Document Detail


Quality of life after stroke. Impact of stroke type and lesion location.
MedLine Citation:
PMID:  7886714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Little attention has been focused on the relationship between neurological lesions and quality of life (QL) in stroke research. The purpose of this study was to analyze the impact of stroke types and lesion locations on QL. METHODS: The study sample was composed of 441 stroke patients. Lesion locations and stroke types were divided into 194 left-sided and 173 right-sided lesions, 61 infratentorial strokes (55 infarctions and 6 hemorrhages), and 335 supratentorial strokes (204 [sub]cortical infarctions, 82 lacunar infarctions, and 49 hemorrhages). Six months after stroke, QL was assessed with the Sickness Impact Profile. Age-adjusted QL scores were expressed in standard scores. RESULTS: Although patients with left-sided lesions had more speech pathology (P < .001), there was slightly more QL deterioration in patients with right-sided lesions. Patients with infratentorial strokes reported better overall functioning than patients with supratentorial strokes (P = .02). Patients with lacunar infarction had less dysfunction compared to patients with (sub)cortical lesions (P < .001). There was no difference in QL between supratentorial (sub)cortical infarcts and hemorrhages. Lesion locations and stroke types did not affect patients' emotional distress. Severely impaired QL patterns were related significantly to older age (P < .001), comorbidity (P = .02), stroke severity (P < .001), and supratentorial lesions (P = .02). CONCLUSIONS: There is only a weak relationship between lesion laterality and QL. Survivors of hemorrhagic strokes do not evidence more QL impairment than survivors of ischemic strokes. Stroke per se is not unequivocally followed by emotional discomfort. In addition to stroke type, patient and clinical characteristics are also important in explaining impaired QL patterns.
Authors:
R J de Haan; M Limburg; J H Van der Meulen; H M Jacobs; N K Aaronson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  26     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-04-13     Completed Date:  1995-04-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  402-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, Academic Medical Center, Amsterdam, Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Age Factors
Aged
Cerebellar Diseases / pathology,  physiopathology
Cerebral Hemorrhage / pathology,  physiopathology,  psychology
Cerebral Infarction / pathology,  physiopathology,  psychology
Cerebrovascular Disorders / classification,  pathology,  physiopathology*,  psychology
Cohort Studies
Comorbidity
Emotions
Female
Follow-Up Studies
Humans
Male
Middle Aged
Quality of Life*
Speech Disorders / pathology,  physiopathology
Stress, Psychological / physiopathology
Survival Rate

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