Sequelae and Quality of Life in Patients Living at Home 1 Year After a Stroke Managed in Stroke Units - Archive ouverte HAL
Article Dans Une Revue Frontiers in Neurology Année : 2019

Sequelae and Quality of Life in Patients Living at Home 1 Year After a Stroke Managed in Stroke Units

Résumé

Introduction: Knowledge about residual deficiencies and their consequences on daily life activities among stroke patients living at home 1-year after the initial event managed in stroke units is poor. This multi-dimensional study assessed the types of deficiencies, their frequency and the consequences that the specific stroke had upon the daily life of patients. Methods: A cross-sectional survey, assessing, using standardized scales, 1 year post-stroke disabilities, limitations of activities, participation and quality of life, was carried out by telephone interview and by mail in a sample of stroke patients who returned home after having been initially managed in a stroke unit. Results: A total of 161 patients were included (142 able to answer the interview on their own; 19 needing a care-giver). Amongst a sub-group of the patients interviewed, 55.4% (95% Confidence Interval [47.1-63.7]) complained about pain and 60.0% (95% CI [51.4-68.6]) complained of fatigue; about 25% presented neuropsychological or neuropsychiatric disability. Whilst 87.3% (95% CI [81.7-92.9]) were independent for daily life activities, participation in every domains and quality of life scores, mainly in daily activity, pain, and anxiety subscales, were low. Conclusion: Despite a good 1-year post-stroke functional outcome, non-motor disabling symptoms are frequent amongst patients returned home and able to be interviewed, contributing to a low level of participation and a poor quality of life. Rehabilitation strategies focused on participation should be developed to break the vicious circle of social isolation and improve quality of life.
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Dates et versions

hal-03211500 , version 1 (28-04-2021)

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Sophie Broussy, Florence Saillour-Glenisson, B. Garcia-Lorenzo, Francois Rouanet, Emilie Lesaine, et al.. Sequelae and Quality of Life in Patients Living at Home 1 Year After a Stroke Managed in Stroke Units. Frontiers in Neurology, 2019, 10, pp.907. ⟨10.3389/fneur.2019.00907⟩. ⟨hal-03211500⟩

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