Weinberger, Lisa E. Harris,
Daniel O. Clark and José Biller, Development of a
Stroke-Specific Quality of Life Scale, Stroke, 30(7),
-1369 (1999)
Carod-Artal Francisco Javier and José Antonio Egido,
Quality of Life after Stroke: The Importance of a Good
Recovery, Cerebrovascular Diseases, 27(Suppl 1), 204
(2009)
Sturm Jonathan W. et al, Quality of Life after
Stroke - the North East Melbourne Stroke Incidence
Study (NEMESIS), Stroke, 35(10), 2340-2345 (2004)
Kwok T., Lo R., Woo J., Kay R. and Leung K. F., Quality
of life and handicap of stroke survivors in Hong Kong,
Hong Kong Med J., 13(Suppl 2), S23-7 (2007)
Fischer U., Anca D., Arnold M., Nedeltchev K.,
Kappeler L., Ballinari P., Schroth G. and Mattle H.
P., Quality of life in stroke survivors after local intra
arterial thrombolysis, Cerebrovascular Diseases, 25(5),
-444 (2008)
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