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Health status of individuals with mild stroke.

Publication ,  Journal Article
Duncan, PW; Samsa, GP; Weinberger, M; Goldstein, LB; Bonito, A; Witter, DM; Enarson, C; Matchar, D
Published in: Stroke
April 1997

BACKGROUND AND PURPOSE: Diminished quality of life and limitations in higher levels of physical functioning are often underestimated in stroke and are not fully captured by measures such as the Barthel Index and the Rankin Outcome Scale. This study used additional measures to assess the health status of 304 persons with mild stroke and to compare these individuals with 184 persons with transient ischemic attack and 654 persons without history of stroke/transient ischemic attack but at elevated risk for stroke (asymptomatic group). METHODS: Subjects were recruited from the Academic Medical Center Consortium (inpatients), the Cardiovascular Health Study (population-based sample of community-dwelling persons 65 years and older), and United HealthCare (inpatients and outpatients typically younger than 65 years). Subjects were interviewed by telephone or in person to assess activities of daily living (Barthel Index), depression (Center for Epidemiological Studies Depression Scale), health status (MOS-36), and utility for current health state. RESULTS: Most respondents were independent on all Barthel items. The stroke group was more impaired on the MOS-36 than the asymptomatic group but similar to the group with transient ischemic attack. Health-related quality of life was lowest for persons with stroke. While symptom status and Barthel Index score were the strongest predictors of health status, the Barthel Index showed a consistent ceiling effect when compared with the physical function subscale of the MOS-36. CONCLUSIONS: The consequences of even mild stroke affect all dimensions of health except pain. Standardized assessment of persons with stroke must evaluate across the entire continuum of health-related functions.

Duke Scholars

Published In

Stroke

DOI

ISSN

0039-2499

Publication Date

April 1997

Volume

28

Issue

4

Start / End Page

740 / 745

Location

United States

Related Subject Headings

  • White People
  • Social Support
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Ischemic Attack, Transient
  • Humans
  • Health Status
  • Female
  • Cerebrovascular Disorders
 

Citation

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Duncan, P. W., Samsa, G. P., Weinberger, M., Goldstein, L. B., Bonito, A., Witter, D. M., … Matchar, D. (1997). Health status of individuals with mild stroke. Stroke, 28(4), 740–745. https://doi.org/10.1161/01.str.28.4.740
Duncan, P. W., G. P. Samsa, M. Weinberger, L. B. Goldstein, A. Bonito, D. M. Witter, C. Enarson, and D. Matchar. “Health status of individuals with mild stroke.Stroke 28, no. 4 (April 1997): 740–45. https://doi.org/10.1161/01.str.28.4.740.
Duncan PW, Samsa GP, Weinberger M, Goldstein LB, Bonito A, Witter DM, et al. Health status of individuals with mild stroke. Stroke. 1997 Apr;28(4):740–5.
Duncan, P. W., et al. “Health status of individuals with mild stroke.Stroke, vol. 28, no. 4, Apr. 1997, pp. 740–45. Pubmed, doi:10.1161/01.str.28.4.740.
Duncan PW, Samsa GP, Weinberger M, Goldstein LB, Bonito A, Witter DM, Enarson C, Matchar D. Health status of individuals with mild stroke. Stroke. 1997 Apr;28(4):740–745.

Published In

Stroke

DOI

ISSN

0039-2499

Publication Date

April 1997

Volume

28

Issue

4

Start / End Page

740 / 745

Location

United States

Related Subject Headings

  • White People
  • Social Support
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Ischemic Attack, Transient
  • Humans
  • Health Status
  • Female
  • Cerebrovascular Disorders