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Published on: May 22, 2019
Health status of individuals with mild stroke
P W Duncan1, G P Samsa, M Weinberger
1Center on Aging, University of Kansas, Kansas City, USA. pduncan@kumc.edu
Stroke
|April 1, 1997
Summary
Even mild stroke significantly impacts health-related quality of life beyond basic daily activities. Standardized stroke assessments need to capture a broader range of health functions for accurate evaluation.
Area of Science:
- Neurology
- Public Health
- Health Services Research
Background:
- Quality of life and higher-level physical functioning are often underestimated in stroke patients.
- Existing measures like the Barthel Index and Rankin Outcome Scale may not fully capture the health status of individuals post-stroke.
Purpose of the Study:
- To assess the health status of individuals with mild stroke using comprehensive measures.
- To compare the health status of mild stroke patients with those who experienced transient ischemic attack (TIA) and a control group at elevated stroke risk.
Main Methods:
- Recruitment from diverse settings: Academic Medical Center Consortium, Cardiovascular Health Study, and United HealthCare.
- Data collection via telephone or in-person interviews.
- Assessment of activities of daily living (Barthel Index), depression (CES-D), health status (MOS-36), and health utility.
Main Results:
- The stroke group exhibited more impairment on the MOS-36 compared to the asymptomatic group, but was similar to the TIA group.
- Health-related quality of life was lowest among individuals with stroke.
- The Barthel Index demonstrated a ceiling effect, indicating limitations in capturing functional differences compared to the MOS-36 physical function subscale.
Conclusions:
- Mild stroke has consequences across most health dimensions, excluding pain.
- Comprehensive health-related functional assessments are crucial for evaluating stroke patients.
- Standardized stroke assessments should encompass the full spectrum of health functions.
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