Impairment in health-related quality of life among community-dwelling stroke survivors
Authors: Joundi R, Patten S, Lukmanji A, Williams J, and Smith E
Introduction: Health utility instruments are increasingly being used to measure impairment in health-related quality of life (HRQoL) after stroke. Population-based studies of HRQoL after stroke and assessment of differences by age and functional domain are needed. Methods: We used the Canadian Community Health Survey linked with administrative databases to determine HRQoL using the Health Utilities Index Mark 3 (HUI3) among those with prior hospitalization or emergency department visit for stroke and compared to controls without stroke. We used multivariable linear regression to determine the difference in HUI3 between those with stroke and controls for the global index and individual attributes, with assessment for modification by age (<60, 60?74, and 75+ years) and sex, and we combined estimates across survey years using random effects meta-analysis. Results: Our cohort contained 1240 stroke survivors and 123,765 controls and was weighted to be representative of the Canadian household population. Mean health utility was 0.63 (95% confidence interval [CI] 0.58, 0.68) for those with stroke and 0.83 (95% CI 0.82, 0.84) for controls. There was significant modification by age, but not sex, with the greatest adjusted reduction in HUI3 among stroke respondents aged 60?74 years. Individual HUI3 attributes with the largest reductions in utility among stroke survivors compared to controls were mobility, cognition, emotion, and pain. Conclusions: In this population-based study, the reduction in HUI3 among stroke survivors compared to controls was greatest among respondents aged 60?74, and in attributes of mobility, cognition, emotion, and pain. These results highlight the persistent impairment of HRQoL in the chronic phase of stroke and potential targets for community support.
Please note that abstracts only appear in the language of the publication and might not have a translation.
Alice Nabalamba and Scott B. Patten (2010).
Prevalence of mental disorders in a Canadian household population with dementia
Canadian Journal of Neurological Sciences , 186-194
S. Pohar, C. A. Jones, S. Warren, K. Turpin, and K. Warren (2007).
Health status and health care utilization of multiple sclerosis in Canada
Canadian Journal of Neurological Sciences , 167-174
Scott B. Patten, Jeanne V. A. Williams, Dina H. Lavorato, S. Berzins, Luanne M. Metz, and Andrew G. M. Bulloch (2012).
Health status, stress and life satisfaction in a community population with MS
Canadian Journal of Neurological Sciences , 206-212
Asuri Prasad, Xue Sang, Bradley Corbett, and Jorge Burneo (2011).
Prevalence of childhood epilepsy in Canada
Canadian Journal of Neurological Sciences , 719-722
Joundi R, Patten S, Williams J, and Smith E (2021).
Association between excess sedentary time and risk of stroke in young individuals
Stroke , 3562-3568
Missiuna, Sharalynn, Charles Plante, Punam Pahwa, Nazeem Muhajarine, and Cory Neudorf. (2021).
Trends in Inequalities in Mental Health Disorders in Urban Canada
Canadian Journal of Public Health , 629-637
D. Walter Rasugu Omariba (2006).
Neighbourhood characteristics, individual and household attributes and health perception among elderly Canadians
Population Studies Centre (PSC) Discussion Papers Series