scholarly journals Health-related quality of life in ischaemic stroke survivors after carotid endarterectomy (CEA) and carotid artery stenting (CAS): confounder-controlled analysis

2019 ◽  
Vol 15 (2) ◽  
pp. 226-233 ◽  
Author(s):  
Mariusz Trystuła ◽  
Tomasz Tomaszewski ◽  
Maria Pąchalska
Keyword(s):  
Quality Of Life ◽  
Carotid Artery ◽  
Ischaemic Stroke ◽  
Carotid Endarterectomy ◽  
Carotid Artery Stenting ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Health-related quality of life and its determinants in paediatric arterial ischaemic stroke survivors

2018 ◽  
Vol 103 (10) ◽  
pp. 930-936 ◽  
Author(s):  
Satvinder K Ghotra ◽  
Jeffrey A Johnson ◽  
Weiyu Qiu ◽  
Amanda S Newton ◽  
Carmen Rasmussen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Socioeconomic Status ◽  
Ischaemic Stroke ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related ◽  
Arterial Ischaemic Stroke

ObjectiveHealth-related quality of life (HRQL) instruments are patient or proxy-reported outcome measures that provide a comprehensive and subjective assessment of patient’s well-being and hence vital for health outcomes evaluation. A clear and thorough understanding of HRQL and its determinants is especially important to appropriately guide health-improving interventions. In this study, HRQL of paediatric arterial ischaemic stroke survivors was assessed using guidelines recommended for interpretation and reporting of the patient-reported outcome data. Determinants of HRQL were also explored.MethodsChildren diagnosed with arterial ischaemic stroke between 2003 and 2012 were assessed at least 1 year poststroke using the parent–proxy report versions of the Pediatric Quality of Life Inventory 4.0 and Pediatric Stroke Recurrence and Recovery Questionnaire. HRQL data were compared with population norms and used as outcome in multiple linear regression analysis.Results59 children were evaluated. Mean age at diagnosis of stroke was 2.2 years. Mean age at assessment and time elapsed since stroke was 7 years and 5 years, respectively. A total of 41% children had normal global outcome, whereas 51% had moderate to severe deficits. A lower overall HRQL was observed in both self and proxy reports. Parents reported the maximum impairment in emotional domain, whereas children indicated physical functioning to be the most affected. Neurological outcome, site of stroke and socioeconomic status were independently associated with overall HRQL.ConclusionsLower HRQL was demonstrated in children who survived arterial ischaemic stroke. Socioeconomic status of families was an important determinant of HRQL, over and above clinical parameters.

scholarly journals Health-related Quality of Life in 5-year Stroke Survivors Assessed with EQ-5D-3L

2019 ◽  
Vol 8 (2) ◽  
pp. 62-68 ◽  
Author(s):  
Barbara Grabowska-Fudala ◽  
Anna Smelkowska ◽  
Krytyna Górna ◽  
Krystyna Jaracz
Keyword(s):  
Quality Of Life ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Short-term health-related quality of life in patients with ischaemic stroke after PFO closure

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
G Christopoulou ◽  
E Sigala ◽  
D Aragiannis ◽  
E Stamatopoulou ◽  
P Manthou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischaemic Stroke ◽  
Physical Function ◽  
Health Related Quality ◽  
Short Term ◽  
Related Quality ◽  
Health Related ◽  
Pfo Closure

Abstract Funding Acknowledgements Type of funding sources: None. Introduction/Purpose: Patent foramen ovale (PFO) is common in asymptomatic adults and is associated with cryptogenic stroke (CS). We sought to evaluate the impact of PFO closure in health-related quality of life (HRQoL) in PFO patients with CS.  Method In this pilot study, 19 patients (mean age 47 ± 7.7; 13 male) who underwent PFO closure at our center were invited to a short-term clinical follow up (mean follow-up period 6-10 months). All patients had suffered an ischaemic stroke and their disability level was assessed using the Modified Rankin Scale (MRS, no significant disability 63%). HRQoL was assessed using the 36-Item Short Form Survey (SF-36) and the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) preoperatively and at follow-up.  Results Both SF36 and EQ-5D scores improved after the operation as shown by the self-rating scores (20,67% and 40,52% higher scores, respectively). Patients with major mobility problems were more likely to be current smokers (r = 0.481) and those who had lower scores on the MRS scale (r=-0.571) rated higher their scale diagram.  The categories of energy/fatigue (r = 0.459; p = 0.048), social functioning (r = 0.547; p = 0.015) and pain (r = 0.550; p = 0.015) were positively correlated with physical function. Finally, there was a positive correlation between role limitations due to emotional problems and energy/fatigue (r = 0,519; p = 0.023), and between energy/fatigue and emotional well-being (r = 0.519; p = 0,023). Conclusions The results of our study indicate that shortly after PFO, subjects perceive improvements in their QoL. However, it seems that poorly rated physical function was more common in active smokers, and affects patients" social life and their emotional state. Health care professionals should encourage these patients to participate in rehabilitation and psychological support programs postoperatively.

The Association Between Sleep and Health-Related Quality of Life in Stroke Survivors

2021 ◽  
Vol 102 (10) ◽  
pp. e28-e29
Author(s):  
David Levine ◽  
Cindy Poole ◽  
Christine Hostetler ◽  
Kendall Jeter ◽  
Cara Kingrea ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

HEALTH-RELATED QUALITY OF LIFE IN A PATIENT FOLLOWING ANEURYSMOTOMY OF RARE MEGA-GIANT ANEURYSM OF THE COMMON CAROTID ARTERY

2020 ◽  
Vol 18 (4) ◽  
pp. 411-423
Author(s):  
Maria Pąchalska ◽  
Mariusz Trystuła
Keyword(s):  
Quality Of Life ◽  
Carotid Artery ◽  
Short Form ◽  
Laryngeal Nerve ◽  
Cerebral Protection ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Nerve Paresis

In the subject literature there are only a few articles devoted to the Health-Related Quality of Life (HRQoL) of patients with large ex- tracranial aneurysms of the carotid artery segment. There are no reports on the quality of life of patients with rare Mega-Giant Carotid Artery Aneurysms (MGCAA) manifesting themselves as chronically large and growing neck tumors. The aim of the research was an evaluation of the health related quality of life (HRQL) of a patient following aneurysmotomy of Mega-Giant Carotid Artery Aneurysms (MGCAA). An 82-year-old patient was referred to the Department of Vascular Surgery at the John Paul II Hospital in Krakow, due to the presence of a megagiant, painful tumor covering the entire left side of the neck. A physical examination and angio-CT confirmed the pres- ence of a pulsating tumor, which extended vertically from the level of the angle of the mandible to the clavicle, and horizontally from the trachea to the cervical spine. An aneurysmotomy and recon- struction of LICA with cerebral protection using a shunt catheter was performed. The patient was awakened from anesthesia and extubated shortly after the procedure, without any Central Nervous System neurological defects. The surgery was complicated by left recurrent laryngeal nerve paresis and aphonia without dyspnoea, which was only partially resolved around 3 months after the oper- ation itself. The postoperative period was uncomplicated. Health related Quality of Life (HRQoL) was studied using the 36-Item Short Form Health Survey (SF-36) to study both the clinical symp-toms and how these symptoms would be reduced in a year follow up after the aneurysmotomy. Despite the increasing availability of endovascular options and techniques, open surgical repair of ICA aneurysms, especially Mega- Giant Carotid Artery Aneurysms (MGCAA), using cerebral protection (shunts), remains a basic option, providing an opportunity to avoid major intraoperative and postoperative complications. The aneurysmotomy, despite laryngeal nerve paresis and aphonia without dyspnoea, improves the patient’s health-related quality of life.

A Comparison of the Long-term Health Related Quality of Life and Handicap of Stroke Patients in Mainland China and Hong Kong

2010 ◽  
Vol 3 ◽  
pp. 117863291000300
Author(s):  
T Kwok ◽  
X Jin ◽  
F Yeung ◽  
J Cheng ◽  
RSK Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hong Kong ◽  
Mainland China ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Stroke Patients ◽  
Related Factors ◽  
Related Quality ◽  
Health Related

Purpose To compare health related quality of life (HRQOL) and handicap of stroke survivors in Hong Kong (HK) and Chengdu (CD) in Mainland China. Method Fifty-four pairs of first ever stroke patients in CD and in HK matched by age, sex and Modified Barthel Index (MBI) were interviewed using a structured questionnaire at 16–36 months after stroke. HRQOL and handicap outcomes were evaluated by the Chinese version of the Short-Form Health Survey (SF-36) and London Handicap Scale (LHS) respectively. Results Compared to stroke patients in CD, HK subjects reported significantly greater handicap, especially in the occupation domain. HK subjects also had significantly lower HRQOL Z scores in domains of role limitations due to emotional or physical problems, and bodily pain. CD subjects had more social support, but had more difficulties in meeting medical costs, and were less likely to have regular medical follow-up and dysphagia symptom. After adjusting for social and health related factors, the site differences in handicap and the role limitation (physical) domain of SF36 became insignificant. Conclusions CD stroke survivors had better scores in HRQOL and fewer handicaps than their counterparts in HK, because of social and health related factors.

scholarly journals Health-related quality of life of patients after ischaemic stroke treated in a provincial hospital in Poland

2020 ◽  
Vol 8 (1) ◽  
pp. 1775933
Author(s):  
Szymon Jarosławski ◽  
Bożena Jarosławska ◽  
Barbara Błaszczyk ◽  
Pascal Auqier ◽  
Mondher Toumi
Keyword(s):  
Quality Of Life ◽  
Ischaemic Stroke ◽  
Health Related Quality ◽  
Provincial Hospital ◽  
Related Quality ◽  
Health Related
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