Is there a relation between neuropsychologic variables and quality of life after stroke?

Archives of Physical Medicine and Rehabilitation
J B HochstenbachT T Mulder

Abstract

To describe the quality of life (QOL) of stroke patients and to distill neuropsychologic predictors for poor QOL. A cohort study in which patients were neuropsychologically assessed at a mean of 72.2 days after stroke, with follow-up at a mean of 9.8 months after stroke. Research department of a rehabilitation center. A consecutive sample of 164 stroke patients (mean age, 55.2yr) recruited from a university hospital, a regional hospital, and a rehabilitation center. Not applicable. Orientation, memory, attention and concentration, visuospatial and visuoconstructive functions, language, and arithmetic skills were assessed with neuropsychologic tests. QOL was assessed with the Sickness Impact Profile (SIP). An overall mean SIP score +/- standard deviation of 20 +/- 11 showed that stroke has a high impact on everyday functioning. Further analyses indicated that QOL is related in particular to tests measuring spatiotemporal and/or sequential aspects of behavior. Forward/backward stepwise regression analysis (n = 106) showed that poor QOL was more likely if patients had a poor result on the Trailmaking Test (TMT) B and/or were women. The predictive value of the TMT is most effective and very useful because the TMT is a short and eco...Continue Reading

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