Functionality and quality of life in Brazilian patients 6 months post-stroke.

Autor:	Oliveira-Kumakura ARS; School of Nursing, University of Campinas, Campinas, Brazil.; Nursing Sciences Research Chair, Laboratory Education and Health Promotion, Université Sorbonne Paris Nord, Bobigny, France., Batista LMOS; School of Nursing, University of Campinas, Campinas, Brazil., Spagnol GS; Nursing School, Anhanguera University, Sumaré, Brazil.; Knowledge Management and Education Solutions, Cogna Education, Valinhos, Brazil., Valler L; Clinical Hospital, University of Campinas, Campinas, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in neurology [Front Neurol] 2023 Apr 20; Vol. 14, pp. 1020587. Date of Electronic Publication: 2023 Apr 20 (Print Publication: 2023).
DOI:	10.3389/fneur.2023.1020587
Abstrakt:	Background: Surviving a stroke poses a social and economic impact that requires the care system to be reformulated and the patient to be addressed in a comprehensive approach. Purpose: This study aims to investigate if there is a relationship between functional activities performed before the stroke, patients' clinical and hospitalization data, and functionality and quality of life measures in the first 6 months after the stroke. Methods: This study used a prospective cohort of 92 patients. We investigated sociodemographic and clinical data, the modified Rankin Scale (mRS), and the Frenchay Activities Index (FAI) during hospitalization. The Barthel Index (BI) and EuroQol-5D (EQ-5D) were applied at the following time points: 30 days (T1), 90 days (T2), and 180 days (T3) following postictal state. Statistical analysis was conducted using Spearman's coefficient, Friedman's non-parametric test, and multiple linear regression models. Results: No correlation was found between FAI, BI, and EQ-5D average scores. Severe patients, patients with comorbidities, and patients with extended hospital stays showed lower BI and EQ-5D scores □in the follow-up. BI and EQ-5D scores increased. Conclusion: This research found no relationship between activities performed before the stroke and functionalities and quality of life after the stroke, but comorbidities and extended hospital stay were associated with worse outcomes. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Oliveira-Kumakura, Batista, Spagnol and Valler.)
Databáze:	MEDLINE
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