[Factors related to survival rate, and life satisfaction in stroke patients in Yamagata Prefecture, Japan].
This study was designed to identify survival rate, and life satisfaction of stroke patients living in Yamagata Prefecture. Subjects for the survival rate analysis were composed of 2214 patients who were registered after suffering their first stroke in 1989. Observation was continued over 2-years survival rate by the Cutler-Ederer method. In 1991, survivors were interviewed in their home by public health nurses or public health physicians. Locomotion and Activities of daily living (ADL) were investigated in 1015 survivors, and global life satisfaction was investigated in the 623 who were capable of answering questions by themselves. The results obtained were as follows: 1) One month survival rate was 74.0%, one year survival rate was 57.2%, and two-year survival rate was 50.6% in the total patients. The survival rate according to type of stroke was compared between two age groups (< 65 and > or = 65 years). Type of stroke was associated with survival rate in the patients < 65 years old, but not in those > or = 65 years old, especially for long-term outcome. 2) Of the survivors, 10.8% were bedridden over the two years post stroke, whereas 75.4% were competent in locomotion. Dependence of bathing was most common in terms of all activities of daily living, which were considered burdensome to family members. 3) Global life satisfaction as measured by visual analogue scale (VAS) in survivors two years after stroke was maintained well. The strongest determinant of global life satisfaction was contact with friends after stroke for those < 65 years old, while it was competence in eating for those > or = 65 years old.
Hayashi
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H
Wakamiya Hospital, Department of Neuro-Psychiatry, Yamagata University School of Medicine.
Ahiko
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T
Yasumura
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S
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000401:mortality* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life; D015996:Survival Rate