Published in:
Open Access
01-08-2007 | ORIGINAL COMMUNICATION
Mental status and health-related quality of life in an elderly population 15 years after limited cerebral ischaemia
Authors:
I. van Wijk, MD, J. W. Gorter, MD, E. Lindeman, MD, L. J. Kappelle, MD, J. van Gijn, MD, FRCP, P. J. Koudstaal, MD, A. Algra, MD, for the Life Long After Cerebral Ischaemia Study Group*
Published in:
Journal of Neurology
|
Issue 8/2007
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Abstract
Background
Stroke has a major impact on survivors. Our study was designed to describe the mental status and health-related quality of life (HRQoL) in long-term survivors of TIA or minor ischaemic stroke (MIS) and evaluate associations of mental and physical factors with HR-QoL.
Methods
A random sample of the 10-year survivors of the Dutch TIA Trial (DTT) and the dutch participants of the European Atrial Fibrillation Trial (EAFT) were interviewed by postal questionnaire (n = 468) and at home (n = 198). Demographic data, mental health status (depression (CES-D), cognition (CAMCOG)), and health perception (SF-36 and Euroqol) were measured.
Results
198 long-term survivors were included; mean age was 72.5 (SD 8.7 years), 22% was depressed (CES-D ≥ 16) and 15% had cognitive dysfunction (CAMCOG < 80). The overall HR-QoL did not differ much from the norm population. Physical disability, occurrence of a major stroke and comorbidity of locomotion or the heart were independently associated with a low health perception.
Conclusions
Despite varying amounts of disability, the majority of long-term survivors of a TIA or MIS rated their quality of life as rather good. Physical factors, rather than mental status were independently related to a decrease in perceived health.