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Self-rated health over the first five years after stroke
Department of health and social care, Lidköping, Sweden.
Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
Tibro Health care centre, Närhälsan Tibro, Sweden.
Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Gothenburg, Sweden; Department of Neurology, the Sahlgrenska University Hospital, Gothenburg, Sweden.
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2020 (English)In: BMC Neurology, E-ISSN 1471-2377, Vol. 20, no 1, article id 389Article in journal (Refereed) Published
Abstract [en]

Background: Self-rated health (SRH) focuses on the patient’s own perception, and represents an important patient-reported outcome. The aim was to investigate SRH one to 5 years after stroke, follow the development over time and search for factors associated with SRH. Methods: Consecutive stroke patients admitted to Stroke Units at the Skaraborg Hospital, Sweden were included 2007–2009 (n = 2190). Patient-reported outcomes were collected annually over 5 years using a postal questionnaire. SRH was assessed by the question about general health from SF-36. Factors associated with SRH were investigated by multiple logistic regression analysis. Results: Response-rate was > 90% at all time points. Overall, 40.2, 41.9, 40.7, 45.0 and 46.3% of the patients reported good SRH, 1 to 5 years after stroke. Performance in activities of daily living (ADL) was strongly associated with good SRH; 49.8 and 14.7% after 1 year in independent and dependent survivors respectively, p < 0.001. In independent survivors 1 year after stroke, good SRH was positively associated with female sex (OR = 2.0; p = < 0,001), physical activity (OR = 2.14; p = < 0,001), car driving (OR = 2.25; p = < 0,001), and negatively associated with age (OR = 0.99; p = < 0,001), pain (OR = 0.49; p = < 0,001), depression (OR = 0.30; p = < 0,001), and self-perceived unmet care needs (OR = 0.39; p = < 0,001). In dependent survivors, depression (OR = 0.23; p = < 0,001) and age (OR = 0.96; p = < 0,05), were negatively associated with good SRH 1 year after stroke. Similar patterns were observed throughout the follow-up. Conclusion: The proportion stroke survivors reporting their health as good is slightly increasing over time. After stroke, SRH is associated with pain, depression, ability to perform activities and self-perceived unmet care needs, indicating that efforts to support stroke survivors in the chronic phase after stroke should concentrate on targeting these factors. © 2020, The Author(s).

Place, publisher, year, edition, pages
2020. Vol. 20, no 1, article id 389
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Cardiac and Cardiovascular Systems Nursing
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URN: urn:nbn:se:hv:diva-16021DOI: 10.1186/s12883-020-01956-1ISI: 000586377700001Scopus ID: 2-s2.0-85093976242OAI: oai:DiVA.org:hv-16021DiVA, id: diva2:1501411
Note

Funders: Skaraborg Institute for Research and Development [06–1045]; the Medical Fund at the Skaraborg Hospital, the Research Fund at the Skaraborg Hospital; the Skaraborg Research and Development Council; the Swedish stroke association

Available from: 2020-11-17 Created: 2020-11-17 Last updated: 2022-02-10

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