Original ArticleFactors Associated with SF-12 Physical and Mental Health Quality of Life Scores in Adults with Stroke
Section snippets
Sample
We analyzed data from all respondents to the Medical Expenditure Panel Survey (MEPS) Household Component for 2007 that were ≥17 years of age with a history of stroke. The MEPS is cosponsored by the Agency for Healthcare Research and Quality (AHRQ) and the National Center for Health Statistics.23 The MEPS sample is drawn from reporting units in the previous year’s National Health Interview Survey and is a nationally representative sample (with oversampling for blacks and Hispanics) of the US
Results
The 2007 MEPS sample included 666 adults ≥18 years of age who reported a history of stroke. Table 1 reports the percentages of individuals with stroke by sociodemographic and clinical characteristics. Approximately 75% of the sample classified themselves as non-Hispanic white, 56% were female, 60% were ≥65 years of age, 74% had at least a high school education, and 40% were classified as low income. Significant comorbidity existed in the sample, with 75% reporting hypertension, 51% heart
Discussion
In this study, we examined data from 666 adults with stroke who responded to the 2007 MEPS to determine the impact of stroke on quality of life. Four key findings emerged from this study. First, a range of variables varied with regard to their effect on the physical and mental aspects of QOL. For example, being female, married, ≥45 years of age, or having cardiovascular disease, arthritis, depression, physical limitations, cognitive limitations, social limitations, or difficulty with IADLs were
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2022, Journal of Stroke and Cerebrovascular DiseasesCitation Excerpt :There are broader consequences including memory and concentration loss, aphasia, gait and movement impairment, social isolation, dementia, decreased job productivity and multiple functional disabilities (e.g dressing and eating).8,9 Because of the multiple dimensions that are chronically affected by stroke, there is a growing consensus that self-reported HRQoL is a key measure to understand the impact of the disease in post-stroke survivors.8,10,11 After acute clinical stabilization, the main long-term rehabilitation goal in stroke survivors is to achieve HRQoL scores that are as high as possible.12
Age and Gender Differences in Trends and Impact of Depression on Quality of Life in the United States, 2008 to 2016
2021, Women's Health IssuesCitation Excerpt :One review highlighted similar evidence showing that depression severity was associated with poorer QoL in older persons and this relationship persisted over time (Sivertsen, Bjørkløf, Engedal, Selbæk, & Helvik, 2015). Prior research highlights the negative effect of comorbid depression on QoL in populations with multimorbidity (Williams & Egede, 2016) or chronic conditions such as diabetes (Dismuke, Hernandez-Tejada, & Egede, 2014; Egede & Hernandez-Tejada, 2013) and stroke (Ellis, Grubaugh, & Egede, 2013). This finding is of public health importance because depression in older women may result from prolonged exposure to high-magnitude stressors (Seib et al., 2014).
Stroke symptoms impact on mental and physical health: A Lebanese population based study
2021, Revue NeurologiqueCitation Excerpt :Another study showed that a 10-point decrement in a baseline PCS score was associated with a 39% increase in the risk of 6-month mortality following CABG surgery [21]. Furthermore, Ellis et al. reported that a decrease in PCS score was independently associated with physical and social limitations in post stroke patients [22]. A study in France revealed that instrumental activities of daily living (IADLs) and activities of daily living (ADLs) are performed with difficulty especially in individuals with self-reported stroke below the age of 60 [23].
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2018, Value in HealthDepression and Functional Status Among African American Stroke Survivors in Inpatient Rehabilitation
2017, Journal of Stroke and Cerebrovascular DiseasesCitation Excerpt :There were two main findings: (1) 15.3% of African American adults had new-onset depression poststroke, which is lower than the estimated one-third of the general stroke survivor population1,19; and (2) there was no significant association between depression and functional status after adjusting for patient characteristics among African American stroke survivors at discharge from inpatient rehabilitation. Our study findings of the prevalence of depression are comparable to studies of African American stroke survivors assessed in other settings (10.2-43.9%).3,5-10,12 We expect that the variation in the timing of assessments (e.g., number of days poststroke) and measures of depression (e.g., clinical documentation,20 antidepressant use,21 or standardized instruments22) contribute to the different findings across studies.
Supported by the use of facilities at the Charleston, South Carolina HSR&D-funded Center for Disease Prevention and Health Interventions for Diverse Populations (REA 08-261). Dr Ellis is supported by a career development award (CDA #07-012-3) from the Veterans Health Administration Health Services Research and Development program. Dr Grubaugh is supported by a career development award (CDA2 #07-015-2) from the Veterans Health Administration Health Services Research and Development program.