Category: Professional Posters
Purpose: Stroke is increasingly recognized as being a major cause of loss of autonomy and achievement of quality of life. The impact of stroke on health-related quality of life may be significant. It can affect multiple domains in life and lead to disastrous consequences- neurological disorders such as physical limitations including long-term disability or fatigue, and/or cognitive and psychological issues such depression or anxiety.The objective of the study was to assess these consequences in the Lebanese community, hence evaluate the participants’ quality of life post-stroke using various validated scales.
Methods: A descriptive study was conducted from January to May 2019 among 100 Lebanese surviving stroke patients previously diagnosed in Beirut and Mount Lebanon hospitals. Telephone interviews were made using a well-structured questionnaire written in Arabic. The questions were answered by the patients themselves or by their relatives or caregivers. They addressed the socio-demographic and socio-economic characteristics as well as drug therapy. Functional status was determined using the Modified Rankin Scale (MRS), while fatigue was assessed using the Fatigue Severity Scale (FSS). The Hamilton Anxiety Scale (HAM-A) and The Hamilton Depression Scale (HAM-D) were used to determine the presence of anxiety and depression respectively. Health related quality of life was assessed using the Short Form Health survey (SF-12).
Results: Among participants,48.8% of questionnaires were answered by the patients themselves and 51.2% by caregivers. The mean age at stroke was 71 ± 11.2. The majority of patients were men (57%), married (55.2%), with primary/complementary education level (34.7%); 44.7% were without any professional activity. Moreover, 59.2% of patients working before the occurrence of stroke didn’t stop practicing afterwards. In addition, 55.3% of the caregivers who filled the questionnaire were aged between 40 and 60 years old with 47.2% having completed university education. The medications taken post-stroke by patients were anti-hypertensives (93%), anti-diabetics (51%), statins (70%) with the majority (50.8%) on atorvastatin, antiplatelets (81.8%) with 70.1% on aspirin and 46.5% were taking anticoagulants with 52.3% onrivaroxaban. Furthermore, regarding physical limitations, 27.3% of patients showed moderately severe disability as assessed by the MRS and 67.3% suffered from fatigue. As for mental health, according to HAM-A, 84.8% of patients ha d mild anxiety; 28.2%, 20% and 15.3% of participants showed mild, mild to moderate and moderate to severe depression respectively as assessed by the HAM-D scale. In addition, both Mental and Physical Health Composite Scales were below the national norm-32 .0± 11.9 and 46.3± 11.5 respectively- indicating poor overall health related quality of life.
Conclusion: The present study showed an important impact of stroke on health related quality of life among Lebanese stroke survivors. Early identification of the above mentioned contributing factors could promote better interventions for individuals with ischemic stroke, minimizing disabilities and improving quality of life.