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Healthcare, clinical factors and rehabilitation predicting quality of life in first-time stroke patients: a 12-month longitudinal study

2022-04Journal article Restricted access
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dc.contributor.authorBarbosa, Pedro Maciel
dc.contributor.authorFerreira, Lara Noronha
dc.contributor.authorCruz, Vitor Tedim
dc.contributor.authorSilva, Augusta
dc.contributor.authorSzrek, Helena
dc.date.accessioned2023-01-19T15:28:13Z
dc.date.available2023-04-01T00:32:33Z
dc.date.issued2022-04
dc.description.abstractOne of the long-term rehabilitation goals in stroke survivors is to achieve the best health-related quality of life (HRQoL). This study analyzes the evolution of HRQoL one-year post-stroke to establish the main pre-stroke, clinical, health care and rehabilitation predictors. This study uses patient-level data from a one-year single-center prospective cohort study of first stroke patients, assessed at baseline, 3, 6 and 12 months. A generalized linear model with a linear response determined independent predictors of HRQol with EQ-5D-3L and SF-6D. The model included age, gender, scholarity, monthly income, residence, occupation, National Institute of Health Stroke Scale (NIHSS), Modified Rankin Scale (mRS), Barthel Index (BI), Mini-Mental State Examination (MMSE), length of stay, door-to-neurological examination time, access, frequency, and satisfaction with rehabilitation care. A total of 391 acute stroke patients, with a mean disability of 3.7 and severity of 11.7 participated. A decline of HRQoL was observed from baseline to the first three months in both indexes, with an increase in HRQoL at 3 months until 12 months. Scores were significantly lower compared to corresponding population norms throughout follow-up, mostly affected by stroke severity, disability, rehabilitation access and frequency. Higher HRQoL was associated with lower mRS, NIHSS, age, length of stay, and with higher BI, MMSE, scholarity, occupation, and rehabilitation care. Clinical measures and rehabilitation care were the strongest HRQoL predictors of stroke survivors regardless of severity levels. These findings may contribute to the development of future health policies that focus on post-stroke recovery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBarbosa, P. M., Ferreira, L. N., Cruz, V. T., Silva, A., & Szrek, H. (2022). Healthcare, Clinical Factors and Rehabilitation Predicting Quality of Life in First-time Stroke Patients: A 12-month Longitudinal Study. Journal of Stroke and Cerebrovascular Diseases, 31(4), 106300. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106300pt_PT
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2021.106300pt_PT
dc.identifier.eissn1532-8511
dc.identifier.issn1052-3057
dc.identifier.urihttp://hdl.handle.net/10400.22/21703
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1052305721007059pt_PT
dc.subjectStrokept_PT
dc.subjectHealth-relatedpt_PT
dc.subjectQuality of Lifept_PT
dc.subjectPredictorspt_PT
dc.subjectRehabilitationpt_PT
dc.subjectHealth-Carept_PT
dc.subjectEQ-5D-3Lpt_PT
dc.subjectSF-6Dpt_PT
dc.titleHealthcare, clinical factors and rehabilitation predicting quality of life in first-time stroke patients: a 12-month longitudinal studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage10pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleThe Journal of Stroke & Cerebrovascular Diseasespt_PT
oaire.citation.volumeVolume 31, Issue 4pt_PT
person.familyNameFerreira Silva
person.givenNameMaria Augusta
person.identifier1087589
person.identifier.ciencia-idCE18-7090-9C5E
person.identifier.orcid0000-0001-5018-6905
person.identifier.scopus-author-id24482045400
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationedfc4f79-82b7-4669-8fa1-220cc20aa495
relation.isAuthorOfPublication.latestForDiscoveryedfc4f79-82b7-4669-8fa1-220cc20aa495

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