Health‐related quality of life 90 days after stroke assessed by the International Consortium for Health Outcome Measurement standard set

• DOI: 10.1111/ene.14479
• Publication Date: 2020-08-28T12:30:51Z
• Authors: D. L. Rimmele; L. Lebherz; M. Frese; H. Appelbohm; H.‐J. Bartz; L. Kriston; C. Gerloff; M. Härter; G. Thomalla
• Keywords: Stroke; Depression; Patient Health Questionnaire; Medical record

Background and purpose Stroke has detrimental effects in multiple health domains not captured by routine scales. The International Consortium for Health Outcome Measurement developed a standardized set self‐reported assessment to overcome this limitation. aim was assess acute stroke care. Methods Consecutive patients with ischaemic stroke, transient attack or intracerebral hemorrhage were enrolled. Demographics, living situation cardiovascular risk factors collected from medical records interviews. Patient‐reported Outcomes Information System 10‐Question Short Form (PROMIS‐10) the Patient Questionnaire‐4 (PHQ‐4) conducted 90 days after admission. Linear logistic regression analyses used identify predictors of outcome. study is registered at ClinicalTrials.gov, NCT03795948. Results In all, 1064 enrolled; mean age 71.6 years, 51% female, median National Institutes Scale (NIHSS) on admission 3. Diagnosis 74%, 20% 6%. 673 available outcome evaluation days; these (13%) had died. survivors, t scores PROMIS‐10 physical mental 40.3 ± 6.17 44.3 8.63, compared 50 10 healthy populations. 16% reported symptoms indicating depression anxiety PHQ‐4. Higher NIHSS, prior requiring help pre‐stroke predicted lower values scores. NIHSS diabetes associated depression. Conclusions Integrated care, systematic patient‐reported outcomes reveals impairments health. Main are severity comorbidities such as hypertension diabetes.