Functionality and quality of life in Brazilian patients 6 months post-stroke

Ana Railka de Souza Oliveira-Kumakura; Larissa Mariana Oliveira Santos Batista; Gabriela Salim Spagnol; Lenise Valler

doi:10.3389/fneur.2023.1020587

Functionality and quality of life in Brazilian patients 6 months post-stroke

Front Neurol. 2023 Apr 20:14:1020587. doi: 10.3389/fneur.2023.1020587. eCollection 2023.

Authors

Ana Railka de Souza Oliveira-Kumakura^{1

2}, Larissa Mariana Oliveira Santos Batista¹, Gabriela Salim Spagnol^{3

4}, Lenise Valler⁵

Affiliations

¹ School of Nursing, University of Campinas, Campinas, Brazil.
² Nursing Sciences Research Chair, Laboratory Education and Health Promotion, Université Sorbonne Paris Nord, Bobigny, France.
³ Nursing School, Anhanguera University, Sumaré, Brazil.
⁴ Knowledge Management and Education Solutions, Cogna Education, Valinhos, Brazil.
⁵ Clinical Hospital, University of Campinas, Campinas, Brazil.

Abstract

Background: Surviving a stroke poses a social and economic impact that requires the care system to be reformulated and the patient to be addressed in a comprehensive approach.

Purpose: This study aims to investigate if there is a relationship between functional activities performed before the stroke, patients' clinical and hospitalization data, and functionality and quality of life measures in the first 6 months after the stroke.

Methods: This study used a prospective cohort of 92 patients. We investigated sociodemographic and clinical data, the modified Rankin Scale (mRS), and the Frenchay Activities Index (FAI) during hospitalization. The Barthel Index (BI) and EuroQol-5D (EQ-5D) were applied at the following time points: 30 days (T1), 90 days (T2), and 180 days (T3) following postictal state. Statistical analysis was conducted using Spearman's coefficient, Friedman's non-parametric test, and multiple linear regression models.

Results: No correlation was found between FAI, BI, and EQ-5D average scores. Severe patients, patients with comorbidities, and patients with extended hospital stays showed lower BI and EQ-5D scores □in the follow-up. BI and EQ-5D scores increased.

Conclusion: This research found no relationship between activities performed before the stroke and functionalities and quality of life after the stroke, but comorbidities and extended hospital stay were associated with worse outcomes.

Keywords: care; functionality; quality of life; rehabilitation; stroke.