Mental status and health-related quality of life in an elderly population 15 years after limited cerebral ischaemia
August 2007
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BACKGROUND: Stroke has a major impact on survivors. Our study was designed to describe the mental status and health-related quality of life (HRQoL) in long-term survivors of TIA or minor ischaemic stroke (MIS) and evaluate associations of mental and physical factors with HR-QoL. METHODS: A random sample of the 10-year survivors of the Dutch TIA Trial (DTT) and the dutch participants of the European Atrial Fibrillation Trial (EAFT) were interviewed by postal questionnaire (n = 468) and at home (n = 198). Demographic data, mental health status (depression (CES-D), cognition (CAMCOG)), and health perception (SF-36 and Euroqol) were measured. RESULTS: 198 long-term survivors were included; mean age was 72.5 (SD 8.7 years), 22% was depressed (CES-D > or = 16) and 15% had cognitive dysfunction (CAMCOG < 80). The overall HR-QoL did not differ much from the norm population. Physical disability, occurrence of a major stroke and comorbidity of locomotion or the heart were independently associated with a low health perception. CONCLUSIONS: Despite varying amounts of disability, the majority of long-term survivors of a TIA or MIS rated their quality of life as rather good. Physical factors, rather than mental status were independently related to a decrease in perceived health.
- Male
- Aged
- Aged, 80 and over
- Female
- Humans
- Questionnaires
- Longitudinal Studies
- Regression Analysis
- Retrospective Studies
- Quality of Life
- comorbidity
- Health Status
- health-related quality of life
- Survivors
- Brain Ischemia/epidemiology/mortality/*physiopathology/*psychology
- Disabled Persons/statistics & numerical data
- cerebral ischaemia
- mental status
- stroke
- health
- patient
- study
- score
- population
- health perception
- quality
- dutch
- status
- perception
- factor
- euroqol
- ischaemic stroke
- disease
- centre
- trial
- table
- survivor
- group