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Related Experiment Videos

Patient preferences for stroke outcomes

N A Solomon1, H A Glick, C J Russo

  • 1Robert Wood Johnson Clinical Scholars Program, Stanford University School of Medicine, Palo Alto, Calif.

Stroke
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

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Patients with stroke often face severe consequences, rating disabling hemiplegia worse than death. Even mild stroke deficits significantly impact patient health preferences, highlighting the need for better stroke outcome assessment.

Area of Science:

  • Neurology
  • Health Economics
  • Patient-Reported Outcomes

Background:

  • Stroke is a major cause of morbidity, but its impact on patients is not fully assessed.
  • Clinical trials often report stroke as an outcome without evaluating patient preferences.

Purpose of the Study:

  • To examine patient preferences for various stroke outcomes, including death.
  • To quantify the patient-perceived value of different stroke severities and deficits.

Main Methods:

  • Patients at risk for stroke evaluated 10 stroke scenarios (mild, moderate, severe, fatal) using a rank-and-scale method.
  • Scenarios detailed motor, language, and cognitive deficits; health states were valued on a 0-100 scale.

Main Results:

Related Experiment Videos

  • Severe strokes received low preference weights; disabling hemiplegia was rated worse than death.
  • Mild deficits like dysarthria and anomia caused substantial declines in patient-assessed health states.

    • Conclusions:

    • Stroke consequences vary widely, with severe strokes perceived as equivalent to or worse than death.
    • Even mild strokes significantly reduce patient health preferences, impacting treatment decisions and study design.