BACKGROUND AND PURPOSE: Limited information exists on the long-term consequences of stroke in China. We aimed to describe the profile and determinants of health-related quality of life among 12-month survivors of stroke. METHODS: The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) study was a prospective 62-hospital registry study of patients with acute stroke (ischemic stroke and intracerebral hemorrhage). Health-related quality of life was determined in 12-month survivors using a 35-item quality-of-life questionnaire (QOL-35) designed specifically for use in Chinese people. Proxy responses were used in those who were unable to personally complete the QOL-35. RESULTS: A total of 4283 12-month stroke survivors completed assessments directly (1730 [40.4%]) or by a proxy (2553 [59.6%]). Mean (SD) health-related quality of life scores were higher in self-responders (70 [0.3] out of a best possible 100 score) than in proxy responders (60 [0.3]; P<0.001). The strongest baseline variables that predicted "low" (below median) health-related quality of life scores in self-responders were having a lower income (income <10 000 Chinese Yuan Renminbi [CNY, approximately US $1428] versus >19 000 CNY [approximately US $2714]; OR, 2.06; 95% CI, 1.37 to 3.10) and being disabled at discharge (OR, 3.65; 95% CI, 2.72 to 4.91). Proxy responders had similar predictive factors, including being disabled at discharge (OR, 4.99; 95% CI, 4.00 to 6.21), but income was not significant. CONCLUSIONS: In China, the strongest predictor of 12-month health-related quality of life after stroke is level of disability at hospital discharge. Level of income was another important factor. Health insurance schemes that offset the economic impact of stroke could help improve the health and well-being of Chinese people affected by stroke.
BACKGROUND AND PURPOSE: Limited information exists on the long-term consequences of stroke in China. We aimed to describe the profile and determinants of health-related quality of life among 12-month survivors of stroke. METHODS: The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) study was a prospective 62-hospital registry study of patients with acute stroke (ischemic stroke and intracerebral hemorrhage). Health-related quality of life was determined in 12-month survivors using a 35-item quality-of-life questionnaire (QOL-35) designed specifically for use in Chinese people. Proxy responses were used in those who were unable to personally complete the QOL-35. RESULTS: A total of 4283 12-month stroke survivors completed assessments directly (1730 [40.4%]) or by a proxy (2553 [59.6%]). Mean (SD) health-related quality of life scores were higher in self-responders (70 [0.3] out of a best possible 100 score) than in proxy responders (60 [0.3]; P<0.001). The strongest baseline variables that predicted "low" (below median) health-related quality of life scores in self-responders were having a lower income (income <10 000 Chinese Yuan Renminbi [CNY, approximately US $1428] versus >19 000 CNY [approximately US $2714]; OR, 2.06; 95% CI, 1.37 to 3.10) and being disabled at discharge (OR, 3.65; 95% CI, 2.72 to 4.91). Proxy responders had similar predictive factors, including being disabled at discharge (OR, 4.99; 95% CI, 4.00 to 6.21), but income was not significant. CONCLUSIONS: In China, the strongest predictor of 12-month health-related quality of life after stroke is level of disability at hospital discharge. Level of income was another important factor. Health insurance schemes that offset the economic impact of stroke could help improve the health and well-being of Chinese people affected by stroke.
Authors: Judith Z Goldfinger; Liliana R Preiss; Richard B Devereux; Mary J Roman; Tabitha P Hendershot; Barbara L Kroner; Kim A Eagle Journal: J Am Coll Cardiol Date: 2017-06-13 Impact factor: 24.094
Authors: Paula Muñoz-Venturelli; Hisatomi Arima; Pablo Lavados; Alejandro Brunser; Bin Peng; Liying Cui; Lily Song; Laurent Billot; Elizabeth Boaden; Maree L Hackett; Stephane Heritier; Stephen Jan; Sandy Middleton; Verónica V Olavarría; Joyce Y Lim; Richard I Lindley; Emma Heeley; Thompson Robinson; Octavio Pontes-Neto; Lkhamtsoo Natsagdorj; Ruey-Tay Lin; Caroline Watkins; Craig S Anderson Journal: Trials Date: 2015-06-05 Impact factor: 2.279
Authors: Yen Shing Yeoh; Gerald Choon-Huat Koh; Chuen Seng Tan; Kim En Lee; Tian Ming Tu; Rajinder Singh; Hui Meng Chang; Deidre A De Silva; Yee Sien Ng; Yan Hoon Ang; Philip Yap; Effie Chew; Reshma Aziz Merchant; Tseng Tsai Yeo; Ning Chou; N Venketasubramanian; Sherry H Young; Helen Hoenig; David Bruce Matchar; Nan Luo Journal: Health Qual Life Outcomes Date: 2018-11-21 Impact factor: 3.186
Authors: Gaoqiang Xie; Daniel T Laskowitz; Elizabeth L Turner; Joseph R Egger; Ping Shi; Fuxiu Ren; Wei Gao; Yangfeng Wu Journal: PLoS One Date: 2014-07-09 Impact factor: 3.240