tailieunhanh - báo cáo khoa học:"Differential aspects of stroke and congestive heart failure in quality of life reduction: a case series with three comparison groups"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Differential aspects of stroke and congestive heart failure in quality of life reduction: a case series with three comparison groups | Pinto et al. Health and Quality of Life Outcomes 2011 9 65 http content 9 1 65 HEALTH AND QUALITY OF LIFE OUTCOMES RESEARCH Open Access Differential aspects of stroke and congestive heart failure in quality of life reduction a case series with three comparison groups 1 1 1 1 Elen B Pinto lara Maso Julio LB Pereira Thiago G Fukuda Jamile C Seixas Daniela F Menezes Carolina Cincura1 Iuri S Neville1 Pedro AP Jesus1 and Jamary Oliveira-Filho1 Abstract Background To assess QOL of patients with stroke in comparison to other groups caregivers and CHF patients to identify which items of QOL are more affected on each group and what is the functional profile of patients with stroke. Methods Consecutive stroke or congestive heart failure CHF patients were evaluated and compared to their caregivers caregivers . The NIH Stroke Scale NIHSS and EuroQoL-5D EQ-5D scale were applied. Results We evaluated 67 patients with stroke 62 with CHF and 67 caregivers. For stroke patients median NIHSS score was four. EQ-5D score was significantly worse in stroke as compared to CHF and caregivers and respectively . Mobility and usual activity domains were significantly affected in stroke and CHF patients as compared to caregivers and self-care was more affected in stroke as compared with the other two groups. Conclusions Despite a mild neurological deficit there was a significantly worse QOL perception in stroke as compared to CHF patients mostly in their perception of self-care. Background Stroke is one of the leading causes of death worldwide 1 . Two-thirds of stroke cases occur in developing countries where prevalence is increasing as the population ages 2 . In Brazil where stroke is the main cause of death limited access to specialized stroke care and poor knowledge of risk factors and warning signs expose the population to a significant burden of disease 3 . Stroke survivors also impose a significant burden to society and caregivers. Another disease with