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báo cáo khoa học:" Vision-related quality of life in first stroke patients with homonymous visual field defects"
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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Vision-related quality of life in first stroke patients with homonymous visual field defects | Gall et al. Health and Quality of Life Outcomes 2010 8 33 http www.hqlo.eom content 8 1 33 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Vision-related quality of life in first stroke patients with homonymous visual field defects Carolin Gall 1 Gabriele H Franke2 Bernhard A Sabel1 Abstract Background To evaluate vision-related and health-related quality of life VRQoL HRQoL in first stroke patients with homonymous visual field defects VFD with respect to the extent of the lesion. Since VFD occur in approximately 10 of stroke patients the main purpose of the study was to investigate the additional impact of VFD in stroke patients hypothesizing that VFD causes diminished VRQoL. Methods In 177 first stroke patients with persisting VFD 2.5 years after posterior-parietal lesions VRQoL was assessed by the National-Eye-Institute-Visual-Functioning-Questionnaire NEI-VFQ and HRQoL by the MedicalOutcome-Study Short-Form-36 Health-Survey SF-36 . Questionnaire results of VFD-patients were compared with age- and sex-matched healthy controls and with general non-selected stroke samples as published elsewhere. VFD-type and visual acuity were partially correlated with questionnaire results. Results Compared to healthy controls VFD-patients had lower NEI-VFQ scores except ocular pain Z-range -11.34 to -3.35 and lower SF-36 scores except emotional role limitations Z-range -7.21 to -3.34 . VFD-patients were less impaired in SF-36 scores than general stroke patients one month post lesion 6 8 subscales but had lower SF-36 scores compared to stroke patients six months post lesion 5 8 subscales . Visual acuity significantly correlated with NEI-VFQ scores r-range 0.27 to 0.48 and VFD-type with SF-36 mental subscales r-range -0.26 to -0.36 . Conclusions VFD-patients showed substantial reductions ofVRQoL and HRQoL compared to healthy normals but better HRQoL compared to stroke patients one month post lesion. VFD-patients although their lesion age was four times higher had .