Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2011

Open Access 01-12-2011 | Research

Differential aspects of stroke and congestive heart failure in quality of life reduction: a case series with three comparison groups

Authors: Elen B Pinto, Iara Maso, Julio LB Pereira, Thiago G Fukuda, Jamile C Seixas, Daniela F Menezes, Carolina Cincura, Iuri S Neville, Pedro AP Jesus, Jamary Oliveira-Filho

Published in: Health and Quality of Life Outcomes | Issue 1/2011

Login to get access

Abstract

Background

To assess QOL of patients with stroke in comparison to other groups (caregivers and CHF patients), to identify which items of QOL are more affected on each group and what is the functional profile of patients with stroke.

Methods

Consecutive stroke or congestive heart failure (CHF) patients were evaluated and compared to their caregivers (caregivers). The NIH Stroke Scale (NIHSS) and EuroQoL-5D (EQ-5D) scale were applied.

Results

We evaluated 67 patients with stroke, 62 with CHF and 67 caregivers. For stroke patients, median NIHSS score was four. EQ-5D score was significantly worse in stroke, as compared to CHF and caregivers (0.52, 0.69 and 0.65, respectively). Mobility and usual activity domains were significantly affected in stroke and CHF patients as compared to caregivers; and self-care was more affected in stroke as compared with the other two groups.

Conclusions

Despite a mild neurological deficit, there was a significantly worse QOL perception in stroke as compared to CHF patients, mostly in their perception of self-care.
Appendix
Available only for authorised users
Literature
1.
WHO: The world health report. Geneva; 1998.
2.
Saposnik G, Del Brutto OH: Stroke in South America: A sistematic review of incidence, prevalence and stroke subtypes. Stroke 2003, 34: 2103–2108. 10.1161/01.STR.0000088063.74250.DBPubMedCrossRef
3.
Pontes-Neto OM, Silva GS, Feitosa MR, de Figueiredo NL, Fiorot JA Jr, Rocha TN, Massaro AR, Leite JP: Stroke awareness in Brazil: Alarming results in a community-based study. Stroke 2008, 39: 292–296. 10.1161/STROKEAHA.107.493908PubMedCrossRef
4.
Souza MFM, Alencar AP, Malta DC, Moura L, Mansur AP: Serial Temporal Analysis of Ischemic Heart Disease and Stroke Death Risk in 5 Regions of Brazil from 1981 to 2001. Arq Bras Cardiol 2006,87(6):672–677.CrossRef
5.
Gheorghiade M, Zannad F, Sopko G, Klein L, Piña IL, Konstam MA, Massie BM, Roland E, Targum S, Collins SP, Filippatos G, Tavazzi L: Acute heart failure syndromes: Current state and framework for future research. Circulation 2005, 112: 3958–3968. 10.1161/CIRCULATIONAHA.105.590091PubMedCrossRef
6.
Patel MD, McKevitt C, Lawrence E, Rudd AG, Wolfe CDA: Clinical determinants of long-term quality of life after stroke. Age and Ageing 2007, 36: 316–322. 10.1093/ageing/afm014PubMedCrossRef
7.
Lai S, Studenski S, Duncan PW, Perera S: Persisting consequences of stroke measured by the stroke impact scale. Stroke 2002, 33: 1840–1844. 10.1161/01.STR.0000019289.15440.F2PubMedCrossRef
8.
Special report from the National Institute of Neurological Disorders and Stroke: Classification of cerebrovascular diseases III. Stroke 1990, 21: 637–676.CrossRef
9.
Shah S, Vanclay F, Cooper B: Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology 1989, 42: 703–709. 10.1016/0895-4356(89)90065-6PubMedCrossRef
10.
Cincura C, Pontes-Neto OM, Neville IS, Mendes HF, Menezes DF, Mariano DC, Pereira IF, Teixeira LA, Jesus PA, de Queiroz DC, Pereira DF, Pinto E, Leite JP, Lopes AA, Oliveira-Filho J: Validation of the National Institutes of Health Stroke Scale, Modified Rankin Scale and Barthel Index in Brazil: the role of cultural adaptation and structured interviewing. Cerebrovascular Dis 2009, 27: 119–122. 10.1159/000177918CrossRef
11.
Dorman PJ, Waddell F, Slattery J, Dennis M, Sandercook P: Is the Euro-QoL a valid measure of health-related quality of life after stroke. Stroke 1997, 28: 1876–1882. 10.1161/01.STR.28.10.1876PubMedCrossRef
12.
Kopec JA, Willison KD: A comparative review of four preference-weighted measures of health-related quality of life. Journal of Clinical Epidemiology 2003, 56: 317–325. 10.1016/S0895-4356(02)00609-1PubMedCrossRef
13.
Kind P, Dolan P, Gudex C, Williams A: Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ 1998, 316: 736–741.PubMedCentralPubMedCrossRef
14.
Haacke C, Althaus A, Spottke A, Siebert U, Back T, Dodel R: Long-term outcome after stroke: Evaluating health-related quality of life using utility measurements. Stroke 2006, 37: 193–198.PubMedCrossRef
15.
Xie J, Wu EQ, Zheng ZJ, Croft JB, Greenlund KJ, Mensah GA, Labarthe DR: Impact of stroke on health-related quality of life in the non-institutionalized population in the United States. Stroke 2006, 37: 2567–2572. 10.1161/01.STR.0000240506.34616.10PubMedCrossRef
16.
Calvert MJ, Freemantle N, Cleland JGF: The impact of heart failure on health-related quality of life data acquired in the baseline phase of the CARE-HF study. European Journal of Heart Failure 2005, 7: 243–251. 10.1016/j.ejheart.2005.01.012PubMedCrossRef
17.
Pickard AS, Johnson JA, Feeny DH, Shuaib A, Carriere KC, Nasser AM: Agreement betwen patient and proxy assessment of health-related quality of life after stroke using the EQ-5D and health utilities index. Stroke 2004, 35: 607–612. 10.1161/01.STR.0000110984.91157.BDPubMedCrossRef
18.
Sulch D, Melbourn A, Perez I, Kalra L: Integrated care pathways and qualitivy of life on a stroke rehabilitation unit. Stroke 2002, 33: 1600–1604. 10.1161/01.STR.0000017144.04043.87PubMedCrossRef
19.
Suenkeler IH, Nowak M, Misselwitz B, Kugler C, Schreiber W, Oertel WH, Back T: Timecourse of health-related quality of life as determined 3, 6 and 12 months after stroke: Relationship to neurological deficit, disability and depression. J Neurol 2002, 249: 1160–1167. 10.1007/s00415-002-0792-3PubMedCrossRef
20.
Kong K, Yang SY: Health-related quality of life among chronic stroke survivors attending a rehabilitation clinic. Singapore Med J 2006, 47: 213.PubMed
21.
Hackett M, Anderson CS: Predictors of depression after stroke: A systematic review of observational studies. Stroke 2005, 36: 2296–2301. 10.1161/01.STR.0000183622.75135.a4PubMedCrossRef
22.
Kauhanen M, Koperlainen JT, Hiltenen P, Nieminen P, Sotaniemi KA, Myllyla VV: Domains and determinants of quality of life after stroke caused by brain infarction. Arch Phys Med Rehabil 2000, 81: 1541–1546. 10.1053/apmr.2000.9391PubMedCrossRef
23.
van Wijk I, Algra A, van de Port IG, Bevaart B, Lindeman E: Change in mobility activity in the second year after stroke in a rehabilitation population: Who is at risk for decline? Arch Phys Med Rehabil 2006, 87: 45–49.PubMedCrossRef
24.
Berg A, Palomaki H, Lonnqvist J, Lehtihalmes M, Kaste M: Depression among caregivers of stroke survivors. Stroke 2005, 36: 639–643. 10.1161/01.STR.0000155690.04697.c0PubMedCrossRef
25.
Jonsson AC, Lindgren I, Hallstrom B, Norrving B, Lindgren A: Determinants of quality of life in stroke survivors and their informal caregivers. Stroke 2005, 36: 803–808. 10.1161/01.STR.0000160873.32791.20PubMedCrossRef
26.
Wilz G, Kalytta T: Anxiety symptoms in spouses of stroke patients. Cerebrovasc Dis 2008, 25: 311–315. 10.1159/000118375PubMedCrossRef
27.
Bergés IB, Ottenbacher KJ, Kuo Y, Smith P, Smith D, Ostir GV: Satisfaction with quality of life poststroke: Effect of sex differences in pain response. Arch Phys Med Rehabil 2007, 88: 413–417. 10.1016/j.apmr.2006.12.022PubMedCentralPubMedCrossRef
28.
Kong KH, Woon VC, Yang SY: Prevalence of chronic pain and its impact on health-related quality of life in stroke survivors. Arch Phys Med Rehabil 2004, 85: 35–40. 10.1016/S0003-9993(03)00369-1PubMedCrossRef
29.
Paolucci S, Antonucci G, Grasso MG, Bragoni M, Coiro P, De Angelis D, Fusco FR, Morelli D, Venturiero V, Troisi E, Pratesi L: Funtional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison. Stroke 2003, 34: 2861–2865. 10.1161/01.STR.0000102902.39759.D3PubMedCrossRef
30.
Sturm JW, Donnan GA, Dewey HM, Macdonell RA, Gilligan AK, Srikanth V, Thrift AG: Quality of life after stroke: The North East Melborne Incidence Study (NEMESIS). Stroke 2004, 35: 2340–2345. 10.1161/01.STR.0000141977.18520.3bPubMedCrossRef
31.
Fischer U, Anca D, Arnold M, Nedeltchev K, Kappeler L, Ballinari P, Schroth G, Mattle HP: Quality of life in stroke survivors after local intra-arterial thrombolysis. Cerebrovascular Diseases 2008, 25: 438–444. 10.1159/000126917PubMedCrossRef
Metadata
Title
Differential aspects of stroke and congestive heart failure in quality of life reduction: a case series with three comparison groups
Authors
Elen B Pinto
Iara Maso
Julio LB Pereira
Thiago G Fukuda
Jamile C Seixas
Daniela F Menezes
Carolina Cincura
Iuri S Neville
Pedro AP Jesus
Jamary Oliveira-Filho
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-9-65

Other articles of this Issue 1/2011

Health and Quality of Life Outcomes 1/2011 Go to the issue

Research

Does self-regulation and autonomic regulation have an influence on survival in breast and colon carcinoma patients? results of a prospective outcome study

Research

The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2): a population-based validation study from Tehran, Iran

Research

Do diabetes and depressed mood affect associations between obesity and quality of life in postmenopause? Results of the KORA-F3 Augsburg population study

Research

Validation of the individualised neuromuscular quality of life for the USA with comparison of the impact of muscle disease on those living in USA versus UK

Research

Assessing the Stroke-Specific Quality of Life for Outcome Measurement in Stroke Rehabilitation: Minimal Detectable Change and Clinically Important Difference

Research

Medication quality and quality of life in the elderly, a cohort study