Evidence map›Paper›PMID 27342238›Full record

ArticleBMJ open2016

Living in Latvia after stroke: the association between functional, social and personal factors and the level of self-perceived disability-a cross-sectional study.

Guna Bērziņa, Baiba Smilškalne, Anita Vētra, Katharina S Sunnerhagen

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Guna BērziņaDepartment of Rehabilitation, Riga Stradiņš University, Riga, Latvia.
Baiba SmilškalneDepartment of Secondary Outpatient Care, Psycho-neurological Hospital for Children "Ainaži", Ainaži, Latvia.
Anita VētraDepartment of Rehabilitation, Riga Stradiņš University, Riga, Latvia.
Katharina S SunnerhagenSection for Clinical Neuroscience and Rehabilitation, University of Gothenburg, the Sahlgrenska Academy, Gothenburg, Sweden Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Riga Stradiņš University · LVChildren's Clinical University Hospital · LVSunnaas sykehus · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate how functional, social and personal factors are associated with self-perceived level of disability in the chronic phase of stroke in a Latvian stroke population. The consequences of stroke can vary greatly and often leads to long-term disability that, according to the WHO definitions, depends on the interaction between the person and his/her context.

designCross-sectional study with retrospective data gathering.

settingCommunity-dwelling persons who received specialised in-patient rehabilitation after stroke in Latvia.

participantsOf 600 persons after stroke who were identified through hospital register and selected for the study, 255 were included in the analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: The medical information and discharge data of the Functional Independence Measure (FIM) was extracted from medical records. Participants filled out a questionnaire on sociodemographic information and the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), either in Latvian or Russian, depending on their wish when contacted for their oral agreement to participate. Stepwise multiple regression analysis was conducted to find a model that best explains the variance in WHODAS 2.0 scores.

resultsThe models explained 23-43.5% of variance in outcomes. The best explained WHODAS 2.0 domains were 'mobility' and 'self-care'. The significant factors were level of independence in 'self-care', 'locomotion' and 'communication' according to FIM, as well as working status, time since rehabilitation, age, gender, living alone or in family and preferred language.

conclusionsFunctional, social and personal factors are of similar importance when explaining self-perceived disability in the chronic phase of stroke. Some, but not all, of the factors are modifiable by the healthcare system. Therefore, a complex approach and involvement of medical, social and political systems is needed.

Indexed as

Self ConceptActivities of Daily LivingAdolescentAdultCross-Sectional StudiesFemaleHumansLatviaMaleMiddle AgedPersons with DisabilitiesRegression AnalysisRetrospective StudiesSelf CareSocioeconomic FactorsStrokeFunctional factorsOutcomePerceived disabilityPersonal factorsSocial factors

Identifiers

PMID27342238
PMCPMC4932322
OpenAlexW2464297561

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.