Change characteristics of health-related quality of life and its association with post-stroke fatigue at four-year follow-up.
J Rehabil Med
; 56: jrm13389, 2024 01 04.
Article
em En
| MEDLINE
| ID: mdl-38175175
ABSTRACT
OBJECTIVE:
To explore trajectories that describe change in post-stroke health-related quality of life with fatigue as outcome.DESIGN:
Observational and prospective study.SUBJECTS:
Stroke survivors (N = 144) with predominantly mild or moderate strokes.METHODS:
The multidimensional Stroke-Specific Quality of Life scale was used at 1 and 4 years, and the Fatigue Severity Scale at 4 years post-stroke. Latent class growth analyses were used as person-oriented analyses to identify meaningful trajectories. Socio-demographic and stroke-related covariables provided customary adjustment of the outcome, as well as prediction of class membership.RESULTS:
The latent class growth analysis models were estimated for "physical health", "visual-language", and "cognitive-social-mental" components of the Stroke-Specific Quality of Life scale, which extracted trajectories describing a variation in stable, deteriorating and improving functional patterns. The stable, well-functioning trajectory was most frequent across all components. More pronounced fatigue was associated with trajectories describing worse functioning, which was more prominent among females compared with males. Living alone implied more fatigue in the "cognitive-social-mental" component. Within the "visual-language" components' trajectories, younger and older participants reported more fatigue compared with middle-aged participants.CONCLUSION:
Most participants belonged to the stable, well-functioning trajectories, which showed a consistently lower level of fatigue compared with the other trajectories.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Acidente Vascular Cerebral
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Rehabil Med
Assunto da revista:
REABILITACAO
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Noruega