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      Individuals with stroke three months after hospital discharge reported worse quality of life during the COVID-19 pandemic

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          Abstract

          Purpose

          To compare quality of life (QOL) of individuals with stroke three months after hospital discharge, using generic and specific QOL measures, before and during the COVID-19 pandemic.

          Methods

          Individuals, who were admitted to a public hospital, were recruited and evaluated before (G1) and during (G2) the COVID-19 pandemic. The groups were matched for age, sex, socio-economic status, and levels of stroke severity (National Institutes of Health Stroke Scale) and functional dependence (Modified Barthel Index). After three months of hospital discharge, they were evaluated and compared using generic (Short-form Health Survey 36: SF-36) and specific (Stroke Specific Quality of Life: SSQOL) QOL measures.

          Results

          Seventy individuals were included (35 in each group). Statistically significant between-group differences were found for both total SF-36 ( p=0.008) and SSQOL ( p=0.001) scores, indicating that individuals reported worse QOL during the COVID-19 pandemic. Furthermore, G2 also reported worse generic QOL related to the SF-36 domains of physical functioning, bodily pain, general health perception, and emotional role limitations ( p < 0.01) and worse specific QOL related to following SSQOL domains: Family roles, mobility, mood, personality, and social roles ( p < 0.05). Finally, G2 reported better QOL related to energy and thinking ( p < 0.05) SSQOL domains.

          Conclusion

          In general, individuals with stroke, who were evaluated during the COVID-19 pandemic three months after hospital discharge, reported worse perceptions of QOL in several domains of both generic and specific QOL measures.

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          Most cited references31

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          "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician.

          M F Folstein, S Folstein, P R McHugh (1975)
          Article 0 comments Cited 3511 times – based on 0 reviews     Review now
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            Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

            William J. Powers, Alejandro A Rabinstein, Teri Ackerson … (2019)
            Background and Purpose- The purpose of these guidelines is to provide an up-to-date comprehensive set of recommendations in a single document for clinicians caring for adult patients with acute arterial ischemic stroke. The intended audiences are prehospital care providers, physicians, allied health professionals, and hospital administrators. These guidelines supersede the 2013 Acute Ischemic Stroke (AIS) Guidelines and are an update of the 2018 AIS Guidelines. Methods- Members of the writing group were appointed by the American Heart Association (AHA) Stroke Council's Scientific Statements Oversight Committee, representing various areas of medical expertise. Members were not allowed to participate in discussions or to vote on topics relevant to their relations with industry. An update of the 2013 AIS Guidelines was originally published in January 2018. This guideline was approved by the AHA Science Advisory and Coordinating Committee and the AHA Executive Committee. In April 2018, a revision to these guidelines, deleting some recommendations, was published online by the AHA. The writing group was asked review the original document and revise if appropriate. In June 2018, the writing group submitted a document with minor changes and with inclusion of important newly published randomized controlled trials with >100 participants and clinical outcomes at least 90 days after AIS. The document was sent to 14 peer reviewers. The writing group evaluated the peer reviewers' comments and revised when appropriate. The current final document was approved by all members of the writing group except when relationships with industry precluded members from voting and by the governing bodies of the AHA. These guidelines use the American College of Cardiology/AHA 2015 Class of Recommendations and Level of Evidence and the new AHA guidelines format. Results- These guidelines detail prehospital care, urgent and emergency evaluation and treatment with intravenous and intra-arterial therapies, and in-hospital management, including secondary prevention measures that are appropriately instituted within the first 2 weeks. The guidelines support the overarching concept of stroke systems of care in both the prehospital and hospital settings. Conclusions- These guidelines provide general recommendations based on the currently available evidence to guide clinicians caring for adult patients with acute arterial ischemic stroke. In many instances, however, only limited data exist demonstrating the urgent need for continued research on treatment of acute ischemic stroke.
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              The outbreak of COVID-19 coronavirus and its impact on global mental health

              Julio Torales, Marcelo O’Higgins, João Castaldelli-Maia … (2020)
              The current outbreak of COVID-19 coronavirus infection among humans in Wuhan (China) and its spreading around the globe is heavily impacting on the global health and mental health. Despite all resources employed to counteract the spreading of the virus, additional global strategies are needed to handle the related mental health issues. Published articles concerning mental health related to the COVID-19 outbreak and other previous global infections have been considered and reviewed. This outbreak is leading to additional health problems such as stress, anxiety, depressive symptoms, insomnia, denial, anger and fear globally. Collective concerns influence daily behaviors, economy, prevention strategies and decision-making from policy makers, health organizations and medical centers, which can weaken strategies of COVID-19 control and lead to more morbidity and mental health needs at global level.
              Article 0 comments Cited 1222 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Stroke Cerebrovasc Dis
                Journal ID (iso-abbrev): J Stroke Cerebrovasc Dis
                Title: Journal of Stroke and Cerebrovascular Diseases
                Publisher: Elsevier Inc.
                ISSN (Print): 1052-3057
                ISSN (Electronic): 1532-8511
                Publication date PMC-release: 13 March 2023
                Publication date (Print): May 2023
                Publication date (Electronic): 13 March 2023
                Volume: 32
                Issue: 5
                Page: 107082
                Affiliations
                [a ]PT, M.Sc., Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
                [b ]OT, M.Sc., Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
                [c ]PT, Ph.D., Titular Professor, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
                [d ]PT, Ph.D., Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
                [e ]OT, Ph.D, Adjoint Professor, Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
                [f ]PT, Ph.D., Associate Professor, Department of Physical Therapy, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Campus Pampulha, Belo Horizonte, MG 31270-901, Brazil
                Author notes
                [* ]Corresponding author.
                Article
                Publisher Item ID: S1052-3057(23)00106-4 Publisher ID: 107082
                DOI: 10.1016/j.jstrokecerebrovasdis.2023.107082
                PMC ID: 10008793
                PubMed ID: 36933520
                SO-VID: 39074feb-511a-44f6-b92b-1d3d3687fc18
                Copyright © © 2023 Elsevier Inc. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date received : 22 November 2022
                Date revision received : 3 February 2023
                Date accepted : 7 March 2023
                Categories
                Subject: Article

                Keywords: stroke,quality of life,pandemics,covid-19
                Data availability:
                Keywords: stroke, quality of life, pandemics, covid-19

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