Self ratings of health predict functional outcome and recurrence free survival after stroke
Study objective: To measure stroke victims’ self rated health (SRH) status and SRH transition, and to compare how the two are prospectively associated with disability and recurrence free survival. Design: Prospective case registry study with face to face follow up interviews at three months, one, tw...
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| Veröffentlicht in: | Journal of epidemiology and community health (1979) 2003-12, Vol.57 (12), p.960-966 |
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| container_title | Journal of epidemiology and community health (1979) |
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| creator | Hillen, T Davies, S Rudd, A G Kieselbach, T Wolfe, C D |
| description | Study objective: To measure stroke victims’ self rated health (SRH) status and SRH transition, and to compare how the two are prospectively associated with disability and recurrence free survival. Design: Prospective case registry study with face to face follow up interviews at three months, one, two, and three years. Ascertained were SRH status and SRH transition using single question assessments, Barthel Index (BI), Frenchay Activities Index (FAI), and Mini Mental State Examination (MMSE). Setting: A multiethnic inner city population of 234 533. Participants: Patients surviving the initial three months after a first in a lifetime stroke in 1995 to 1998. Results: Of 690 stroke survivors 561 (81.3%) could complete the self report items. Answers to the item on SRH status did not vary significantly between the four follow up interviews. However, responses to the item on SRH transition changed significantly during follow up with three months ratings being more negative than all subsequent ratings. SRH transition, but not SRH status, showed a prospective association with long term outcome in multivariate analyses controlling for the BI, FAI, and MMSE. Compared with all other patients, patients reporting “Much worse health” at three months were more likely to be disabled ( = BI |
| doi_str_mv | 10.1136/jech.57.12.960 |
| format | Article |
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Design: Prospective case registry study with face to face follow up interviews at three months, one, two, and three years. Ascertained were SRH status and SRH transition using single question assessments, Barthel Index (BI), Frenchay Activities Index (FAI), and Mini Mental State Examination (MMSE). Setting: A multiethnic inner city population of 234 533. Participants: Patients surviving the initial three months after a first in a lifetime stroke in 1995 to 1998. Results: Of 690 stroke survivors 561 (81.3%) could complete the self report items. Answers to the item on SRH status did not vary significantly between the four follow up interviews. However, responses to the item on SRH transition changed significantly during follow up with three months ratings being more negative than all subsequent ratings. SRH transition, but not SRH status, showed a prospective association with long term outcome in multivariate analyses controlling for the BI, FAI, and MMSE. Compared with all other patients, patients reporting “Much worse health” at three months were more likely to be disabled ( = BI<20) at one year (OR 6.29, 95% CI 2.26 to 17.52) and their combined risk of stroke recurrence and death was increased over five years (HR 1.72, 95% CI 1.25 to 2.38). Conclusions: Items on SRH should be used with caution in populations with high rates of disability and language problems, as many participants are unable to complete them. SRH transition may be a better predictor of disability and recurrence free survival after major medical events than SRH status.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech.57.12.960</identifier><identifier>PMID: 14652262</identifier><identifier>CODEN: JECHDR</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Activities of daily living ; Aged ; Aged, 80 and over ; Attitude to Health ; Barthel Index ; Biological and medical sciences ; Care and treatment ; cerebrovascular accident ; cohort studies ; Cooperation ; Diagnostic indices ; Disabilities ; Disability ; Disability Evaluation ; Disease ; Disease-Free Survival ; Diseases ; Ethnicity ; Evidence Based Public Health Policy and Practice ; FAI ; Female ; Follow-Up Studies ; Frenchay Acitivities Index ; Health care outcome assessment ; Health outcomes ; Health risks ; Health status ; Health Status Indicators ; Humans ; London - epidemiology ; Male ; Medical sciences ; Middle Aged ; Mini Mental state Examination ; MMSE ; Mortality ; Multivariate Analysis ; Neurology ; Older adults ; Patient assessment ; Population ; Prognosis ; Prospective Studies ; Quality of life ; R&D ; Recurrence ; registries ; Research & development ; self rated health ; SRH ; Stroke ; Stroke (Disease) ; Stroke - epidemiology ; Stroke Rehabilitation ; Strokes ; Studies ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Journal of epidemiology and community health (1979), 2003-12, Vol.57 (12), p.960-966</ispartof><rights>Copyright 2003 Journal of Epidemiology and Community Health</rights><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2003 Copyright 2003 Journal of Epidemiology and Community Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b681t-7a8dd8c97598899a2f5fbe79b86b39bdaed05a5023430dbdc7ef880810ea3d603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25570226$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25570226$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,27923,27924,53790,53792,58016,58249</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15340072$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14652262$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hillen, T</creatorcontrib><creatorcontrib>Davies, S</creatorcontrib><creatorcontrib>Rudd, A G</creatorcontrib><creatorcontrib>Kieselbach, T</creatorcontrib><creatorcontrib>Wolfe, C D</creatorcontrib><title>Self ratings of health predict functional outcome and recurrence free survival after stroke</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>Study objective: To measure stroke victims’ self rated health (SRH) status and SRH transition, and to compare how the two are prospectively associated with disability and recurrence free survival. Design: Prospective case registry study with face to face follow up interviews at three months, one, two, and three years. Ascertained were SRH status and SRH transition using single question assessments, Barthel Index (BI), Frenchay Activities Index (FAI), and Mini Mental State Examination (MMSE). Setting: A multiethnic inner city population of 234 533. Participants: Patients surviving the initial three months after a first in a lifetime stroke in 1995 to 1998. Results: Of 690 stroke survivors 561 (81.3%) could complete the self report items. Answers to the item on SRH status did not vary significantly between the four follow up interviews. However, responses to the item on SRH transition changed significantly during follow up with three months ratings being more negative than all subsequent ratings. SRH transition, but not SRH status, showed a prospective association with long term outcome in multivariate analyses controlling for the BI, FAI, and MMSE. Compared with all other patients, patients reporting “Much worse health” at three months were more likely to be disabled ( = BI<20) at one year (OR 6.29, 95% CI 2.26 to 17.52) and their combined risk of stroke recurrence and death was increased over five years (HR 1.72, 95% CI 1.25 to 2.38). Conclusions: Items on SRH should be used with caution in populations with high rates of disability and language problems, as many participants are unable to complete them. SRH transition may be a better predictor of disability and recurrence free survival after major medical events than SRH status.</description><subject>Activities of daily living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attitude to Health</subject><subject>Barthel Index</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>cerebrovascular accident</subject><subject>cohort studies</subject><subject>Cooperation</subject><subject>Diagnostic indices</subject><subject>Disabilities</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Disease</subject><subject>Disease-Free Survival</subject><subject>Diseases</subject><subject>Ethnicity</subject><subject>Evidence Based Public Health Policy and Practice</subject><subject>FAI</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Frenchay Acitivities Index</subject><subject>Health care outcome assessment</subject><subject>Health outcomes</subject><subject>Health risks</subject><subject>Health status</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>London - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mini Mental state Examination</subject><subject>MMSE</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Neurology</subject><subject>Older adults</subject><subject>Patient assessment</subject><subject>Population</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>R&D</subject><subject>Recurrence</subject><subject>registries</subject><subject>Research & development</subject><subject>self rated health</subject><subject>SRH</subject><subject>Stroke</subject><subject>Stroke (Disease)</subject><subject>Stroke - epidemiology</subject><subject>Stroke Rehabilitation</subject><subject>Strokes</subject><subject>Studies</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0143-005X</issn><issn>1470-2738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0t-r0zAUB_AiindeffVNKYiCD6350TTti3AZ_oKh4o-L4ENI05Mtu20yk3Tof292NzYVUfrQkvPp93DCybL7GJUY0_rZGtSqZLzEpGxrdCOb4YqjgnDa3MxmCFe0QIh9OcvuhLBG6ZOT9nZ2hquaEVKTWfb1Iww69zIauwy50_kK5BBX-cZDb1TM9WRVNM7KIXdTVG6EXNo-96Am78EqyLUHyMPkt2abkNQRfB6id1dwN7ul5RDg3uF9nn1--eLT_HWxePfqzfxiUXR1g2PBZdP3jWo5a5umbSXRTHfA266pO9p2vYQeMckQoRVFfdcrDrppUIMRSNrXiJ5nz_e5m6kboVdgo5eD2HgzSv9DOGnE7xVrVmLptgJzSuh1wJNDgHffJghRjCYoGAZpwU1BcFyRqkYswUd_wLWbfLqckLJ4SyhFdKeKvVrKAYSx2qWuagkWUnNnQZt0fIExrlteNVXy5V98enoYjfrXD8q7EDzo46wYid1aiN1aCMYFJqK9HvDhrzd04oc9SODxAcig5KC9tMqEk2O0Qojv3IO9W4fo_LFOGOMoBZ1GNyHC92Nd-itRc8qZeHs5F_Uidf3AL8X75J_ufTeu_zfET5hW51c</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Hillen, T</creator><creator>Davies, S</creator><creator>Rudd, A G</creator><creator>Kieselbach, T</creator><creator>Wolfe, C D</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20031201</creationdate><title>Self ratings of health predict functional outcome and recurrence free survival after stroke</title><author>Hillen, T ; Davies, S ; Rudd, A G ; Kieselbach, T ; Wolfe, C D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b681t-7a8dd8c97598899a2f5fbe79b86b39bdaed05a5023430dbdc7ef880810ea3d603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Activities of daily living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attitude to Health</topic><topic>Barthel Index</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>cerebrovascular accident</topic><topic>cohort studies</topic><topic>Cooperation</topic><topic>Diagnostic indices</topic><topic>Disabilities</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Disease</topic><topic>Disease-Free Survival</topic><topic>Diseases</topic><topic>Ethnicity</topic><topic>Evidence Based Public Health Policy and Practice</topic><topic>FAI</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Frenchay Acitivities Index</topic><topic>Health care outcome assessment</topic><topic>Health outcomes</topic><topic>Health risks</topic><topic>Health status</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>London - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mini Mental state Examination</topic><topic>MMSE</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Neurology</topic><topic>Older adults</topic><topic>Patient assessment</topic><topic>Population</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>R&D</topic><topic>Recurrence</topic><topic>registries</topic><topic>Research & development</topic><topic>self rated health</topic><topic>SRH</topic><topic>Stroke</topic><topic>Stroke (Disease)</topic><topic>Stroke - epidemiology</topic><topic>Stroke Rehabilitation</topic><topic>Strokes</topic><topic>Studies</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hillen, T</creatorcontrib><creatorcontrib>Davies, S</creatorcontrib><creatorcontrib>Rudd, A G</creatorcontrib><creatorcontrib>Kieselbach, T</creatorcontrib><creatorcontrib>Wolfe, C D</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of epidemiology and community health (1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hillen, T</au><au>Davies, S</au><au>Rudd, A G</au><au>Kieselbach, T</au><au>Wolfe, C D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self ratings of health predict functional outcome and recurrence free survival after stroke</atitle><jtitle>Journal of epidemiology and community health (1979)</jtitle><addtitle>J Epidemiol Community Health</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>57</volume><issue>12</issue><spage>960</spage><epage>966</epage><pages>960-966</pages><issn>0143-005X</issn><eissn>1470-2738</eissn><coden>JECHDR</coden><abstract>Study objective: To measure stroke victims’ self rated health (SRH) status and SRH transition, and to compare how the two are prospectively associated with disability and recurrence free survival. Design: Prospective case registry study with face to face follow up interviews at three months, one, two, and three years. Ascertained were SRH status and SRH transition using single question assessments, Barthel Index (BI), Frenchay Activities Index (FAI), and Mini Mental State Examination (MMSE). Setting: A multiethnic inner city population of 234 533. Participants: Patients surviving the initial three months after a first in a lifetime stroke in 1995 to 1998. Results: Of 690 stroke survivors 561 (81.3%) could complete the self report items. Answers to the item on SRH status did not vary significantly between the four follow up interviews. However, responses to the item on SRH transition changed significantly during follow up with three months ratings being more negative than all subsequent ratings. SRH transition, but not SRH status, showed a prospective association with long term outcome in multivariate analyses controlling for the BI, FAI, and MMSE. Compared with all other patients, patients reporting “Much worse health” at three months were more likely to be disabled ( = BI<20) at one year (OR 6.29, 95% CI 2.26 to 17.52) and their combined risk of stroke recurrence and death was increased over five years (HR 1.72, 95% CI 1.25 to 2.38). Conclusions: Items on SRH should be used with caution in populations with high rates of disability and language problems, as many participants are unable to complete them. SRH transition may be a better predictor of disability and recurrence free survival after major medical events than SRH status.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>14652262</pmid><doi>10.1136/jech.57.12.960</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of epidemiology and community health (1979), 2003-12, Vol.57 (12), p.960-966 |
| issn | 0143-005X 1470-2738 |
| language | eng |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Activities of daily living Aged Aged, 80 and over Attitude to Health Barthel Index Biological and medical sciences Care and treatment cerebrovascular accident cohort studies Cooperation Diagnostic indices Disabilities Disability Disability Evaluation Disease Disease-Free Survival Diseases Ethnicity Evidence Based Public Health Policy and Practice FAI Female Follow-Up Studies Frenchay Acitivities Index Health care outcome assessment Health outcomes Health risks Health status Health Status Indicators Humans London - epidemiology Male Medical sciences Middle Aged Mini Mental state Examination MMSE Mortality Multivariate Analysis Neurology Older adults Patient assessment Population Prognosis Prospective Studies Quality of life R&D Recurrence registries Research & development self rated health SRH Stroke Stroke (Disease) Stroke - epidemiology Stroke Rehabilitation Strokes Studies Vascular diseases and vascular malformations of the nervous system |
| title | Self ratings of health predict functional outcome and recurrence free survival after stroke |
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