Self Ratings of Health Predict Functional Outcome and Recurrence Free Survival After Stroke

Overview

Journal J Epidemiol Community Health

Specialty Health Services

Date 2003 Dec 4

PMID 14652262

Citations 13

Authors

T Hillen

S Davies

A G Rudd

T Kieselbach

C D Wolfe

Affiliations

Soon will be listed here.

Abstract

Study Objective: To measure stroke victims' self rated health (SRH) status and SRH transition, and to compare how the two are prospectively associated with disability and recurrence free survival.

Design: Prospective case registry study with face to face follow up interviews at three months, one, two, and three years. Ascertained were SRH status and SRH transition using single question assessments, Barthel Index (BI), Frenchay Activities Index (FAI), and Mini Mental State Examination (MMSE).

Setting: A multiethnic inner city population of 234 533.

Participants: Patients surviving the initial three months after a first in a lifetime stroke in 1995 to 1998.

Results: Of 690 stroke survivors 561 (81.3%) could complete the self report items. Answers to the item on SRH status did not vary significantly between the four follow up interviews. However, responses to the item on SRH transition changed significantly during follow up with three months ratings being more negative than all subsequent ratings. SRH transition, but not SRH status, showed a prospective association with long term outcome in multivariate analyses controlling for the BI, FAI, and MMSE. Compared with all other patients, patients reporting "Much worse health" at three months were more likely to be disabled ( = BI<20) at one year (OR 6.29, 95% CI 2.26 to 17.52) and their combined risk of stroke recurrence and death was increased over five years (HR 1.72, 95% CI 1.25 to 2.38).

Conclusions: Items on SRH should be used with caution in populations with high rates of disability and language problems, as many participants are unable to complete them. SRH transition may be a better predictor of disability and recurrence free survival after major medical events than SRH status.

Citing Articles

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General and comparative self-rated health in chronic stroke: an important outcome measure for health professionals.

Viana R, de Freitas Araujo E, Lima L, Teixeira-Salmela L, de Morais Faria C BMC Neurol. 2022; 22(1):78.

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What underlies the difference between self-reported health and disability after stroke? A qualitative study in the UK.

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Self-rated health over the first five years after stroke.

Bjalkefur K, Nasic S, Bertholds E, Jood K, Rejno A BMC Neurol. 2020; 20(1):389.

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Self-rated health after stroke: a systematic review of the literature.

de Freitas Araujo E, Viana R, Teixeira-Salmela L, Lima L, de Morais Faria C BMC Neurol. 2019; 19(1):221.

PMID: 31493791 PMC: 6731602. DOI: 10.1186/s12883-019-1448-6.

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