Relationships between long-term stroke disability, handicap and health-related quality of life

MD Patel, K Tilling, E Lawrence, AG Rudd, CD Wolfe, C McKevitt

Research output: Contribution to journalArticle (Academic Journal)

125 Citations (Scopus)

Abstract

Objectives: to estimate levels of disability, handicap and health-related quality of life (HRQOL) up to 3 years after stroke and examine the relationships between these domains. Design: a longitudinal, observational study Setting: population-based register of first-ever strokes Methods: subjects, registered between 1 January 1995 and 31 December 1997, were assessed at 1 year (n = 490) and 3 years (n = 342) post-stroke for disability [Barthel index (BI)], handicap [Frenchay activity index (FAI)] and HRQOL (SF-36). BI was categorised as severe, moderate, mild and independent (0–9, 10–14, 15–19 and 20); FAI was categorised as inactive, moderately active and very active (0–15, 16–30 and 31–45). SF-36 domains include: Physical Functioning (PF), Role Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role Emotional (RE) and Mental Health (MH). Physical (PHSS) and Mental Health (MHSS) Summary Scores were computed. Results: at 1 and 3 years, 26.1 and 26.3%, respectively, were disabled (BI 0.70) with PF, moderate (r = 0.31–0.70) with RP, SF and PHSS, but weak (r
Translated title of the contributionRelationships between long-term stroke disability, handicap and health-related quality of life
Original languageEnglish
Pages (from-to)273 - 279
Number of pages7
JournalAge and Ageing
Volume35(3)
DOIs
Publication statusPublished - Feb 2006

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