Predictors of functional level and quality of life at 6 months after a first-ever stroke: the KOSCO study.
Predicting functional outcome and quality of life (QOL) is critical to the treatment of patients with stroke. The purpose of this study was to analyze the factors influencing functional status and QOL of stroke patients 6 months after a first-ever stroke. This study was an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation Study, designed to include 10 years of follow-up for first-ever stroke patients. This study analyzed data from 2857 patients who completed face-to-face assessments with the functional independence measurement (FIM) and Euro Quality of Life-5D (EQ-5D) at 6 months after stroke onset. A multivariate regression analysis was used to analyze factors that potentially influenced FIM and EQ-5D results at 6 months after stroke. Of the patients in this study, 80.1 % suffered from ischemic stroke and 19.9 % experienced hemorrhagic stroke. The independent predictors of functional independency measured by FIM at 6 months after stroke were age, initial stroke severity, duration of hospitalization, and functional level at discharge in terms of motor, ambulation, and language. For QOL measured by EQ-5D at 6 months after stroke, age, duration of hospitalization, and motor function at discharge were significant predictors. In conclusion, proper treatment to achieve maximal functional gain at discharge may be an important factor in improving functional independency and QOL in chronic stage stroke survivors. These results provide useful information for establishing comprehensive and systematic care for stroke patients.
Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Seoul, Republic of Korea.
Won Hyuk
WH
Chang
Department of Rehabilitation Medicine, School of Medicine, Chungnam National University, Daejeon, Republic of Korea.
Min Kyun
MK
Sohn
Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Republic of Korea.
Jongmin
J
Lee
Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Deog Young
DY
Kim
Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Sam-Gyu
SG
Lee
Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Busan, Republic of Korea.
Yong-Il
YI
Shin
Department of Preventive Medicine, Wonkwang University, School of Medicine, Iksan, Republic of Korea.
Gyung-Jae
GJ
Oh
Department of Rehabilitation Medicine, Kyungpook National University School of Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea.
Yang-Soo
YS
Lee
Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Republic of Korea.
Min Cheol
MC
Joo
Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea.
Eun Young
EY
Han
Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Seoul, Republic of Korea.
Chung
C
Kang
Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Seoul, Republic of Korea. yunkim@skku.edu.|Department of Health Science and Technology, Department of Medical Device Management and Research, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea. yunkim@skku.edu.
Yun-Hee
YH
Kim
D000368:Aged; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020300:Intracranial Hemorrhages / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D007723:Korea / Q000453:epidemiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011788:Quality of Life; D020127:Recovery of Function; D012720:Severity of Illness Index; D020521:Stroke / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D013997:Time Factors; D016896:Treatment Outcome
Cohort; Function; Independence; Prognosis; Quality of life; Stroke