IR@PKUHSC  > 北京大学第一临床医学院  > 神经内科
学科主题临床医学
Determinants of Quality of Life After Stroke in China The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) Study
Delcourt, Candice1; Hackett, Maree1; Wu, Yanfeng3; Huang, Yining4; Wang, Jiguang5; Heeley, Emma1; Wong, Lawrence7,10; Sun, Jian3; Li, Qiang1; Wei, Jade Wei1; Liu, Ming8; Li, Zhengyi9; Wu, Li7,10; Cheng, Yan11; Huang, Qifang5; Xu, En12; Yang, Qidong13; Lu, Chuanzhen14; Anderson, Craig S.1; ChinaQUEST Investigators
关键词Access To Care China Health Policy Health Services Outcome Research Quality Of Life Stroke
刊名STROKE
2011-02-01
DOI10.1161/STROKEAHA.110.596627
42期:2页:433-438
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Peripheral Vascular Disease
研究领域[WOS]Neurosciences & Neurology ; Cardiovascular System & Cardiology
关键词[WOS]ISCHEMIC-STROKE ; FOLLOW-UP ; COGNITIVE IMPAIRMENT ; CEREBRAL INFARCTION ; SURVIVORS ; QUESTIONNAIRE ; MOOD
英文摘要

Background and Purpose-Limited information exists on the long-term consequences of stroke in China. We aimed to describe the profile and determinants of health-related quality of life among 12-month survivors of stroke.

Methods-The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) study was a prospective 62-hospital registry study of patients with acute stroke (ischemic stroke and intracerebral hemorrhage). Health-related quality of life was determined in 12-month survivors using a 35-item quality-of-life questionnaire (QOL-35) designed specifically for use in Chinese people. Proxy responses were used in those who were unable to personally complete the QOL-35.

Results-A total of 4283 12-month stroke survivors completed assessments directly (1730 [40.4%]) or by a proxy (2553 [59.6%]). Mean (SD) health-related quality of life scores were higher in self-responders (70 [0.3] out of a best possible 100 score) than in proxy responders (60 [0.3]; P<0.001). The strongest baseline variables that predicted "low" (below median) health-related quality of life scores in self-responders were having a lower income (income <10 000 Chinese Yuan Renminbi [CNY, approximately US $1428] versus >19 000 CNY [approximately US $2714]; OR, 2.06; 95% CI, 1.37 to 3.10) and being disabled at discharge (OR, 3.65; 95% CI, 2.72 to 4.91). Proxy responders had similar predictive factors, including being disabled at discharge (OR, 4.99; 95% CI, 4.00 to 6.21), but income was not significant.

Conclusions-In China, the strongest predictor of 12-month health-related quality of life after stroke is level of disability at hospital discharge. Level of income was another important factor. Health insurance schemes that offset the economic impact of stroke could help improve the health and well-being of Chinese people affected by stroke. (Stroke. 2011; 42: 433-438.)

语种英语
WOS记录号WOS:000286509400040
引用统计
被引频次:23[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57252
专题北京大学第一临床医学院_神经内科
作者单位1.Xian Traff Univ, Coll Med, Hosp 1, Dept Neurol, Xian, Peoples R China
2.Baotou Med Coll, Affiliated Hosp 1, Dept Neurol, Baotou, Peoples R China
3.Univ Sydney, Sydney, NSW 2006, Australia
4.W China Hosp, Dept Neurol, Chengdu, Peoples R China
5.Royal Prince Alfred Hosp, George Inst Global Hlth, Neurol & Mental Hlth Div, Sydney, NSW, Australia
6.China & Peking Univ, George Inst, Hlth Sci Ctr, Beijing, Peoples R China
7.Peking Univ, Hosp 1, Dept Neurol, Beijing 100871, Peoples R China
8.Ruijin Hosp, Shanghai Inst Hypertens, Ctr Epidemiol Studies & Clin Trials, Shanghai, Peoples R China
9.Hosp Shanghai Jiaotong Univ, Sch Med, Shanghai, Peoples R China
10.Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med, Hong Kong, Hong Kong, Peoples R China
11.Tianjin Med Univ, Gen Hosp, Dept Neurol, Tianjin, Peoples R China
12.Guangzhou Med Coll, Affiliated Hosp 2, Dept Neurol, Guangzhou, Guangdong, Peoples R China
13.Ctr S Univ, Xiangya Hosp, Dept Neurol, Changsha, Hunan, Peoples R China
14.Huashan Hosp, Dept Neurol, Shanghai, Peoples R China
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GB/T 7714
Delcourt, Candice,Hackett, Maree,Wu, Yanfeng,et al. Determinants of Quality of Life After Stroke in China The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) Study[J]. STROKE,2011,42(2):433-438.
APA Delcourt, Candice.,Hackett, Maree.,Wu, Yanfeng.,Huang, Yining.,Wang, Jiguang.,...&ChinaQUEST Investigators.(2011).Determinants of Quality of Life After Stroke in China The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) Study.STROKE,42(2),433-438.
MLA Delcourt, Candice,et al."Determinants of Quality of Life After Stroke in China The ChinaQUEST (QUality Evaluation of Stroke care and Treatment) Study".STROKE 42.2(2011):433-438.
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