Stroke-Specific Quality of life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services: a prospective study

TY - JOUR

T1 - Stroke-Specific Quality of life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services

T2 - a prospective study

AU - Pedersen, Synne Garder

AU - Friborg, Oddgeir

AU - Heiberg, Guri Anita

AU - Arntzen, Cathrine

AU - Stabel, Henriette Holm

AU - Thrane, Gyrd

AU - Nielsen, Jørgen Feldbæk

AU - Anke, Audny

PY - 2021

Y1 - 2021

N2 - Purpose: To compare stroke-specific health related quality of life in two country-regions with organisational differences in subacute rehabilitation services, and to reveal whether organisational factors or individual factors impact outcome. Materials and methods: A prospective multicentre study with one-year follow-up of 369 first-ever stroke survivors with ischaemic or haemorrhagic stroke, recruited from stroke units in North Norway (n = 208) and Central Denmark (n = 161). The 12-domain Stroke-Specific Quality of Life scale was the primary outcome-measure. Results: The Norwegian participants were older than the Danish (M age= 69.8 vs. 66.7 years, respectively), had higher initial stroke severity, and longer stroke unit stays. Both cohorts reported more problems with cognitive, social, and emotional functioning compared to physical functioning. Two scale components were revealed. Between-country differences in the cognitive-social-mental component showed slightly better function in the Norwegian participants. Depression, anxiety, pre-stroke dependency, initial stroke severity, and older age were substantially associated to scale scores. Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATION The stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clinically important information for the rehabilitation services. The cognitive-social-mental component and the physical health component, indicate specific functional problems which may vary across and within countries and regions with different organisation of rehabilitation services. For persons with mild to moderate stroke, longer-term functional improvements may be better optimised if the rehabilitation services particularly address cognitive, emotional, and social functioning.

AB - Purpose: To compare stroke-specific health related quality of life in two country-regions with organisational differences in subacute rehabilitation services, and to reveal whether organisational factors or individual factors impact outcome. Materials and methods: A prospective multicentre study with one-year follow-up of 369 first-ever stroke survivors with ischaemic or haemorrhagic stroke, recruited from stroke units in North Norway (n = 208) and Central Denmark (n = 161). The 12-domain Stroke-Specific Quality of Life scale was the primary outcome-measure. Results: The Norwegian participants were older than the Danish (M age= 69.8 vs. 66.7 years, respectively), had higher initial stroke severity, and longer stroke unit stays. Both cohorts reported more problems with cognitive, social, and emotional functioning compared to physical functioning. Two scale components were revealed. Between-country differences in the cognitive-social-mental component showed slightly better function in the Norwegian participants. Depression, anxiety, pre-stroke dependency, initial stroke severity, and older age were substantially associated to scale scores. Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATION The stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clinically important information for the rehabilitation services. The cognitive-social-mental component and the physical health component, indicate specific functional problems which may vary across and within countries and regions with different organisation of rehabilitation services. For persons with mild to moderate stroke, longer-term functional improvements may be better optimised if the rehabilitation services particularly address cognitive, emotional, and social functioning.

KW - Stroke

KW - Stroke-Specific Quality of Life (SS-QOL) scale

KW - countries

KW - health-related quality of life (HRQOL)

KW - rehabilitation services

KW - DEPRESSION

KW - INTERNATIONAL CLASSIFICATION

KW - DETERMINANTS

KW - GUIDELINES

KW - HOSPITAL ANXIETY

KW - CARE

KW - RECOVERY

KW - IMPACT

KW - PREDICTORS

KW - SCALE

KW - Prospective Studies

KW - Humans

KW - Survivors

KW - Stroke Rehabilitation

KW - Quality of Life

KW - Aged

U2 - 10.1080/09638288.2020.1753830

DO - 10.1080/09638288.2020.1753830

M3 - Journal article

C2 - 32356473

SN - 0963-8288

VL - 43

SP - 3810

EP - 3820

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 26

ER -