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Quality of Life Research
Erschienen in: Quality of Life Research 4/2024

29.01.2024

Dynamic changes and lifetime effect of functional disability profiles for stroke patients: real-world evidence from South Korea

verfasst von: Soyeon Cheon, Chung-Yi Li, Jiann-Shing Jeng, Jung-Der Wang, Li-Jung Elizabeth Ku

Erschienen in: Quality of Life Research | Ausgabe 4/2024

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Abstract

Purpose

This work aimed to investigate the long-term dynamic changes of functional disabilities and estimate lifetime outcomes of different functional disabilities after a stroke, using real-world data from a nationally representative South Korean cohort.

Methods

Patients aged 18 and above with ischemic and hemorrhagic strokes were identified from the Korea Health Panel (KHP) data (2008–2018). Functional disabilities were repeatedly measured for patients aged 55 and over for the prevalence of disabilities associated with activities of daily living (ADL), and kernel smoothing means were estimated for each item. The lifetime survival function of stroke patients in Korea was adopted from another study utilizing the National Health Insurance Service of Korea’s national sample cohort. By multiplying the disability-free proportion with the survival function throughout life, disability-free life expectancy (DFLE) for each ADL item was estimated. The loss-of-DFLE was calculated by subtracting the DFLE from age-, sex-, and calendar year-matched referents simulated from Korean life tables.

Results

The KHP dataset included 466 stroke patients. The overall functional disability needs increased over time after stroke diagnosis. DFLE was lowest for bathing (10.1 years for ischemic stroke and 12.8 years for hemorrhagic stroke), followed by those for dressing and washing. Loss-of-DFLE was highest for bathing for ischemic and hemorrhagic strokes (7.2 and 10.7 years, respectively), indicating that this task required the most assistance for stroke patients compared with the other tasks. DFLEs were slightly lower than the quality-adjusted life expectancy of stroke patients.

Conclusion

Our findings provide valuable insights for resource allocation and policy decisions in long-term stroke care, potentially enhancing the quality of life for stroke survivors and caregivers.
Vorheriger Artikel Correction: Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis
Nächster Artikel Life’s Essential 8 in relation to self-rated health and health-related quality of life in a large population-based sample: the SCAPIS project

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Metadaten
Titel
Dynamic changes and lifetime effect of functional disability profiles for stroke patients: real-world evidence from South Korea
verfasst von
Soyeon Cheon
Chung-Yi Li
Jiann-Shing Jeng
Jung-Der Wang
Li-Jung Elizabeth Ku
Publikationsdatum
29.01.2024
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 4/2024
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03579-8

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