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采用 EQ-5D 量表测量自发性蛛网膜下腔出血的预后。

Outcome after spontaneous subarachnoid hemorrhage measured with the EQ-5D.

机构信息

Section of Neurosurgery, Department of Neuroscience, Uppsala University, 751 85 Uppsala, Sweden.

出版信息

Stroke. 2011 Nov;42(11):3284-6. doi: 10.1161/STROKEAHA.111.626283. Epub 2011 Oct 13.

Abstract

BACKGROUND AND PURPOSE

The EQ-5D measures quality of life based on self-reported health status in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. In this study, the EQ-5D was evaluated as an outcome measure for patients with subarachnoid hemorrhage.

METHODS

The EQ-5D was completed in 710 patients 9 months after subarachnoid hemorrhage. Relevant demographic and clinical factors were evaluated as predictors of the 5 outcome dimensions in a series of linear regression models.

RESULTS

Worse health status in mobility, self-care, and usual activities was predicted by increasing age and by a more severe disease as indicated by the presence of an aneurysm, worse clinical condition at admission, or more blood on the CT scan. Younger age and female gender predicted worse health status regarding anxiety/depression.

CONCLUSIONS

The evaluation of the EQ-5D reveals age-related differences in the nature of the challenges faced by these patients.

摘要

背景和目的

EQ-5D 依据 5 个维度的自我报告健康状况来衡量生活质量:行动能力、自理能力、日常活动、疼痛/不适以及焦虑/抑郁。本研究将 EQ-5D 用作蛛网膜下腔出血患者的结局测量指标。

方法

蛛网膜下腔出血 9 个月后,710 例患者完成 EQ-5D 量表。在一系列线性回归模型中,评估了相关人口统计学和临床因素作为 5 个结局维度的预测因子。

结果

移动能力、自理能力和日常活动的健康状况越差,提示年龄越大,动脉瘤的存在、入院时的临床状况越差或 CT 扫描上的血液越多,表明疾病越严重。年龄较轻和女性预测焦虑/抑郁的健康状况越差。

结论

EQ-5D 的评估揭示了这些患者面临的挑战在性质上存在与年龄相关的差异。

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