Evidence map›Paper›PMID 25971254›Full record

ArticleHealth and quality of life outcomes2015

Predictors of health-related quality of life in stroke patients after neurological inpatient rehabilitation: a prospective study.

Mirjam Katona, Ralf Schmidt, Wilfried Schupp, Elmar Graessel

Abstract read
In one paragraph

Article in Health and quality of life outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Quality of life of stroke survivors in Africa: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Pooled it
  3. Quality of life after stroke: a longitudinal analysis of a cluster randomized trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  12. Responsiveness of the Spanish Version of Newcastle Stroke-Specific Quality of Life Measure (NEWSQOL).International journal of environmental research and public health · 2021
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  16. Cost and cost-effectiveness of early inpatient rehabilitation after stroke varies with initial disability: the Czech Republic perspective.International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mirjam KatonaCentre of Health Services Research in Medicine, Department of Psychiatry and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuernberg, Schwabachanlage 6, 91054, Erlangen, Germany. mirjamkatona@yahoo.de.
Ralf SchmidtClinic for Specialised In- and Outpatient Rehabilitation Medicine Herzogenaurach, Department of Neurology and Neuropsychology, In der Reuth 1, 91074, Herzogenaurach, Germany. ralf.schmidt@fachklinik-herzogenaurach.de.
Wilfried SchuppClinic for Specialised In- and Outpatient Rehabilitation Medicine Herzogenaurach, Department of Neurology and Neuropsychology, In der Reuth 1, 91074, Herzogenaurach, Germany. wilfried.schupp@fachklinik-herzogenaurach.de.
Elmar GraesselCentre of Health Services Research in Medicine, Department of Psychiatry and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuernberg, Schwabachanlage 6, 91054, Erlangen, Germany. elmar.graessel@uk-erlangen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe goal of the study was to investigate the long-term course of health-related quality of life (HRQoL) in stroke survivors during and up to 2.5 years after inpatient neurological rehabilitation and to identify predictors of HRQoL.

methodsHRQoL was determined in 152 stroke survivors in a single-centre prospective cohort study at four time points: upon admission to inpatient rehabilitation, at discharge, and one and 2.5 years after discharge. Their HRQoL was determined by administering the EQ-5D at all four measurement points. During inpatient rehabilitation, the SF-36 was administered in addition to the EQ-5D. Predictors were identified through multiple regression analysis.

resultsDuring inpatient rehabilitation, the "European Index" of the EQ-5D rose significantly (p < 0.001) from 45.4 to 66.7. The change in HRQoL on the SF-36 was convergent. The HRQoL of the stroke patients living at home remained at the same level for 2.5 years following discharge. In the multiple regression analysis, the EQ-5D Index at discharge (p = 0.049), the risk of falls as defined by Runge and Rehfeld (p = 0.001), and the change in emotional quality of life on the SF-36 during inpatient rehabilitation (p = 0.048) predicted HRQoL 2.5 years following discharge.

conclusionOn the basis of our results, we conclude that the long-term health-related quality of life of stroke survivors can be positively influenced by reducing the risk of falls and improving emotional well-being during neurological inpatient rehabilitation.

Indexed as

Health StatusStroke RehabilitationAgedCohort StudiesFemaleFollow-Up StudiesForecastingHumansMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CareProspective StudiesQuality of LifeRegression AnalysisStroke

Identifiers

PMID25971254
PMCPMC4448207

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.