Predictors of disability and quality of life in rural and urban stroke survivors
Background: Stroke is a common neurological disorder associated with long term morbidity and/or dependency of patient on family members leading to consequent disturbances in the life of caregivers. Aim and Objectives: A hospital based cross-sectional study was aimed to compare the disability and Qua...
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| Format: | Article |
| Language: | English |
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Krishna Institute of Medical Sciences University
2022-07-01
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| Series: | Journal of Krishna Institute of Medical Sciences University |
| Subjects: | |
| Online Access: | https://www.jkimsu.com/jkimsu-vol11no3/JKIMSU,%20Vol.%2011,%20No.%203,%20July-September%202022%20Page%2020-29.pdf |
| _version_ | 1798005298863013888 |
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| author | Saraswathi N Aralikatte Onkarappa Saroja Karkala Ravishankar Naik |
| author_facet | Saraswathi N Aralikatte Onkarappa Saroja Karkala Ravishankar Naik |
| author_sort | Saraswathi N Aralikatte |
| collection | DOAJ |
| description | Background: Stroke is a common neurological disorder associated with long term morbidity and/or dependency of patient on family members leading to consequent disturbances in the life of caregivers. Aim and Objectives: A hospital based cross-sectional study was aimed to compare the disability and Quality of Life (QOL) between the rural and urban
population at 3 months after stroke in North Karnataka. Material and Methods: Patients were assessed with National Institutes of Health Stroke scale (NIHSS), modified Rankin scale (mRS), modified Barthel index (MBI), World health organization quality of life-BREF (WHOQOL-BREF) questionnaire. Socio-demographic, vascular risk factors and
stroke characteristics were compared in both the groups. Results: Ischaemic type was predominant with higher number of patients with moderate severity were observed in rural (52.4%) than urban (42.2%). Tobacco use (50.35%) was high in rural patients whereas past history of stroke (47.71%) was high in urban patients. QOL was poor (score <60) in both rural and urban patients at 3 months. Age, duration of stay, complications, stroke severity, and disability at the time of discharge had significant effect on QOL of both urban and rural patients. This is the first report from north Karnataka comparing the risk factors, severity, disability, QOL in rural and urban stroke patients. Conclusion: Interdisciplinary approach is required to improve the QOL and overcome any disabilities among rural and urban stroke patients. |
| first_indexed | 2024-04-11T12:36:55Z |
| format | Article |
| id | doaj.art-c4018c0a88a74c279eeac4bab431a396 |
| institution | Directory Open Access Journal |
| issn | 2231-4261 |
| language | English |
| last_indexed | 2024-04-11T12:36:55Z |
| publishDate | 2022-07-01 |
| publisher | Krishna Institute of Medical Sciences University |
| record_format | Article |
| series | Journal of Krishna Institute of Medical Sciences University |
| spelling | doaj.art-c4018c0a88a74c279eeac4bab431a3962022-12-22T04:23:35ZengKrishna Institute of Medical Sciences UniversityJournal of Krishna Institute of Medical Sciences University2231-42612022-07-011132029Predictors of disability and quality of life in rural and urban stroke survivorsSaraswathi N Aralikatte0Onkarappa Saroja1Karkala Ravishankar Naik2Department of Psychiatry, Dharwad Institute of Mental Health and Neurosciences (DIMHANS) 2 Dharwad -580008 (Karnataka) India and Department of Neurology, Jawahar Lal Nehru Medical College, KAHER Belagavi-590010 (Karnataka) IndiaDepartment of Neurology, Jawahar Lal Nehru Medical College, KAHER Belagavi-590010 (Karnataka) IndiaDepartment of Neurology, Jawahar Lal Nehru Medical College, KAHER Belagavi-590010 (Karnataka) IndiaBackground: Stroke is a common neurological disorder associated with long term morbidity and/or dependency of patient on family members leading to consequent disturbances in the life of caregivers. Aim and Objectives: A hospital based cross-sectional study was aimed to compare the disability and Quality of Life (QOL) between the rural and urban population at 3 months after stroke in North Karnataka. Material and Methods: Patients were assessed with National Institutes of Health Stroke scale (NIHSS), modified Rankin scale (mRS), modified Barthel index (MBI), World health organization quality of life-BREF (WHOQOL-BREF) questionnaire. Socio-demographic, vascular risk factors and stroke characteristics were compared in both the groups. Results: Ischaemic type was predominant with higher number of patients with moderate severity were observed in rural (52.4%) than urban (42.2%). Tobacco use (50.35%) was high in rural patients whereas past history of stroke (47.71%) was high in urban patients. QOL was poor (score <60) in both rural and urban patients at 3 months. Age, duration of stay, complications, stroke severity, and disability at the time of discharge had significant effect on QOL of both urban and rural patients. This is the first report from north Karnataka comparing the risk factors, severity, disability, QOL in rural and urban stroke patients. Conclusion: Interdisciplinary approach is required to improve the QOL and overcome any disabilities among rural and urban stroke patients.https://www.jkimsu.com/jkimsu-vol11no3/JKIMSU,%20Vol.%2011,%20No.%203,%20July-September%202022%20Page%2020-29.pdffunctional independencequality of liferankin scorestroke severity |
| spellingShingle | Saraswathi N Aralikatte Onkarappa Saroja Karkala Ravishankar Naik Predictors of disability and quality of life in rural and urban stroke survivors Journal of Krishna Institute of Medical Sciences University functional independence quality of life rankin score stroke severity |
| title | Predictors of disability and quality of life in rural and urban stroke survivors |
| title_full | Predictors of disability and quality of life in rural and urban stroke survivors |
| title_fullStr | Predictors of disability and quality of life in rural and urban stroke survivors |
| title_full_unstemmed | Predictors of disability and quality of life in rural and urban stroke survivors |
| title_short | Predictors of disability and quality of life in rural and urban stroke survivors |
| title_sort | predictors of disability and quality of life in rural and urban stroke survivors |
| topic | functional independence quality of life rankin score stroke severity |
| url | https://www.jkimsu.com/jkimsu-vol11no3/JKIMSU,%20Vol.%2011,%20No.%203,%20July-September%202022%20Page%2020-29.pdf |
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