Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors

Abstract Stroke causes functional disabilities and reduces the quality of life of stroke survivors. This retrospective cohort study aimed to examine changes in health-related quality of life (HRQoL) six months after a stroke and the effect of stroke characteristics and sociodemographic factors on HR...

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Main Authors: Nipaporn Butsing, Joachim G. Voss, Jesada Keandoungchun, Nalinrat Thongniran, Mary T. Quinn Griffin
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84454-5
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author Nipaporn Butsing
Joachim G. Voss
Jesada Keandoungchun
Nalinrat Thongniran
Mary T. Quinn Griffin
author_facet Nipaporn Butsing
Joachim G. Voss
Jesada Keandoungchun
Nalinrat Thongniran
Mary T. Quinn Griffin
author_sort Nipaporn Butsing
collection DOAJ
description Abstract Stroke causes functional disabilities and reduces the quality of life of stroke survivors. This retrospective cohort study aimed to examine changes in health-related quality of life (HRQoL) six months after a stroke and the effect of stroke characteristics and sociodemographic factors on HRQoL. Participants completed a questionnaire that included the stroke characteristics, sociodemographic characteristics, and the 5-level European Quality of Life 5 dimensions (EQ-5D-5L) before discharge. Follow-up assessments of HRQoL were performed at one, three, and six months after discharge. Descriptive statistics and linear mixed models were used for data analyses. A total of 155 first-stroke patients were included, of which N = 152 patients completed follow-up assessments until six months. The mean EQ-5D-5L index score at discharge was 0.69 (SD 0.33). The trends of HRQoL significantly increased from discharge to three months, but there was no significant HRQoL improvement after three months. Considering stroke severity, mean HRQoL significantly improved for patients with no stroke symptoms, minor stroke, and moderate stroke (p < 0.05) but not those with severe stroke (p = 0.156). HRQoL among patients with sufficient monthly income significantly increased over six months (p < 0.05). HRQoL among patients with severe stroke and having insufficient income were poor. Supportive programs are required to improve their HRQoL.
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spelling doaj-art-93c21d3ea188431a9ac792fd25a8dab32025-01-05T12:17:36ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-84454-5Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factorsNipaporn Butsing0Joachim G. Voss1Jesada Keandoungchun2Nalinrat Thongniran3Mary T. Quinn Griffin4Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityUniversity of Nebraska Medical Center College of NursingDepartment of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityFrances Payne Bolton School of Nursing, Case Western Reserve UniversityAbstract Stroke causes functional disabilities and reduces the quality of life of stroke survivors. This retrospective cohort study aimed to examine changes in health-related quality of life (HRQoL) six months after a stroke and the effect of stroke characteristics and sociodemographic factors on HRQoL. Participants completed a questionnaire that included the stroke characteristics, sociodemographic characteristics, and the 5-level European Quality of Life 5 dimensions (EQ-5D-5L) before discharge. Follow-up assessments of HRQoL were performed at one, three, and six months after discharge. Descriptive statistics and linear mixed models were used for data analyses. A total of 155 first-stroke patients were included, of which N = 152 patients completed follow-up assessments until six months. The mean EQ-5D-5L index score at discharge was 0.69 (SD 0.33). The trends of HRQoL significantly increased from discharge to three months, but there was no significant HRQoL improvement after three months. Considering stroke severity, mean HRQoL significantly improved for patients with no stroke symptoms, minor stroke, and moderate stroke (p < 0.05) but not those with severe stroke (p = 0.156). HRQoL among patients with sufficient monthly income significantly increased over six months (p < 0.05). HRQoL among patients with severe stroke and having insufficient income were poor. Supportive programs are required to improve their HRQoL.https://doi.org/10.1038/s41598-024-84454-5EQ-5D-5LHealth-related quality of lifeSociodemographic factorsStrokeThailand
spellingShingle Nipaporn Butsing
Joachim G. Voss
Jesada Keandoungchun
Nalinrat Thongniran
Mary T. Quinn Griffin
Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors
Scientific Reports
EQ-5D-5L
Health-related quality of life
Sociodemographic factors
Stroke
Thailand
title Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors
title_full Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors
title_fullStr Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors
title_full_unstemmed Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors
title_short Changes of health-related quality of life within 6 months after stroke by clinical and sociodemographic factors
title_sort changes of health related quality of life within 6 months after stroke by clinical and sociodemographic factors
topic EQ-5D-5L
Health-related quality of life
Sociodemographic factors
Stroke
Thailand
url https://doi.org/10.1038/s41598-024-84454-5
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