Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke?

M. Franceschini, F. La Porta, M. Agosti, M. Massucci

Research output: Contribution to journalArticle

Abstract

The aim of this study was to evaluate which neurological impairments on discharge from rehabilitation services are associated with a worse outcome in terms of health related-quality of life (HRQoL) one year after stroke. Methods. We enrolled 528 first-time stroke patients in a multicenter observational study involving 18 Italian inpatients rehabilitation centers. Neurological impairment-related factors, socio-demographic and general clinical variables and process indicators were considered independent variables at discharge. Outcome was represented by the following dependent variables of HRQoL: EuroQoL-5D questionnaire (5D-EQoL) and its derived index (Eq-Index) and a Visual Analogue Score (QoLVAS). Results. The strongest predictors of lower HRQoL were an incomplete limbs motor recovery. An incomplete lower limb motor recovery was associated with a lower HRQoL only in the "mobility" domains, whereas a incomplete upper limb motor recovery could predict a lower HRQoL in all domains except "mobility". Regarding cognitive impairments, the presence of neglect at discharge was associated with a lower HRQoL in "self-care", "pain-discomfort" and "anxiety- depression". Female gender, presence of urinary catheter seemed to exert a much lesser role in predicting HRQoL. Conclusion. The results of this study suggest that upper limb motor impairments may have a detrimental impact on the patient's perceived HRQoL one year after stroke.

Original languageEnglish
Pages (from-to)389-399
Number of pages11
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume46
Issue number3
Publication statusPublished - Sep 2010

Keywords

  • Quality of life
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

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