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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Online ISSN 1973-9095
Franceschini M. 1, La Porta F. 2, Agosti M. 3, Massucci M. 4
1 Department of Rehabilitation IRCCS San Raffaele, Pisana, Rome, Italy;
2 Rehabilitation Medicine Unit, Civil Hospital, Modena, Italy;
3 Geriatrics and Rehabilitation Department, Parma University Hospital, Parma, Italy;
4 Rehabilitation Unit, Hospital of Passignano sul Trasimeno Perugia, Italy
AIM: The aim of this study was to evaluate which neurological impairments on discharge from rehabilitation services are associated with a worse outcome in terms of health related-quality of life (HRQoL) one year after stroke.
METHODS: We enrolled 528 first-time stroke patients in a multicenter observational study involving 18 Italian inpatients rehabilitation centers. Neurological impairment-related factors, socio-demographic and general clinical variables and process indicators were considered independent variables at discharge. Outcome was represented by the following dependent variables of HRQoL: EuroQoL-5D questionnaire (5D-EQoL) and its derived index (Eq-Index) and a Visual Analogue Score (QoL-VAS).
RESULTS: The strongest predictors of lower HRQoL were an incomplete limbs motor recovery. An incomplete lower limb motor recovery was associated with a lower HRQoL only in the “mobility” domains, whereas a incomplete upper limb motor recovery could predict a lower HRQoL in all domains except “mobility”. Regarding cognitive impairments, the presence of neglect at discharge was associated with a lower HRQoL in “self-care”, “pain-discomfort” and “anxiety-depression”. Female gender, presence of urinary catheter seemed to exert a much lesser role in predicting HRQoL.
CONCLUSION: The results of this study suggest that upper limb motor impairments may have a detrimental impact on the patient’s perceived HRQoL one year after stroke.