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Health-Related Quality of Life in Stroke Survivors at the University Hospital of the West Indies

机译：西印度群岛大学医院中风幸存者的健康相关生活质量

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Background: Stroke remains a major contributor to mortality and morbidity both locally and globally. To date, there has been no study examining the impact of stroke on quality of life (QOL) in the Jamaican population. Our study was the first to look at QOL among Jamaican stroke survivors across the vast spectrum of stroke severity ranging from mild to severe. We also aimed to identify variables that led to decreased QOL in this cohort when compared to healthy adults.Methods: This was a hospital-based case-control study comparing the QOL of 50 stroke patients admitted to the University Hospital of the West Indies (UHWI) in Jamaica between 2012 and 2013 to that of 50 apparently healthy adults (AHAs). Stroke severity was calculated using the National Institutes of Health stroke scale (NIHSS) at admission. The health-related quality of life in stroke patients (HRQOLISP) tool was used to attain the QOL score in each group.Results: Of the 108 patients that were coded as having an acute ischemic stroke in the year 2012, 38 (35.1%) were deceased and 20 (18.5%) were lost to follow-up at the time of the study. There was no statistical difference between the stroke group and the AHAs with regard to age, race and traditional risk factors for stroke. Within the stroke population, the mean age was 61 ± 17.8 years. The mean age among the AHAs was 60 ± 13.1 years. Of the stroke survivors, 25 (50%) were male and 25 (50%) were female. Forty-five (90%) patients were hypertensive. Health-related quality of life (HRQOL) was significantly reduced across most domains when compared to AHAs (P = 0.0001). Greater stroke severity, presence of depression and previous stroke were all significantly associated with worse QOL.Conclusions: In Jamaica, HRQOL among stroke survivors at the UHWI is consistently and significantly lower than that of healthy adults. Strategic interventions that target stroke severity, depression and non-adherence to secondary prevention regimens must be implemented in order to improve patient outcomes.J Neurol Res. 2017;7(3):46-58doi: https://doi.org/10.14740/jnr422w
机译：背景：中风仍然是导致本地和全球死亡率和发病率的主要因素。迄今为止，还没有研究研究中风对牙买加人口的生活质量（QOL）的影响。我们的研究是第一个研究牙买加中风幸存者中的QOL的方法，其涉及范围广泛，从轻度到重度。我们还旨在确定与健康成年人相比导致该队列QOL降低的变量。方法：这是一项基于医院的病例对照研究，比较了西印度群岛大学医院（UHWI）收治的50名卒中患者的QOL ）从2012年到2013年在牙买加达到50位明显健康的成年人（AHA）。入院时使用美国国立卫生研究院卒中量表（NIHSS）计算卒中严重程度。使用卒中患者的健康相关生活质量（HRQOLISP）工具获得每组的QOL得分。结果：在2012年被编码为急性缺血性卒中的108名患者中，有38名（35.1％）在研究期间，患者死亡，有20人（18.5％）失去随访。中风组和AHA在年龄，种族和传统中风危险因素方面无统计学差异。在中风人群中，平均年龄为61±17.8岁。 AHA中的平均年龄为60±13.1岁。在中风幸存者中，男性25名（50％），女性25名（50％）。四十五（90％）名患者患有高血压。与AHA相比，大多数领域的健康相关生活质量（HRQOL）均显着降低（P = 0.0001）。结论：在牙买加，UHWI中风幸存者的HRQOL一直且显着低于健康成年人。为了改善患者的预后，必须实施针对卒中严重性，抑郁和不遵守二级预防方案的战略干预措施。 2017; 7（3）：46-58doi：https://doi.org/10.14740/jnr422w

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