Self-rated health over the first five years after stroke

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Fältnamn	Indikatorer	Metadata
000		05619naa a2200601 4500
001		oai:gup.ub.gu.se/298272
003		SwePub
008		240528s2020 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:hv-16021
024	7	a https://gup.ub.gu.se/publication/2982722 URI
024	7	a https://doi.org/10.1186/s12883-020-01956-12 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-160212 URI
040		a (SwePub)gud (SwePub)hv
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Bjalkefur, K.u Department of health and social care, Lidköping, Sweden4 aut
245	1 0	a Self-rated health over the first five years after stroke
264		c 2020-10-24
264	1	b Springer Science and Business Media LLC,c 2020
500		a Funders: Skaraborg Institute for Research and Development [06–1045]; the Medical Fund at the Skaraborg Hospital, the Research Fund at the Skaraborg Hospital; the Skaraborg Research and Development Council; the Swedish stroke association
520		a Background Self-rated health (SRH) focuses on the patient's own perception, and represents an important patient-reported outcome. The aim was to investigate SRH one to 5 years after stroke, follow the development over time and search for factors associated with SRH. Methods Consecutive stroke patients admitted to Stroke Units at the Skaraborg Hospital, Sweden were included 2007-2009 (n = 2190). Patient-reported outcomes were collected annually over 5 years using a postal questionnaire. SRH was assessed by the question about general health from SF-36. Factors associated with SRH were investigated by multiple logistic regression analysis. Results Response-rate was > 90% at all time points. Overall, 40.2, 41.9, 40.7, 45.0 and 46.3% of the patients reported good SRH, 1 to 5 years after stroke. Performance in activities of daily living (ADL) was strongly associated with good SRH; 49.8 and 14.7% after 1 year in independent and dependent survivors respectively, p < 0.001. In independent survivors 1 year after stroke, good SRH was positively associated with female sex (OR = 2.0; p = < 0,001), physical activity (OR = 2.14; p = < 0,001), car driving (OR = 2.25; p = < 0,001), and negatively associated with age (OR = 0.99; p = < 0,001), pain (OR = 0.49; p = < 0,001), depression (OR = 0.30; p = < 0,001), and self-perceived unmet care needs (OR = 0.39; p = < 0,001). In dependent survivors, depression (OR = 0.23; p = < 0,001) and age (OR = 0.96; p = < 0,05), were negatively associated with good SRH 1 year after stroke. Similar patterns were observed throughout the follow-up. Conclusion The proportion stroke survivors reporting their health as good is slightly increasing over time. After stroke, SRH is associated with pain, depression, ability to perform activities and self-perceived unmet care needs, indicating that efforts to support stroke survivors in the chronic phase after stroke should concentrate on targeting these factors.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Neurovetenskaper0 (SwePub)301052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Neurosciences0 (SwePub)301052 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653		a Longitudinal study
653		a Patient reported outcome measures
653		a Person centered
653		a care
653		a Questionnaire
653		a Self-rated health
653		a Sweden
653		a survivors
653		a mortality
653		a quality
653		a needs
653		a Neurosciences & Neurology
700	1	a Nasic, S.u Research and Development Centre, Skaraborg Hospital, Skövde, Sweden4 aut
700	1	a Bertholds, E.u Tibro Health care centre, Närhälsan Tibro, Sweden4 aut
700	1	a Jood, Katarina,d 1966u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Gothenburg, Sweden; Department of Neurology, the Sahlgrenska University Hospital, Gothenburg, Sweden4 aut0 (Swepub:gu)xjooka
700	1	a Rejnö, Åsa,d 1970-u Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,Department of Medicine, Skaraborg Hospital Skövde, Skövde, Sweden4 aut0 (Swepub:hv)asarej
710	2	a Department of health and social care, Lidköping, Swedenb Research and Development Centre, Skaraborg Hospital, Skövde, Sweden4 org
773	0	t BMC Neurologyd : Springer Science and Business Media LLCg 20:1q 20:1x 1471-2377
856	4	u https://bmcneurol.biomedcentral.com/track/pdf/10.1186/s12883-020-01956-1
856	4	u https://doi.org/10.1186/s12883-020-01956-1y Fulltext
856	4	u https://hv.diva-portal.org/smash/get/diva2:1501411/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://gup.ub.gu.se/publication/298272
856	4 8	u https://doi.org/10.1186/s12883-020-01956-1
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-16021

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Av författaren/redakt...: Bjalkefur, K.; Nasic, S.; Bertholds, E.; Jood, Katarina, ...; Rejnö, Åsa, 1970 ...

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