ArticleMalawi medical journal : the journal of Medical Association of Malawi2015
Quality of life after first-ever stroke: An interview-based study from Blantyre, Malawi.
Article in Malawi medical journal : the journal of Medical Association of Malawi, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Trends and Clinical Characteristics of HIV and Cerebrovascular Disease in Low- and Middle-Income Countries (LMICs) Between 1990 and 2021.Current HIV/AIDS reports · 2022Pooled it
- 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 · 2021Pooled it
- Missed golden hours of stroke patients at Zweditu Memorial Hospital in Addis Ababa, Ethiopia.BMC neurology · 2025Article
- Quality of life and quality-adjusted life years after stroke in Sierra Leone.International journal of stroke : official journal of the International Stroke Society · 2024Article
- Factors influencing survival outcomes in patients with stroke in Zimbabwe: A 12-month longitudinal study.medRxiv : the preprint server for health sciences · 2024Article
- The State of Stroke Research in Malawi: Results from a Mapping Review Study.Journal of multidisciplinary healthcare · 2024Review
- Factors influencing survival outcomes in patients with stroke at three tertiary hospitals in Zimbabwe: A 12-month longitudinal study.PloS one · 2024Article
- Responsiveness of the Spanish Version of Newcastle Stroke-Specific Quality of Life Measure (NEWSQOL).International journal of environmental research and public health · 2021Observational
- Validation of the Spanish Version of Newcastle Stroke-Specific Quality of Life Measure (NEWSQOL).International journal of environmental research and public health · 2020Article
- Quality of life after stroke: impact of clinical and sociodemographic factors.Clinics (Sao Paulo, Brazil) · 2018Observational
- Stroke patients' outcomes and satisfaction with care at discharge from four referral hospitals in Malawi: A cross-sectional descriptive study in limited resource.Malawi medical journal : the journal of Medical Association of Malawi · 2018Article
- Factors associated with hospital arrival time after the onset of stroke symptoms: A cross-sectional study at two teaching hospitals in Harare, Zimbabwe.Malawi medical journal : the journal of Medical Association of Malawi · 2017Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn post-stroke patients, impairment of quality of life (QOL) has been associated with functional impairment, age, anxiety, depression, and fatigue. Good social support, higher education, and better socioeconomic status are associated with better QOL among stroke survivors. In Africa, studies from Nigeria and Tanzania have reported on post-stroke QOL.
aimThe aim of this study was to describe QOL more than six months after first-ever stroke in Malawi.
methodsThis was an interview-based study about a stroke-surviving cohort. Adult patients were interviewed six or twelve months after their first ever stroke. HIV status, modified stroke severity scale (mNIHSS) score, and brain scan results were recorded during the acute phase of stroke. At the time of the interviews, the modified Rankin scale (mRS) was used to assess functional outcome. The interviews applied the Newcastle Stroke-specific Quality of Life Measure (NEWSQOL). All the data were analysed using Statview™: the X(2) test compared proportions, Student's t-test compared means for normally distributed data, and the Kruskal-Wallis test was used for nonparametric data.
resultsEighty-one patients were followed up at least six months after the acute stroke. Twenty-five stroke patients (ten women) were interviewed with the NEWSQOL questionnaire. Good functional outcome (lower mRS score) was positively associated with better QOL in the domains of activities of daily living (ADL)/self-care (p = 0.0024) and communication (p = 0.031). Women scored worse in the fatigue (p = 0.0081) and cognition (p = 0.048) domains. Older age was associated with worse QOL in the ADL (p = 0.0122) domain. Seven patients were HIV-seroreactive. HIV infection did not affect post-stroke QOL.
conclusionIn Malawi, within specific domains, QOL after stroke appeared to be related to patients' age, sex, and functional recovery in this small sample of patients.
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