Won Hyuk Chang1, Min Kyun Sohn2, Jongmin Lee3, Deog Young Kim4, Sam-Gyu Lee5, Yong-Il Shin6, Gyung-Jae Oh7, Yang-Soo Lee8, Min Cheol Joo9, Eun Young Han10, Yun-Hee Kim1,11. 1. Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. 2. Department of Rehabilitation Medicine, School of Medicine, Chungnam National University, Daejeon, Republic of Korea. 3. Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Republic of Korea. 4. Department and Research Institute, Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea. 5. Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea. 6. Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Busan, Republic of Korea. 7. Department of Preventive Medicine, Wonkwang University, School of Medicine, Iksan, Republic of Korea. 8. Department of Rehabilitation Medicine, Kyungpook National University School of Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea. 9. Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Republic of Korea. 10. Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea. 11. Department of Health Science and Technology, Department of Medical Device Management and Research, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea.
Abstract
BACKGROUND: There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in stroke patients. OBJECTIVE: To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes. METHODS: This study represents an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation study. We selected data from patients with functional independence of 0 or 1 by the modified Rankin Scale at 6 months after stroke onset, who showed an impairment only in National Institute of Health Stroke Scale items 4 (facial palsy) or 10 (dysarthria). Assessments included the European Quality of Life-5 Dimensions (EQ-5D) and the Geriatric depression scale-short form (GDS-SF). RESULTS: Data from 149 patients were selected for this analysis from 3,929 patients who were followed up at 6 months. Thirty-nine and 110 patients were classified into the facial palsy and dysarthria groups, respectively. The groups did not differ significantly in baseline characteristics or functional assessments. EQ-5D was significantly lower in the facial palsy group than in the dysarthria group at 6 months after stroke (p = 0.036). GDS-SF was significantly higher in the facial palsy group than in the dysarthria group (p = 0.005). CONCLUSIONS: The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic stroke patients with functional independence.
BACKGROUND: There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in strokepatients. OBJECTIVE: To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes. METHODS: This study represents an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation study. We selected data from patients with functional independence of 0 or 1 by the modified Rankin Scale at 6 months after stroke onset, who showed an impairment only in National Institute of Health Stroke Scale items 4 (facial palsy) or 10 (dysarthria). Assessments included the European Quality of Life-5 Dimensions (EQ-5D) and the Geriatric depression scale-short form (GDS-SF). RESULTS: Data from 149 patients were selected for this analysis from 3,929 patients who were followed up at 6 months. Thirty-nine and 110 patients were classified into the facial palsy and dysarthria groups, respectively. The groups did not differ significantly in baseline characteristics or functional assessments. EQ-5D was significantly lower in the facial palsy group than in the dysarthria group at 6 months after stroke (p = 0.036). GDS-SF was significantly higher in the facial palsy group than in the dysarthria group (p = 0.005). CONCLUSIONS: The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic strokepatients with functional independence.
Entities:
Keywords:
Dysarthria; depression; facial palsy; quality of life; stroke
Authors: Táňa Fadrná; Zdeňka Mikšová; Roman Herzig; Kateřina Langová; Libor Ličman; David Školoudík Journal: Health Qual Life Outcomes Date: 2018-04-27 Impact factor: 3.186