Institute of European and American Studies, Academia Sinica, No. 128, Sec. 2, Academia Rd., Taipei, Taiwan.
Population Research Institute, Nihon University, Tokyo, Japan.
Qual Life Res. 2019 Nov;28(11):3055-3064. doi: 10.1007/s11136-019-02246-1. Epub 2019 Jul 15.
PURPOSE: A stroke is a debilitating condition that can cause lifelong disability, severely limiting the ability of individuals to perform daily activities. In Japan, strokes are the fourth leading cause of death; however, no previous studies have examined the influence of strokes on a disabled or disability-free life for older Japanese residents. This study aims to address this gap. METHODS: The study used data from the Nihon University Japanese Longitudinal Study of Aging (NUJLSOA) and incidence-based multistate life tables to estimate disabled and disability-free life expectancy based on the stroke status of Japanese residents aged 65 and older. RESULTS: Japanese stroke survivors aged 65 who experienced an initial disability-free state could expect to live approximately 3 fewer total years of life, 4-5 fewer years in a disability-free state, and 1-2 more years in a disabled state compared to those without history of a stroke (p < 0.05). For those disabled at the beginning of the survey interval, the differences between individuals with and without stroke history were also similar to those disability-free at the beginning of the survey interval (2-4 and 5-6 fewer total and disability-free years, respectively) (p < 0.05). The same pattern was observed for older age groups. CONCLUSION: Older adults who have experienced a stroke could experience a shorter total life expectancy, shorter disability-free life expectancy, and longer disabled life expectancy than those who have not experienced a stroke. These results can inform policymakers and rehabilitation practitioners on stroke survivor long-term care needs and their post-stroke health status.
目的:中风是一种使人衰弱的疾病,会导致终身残疾,严重限制个人进行日常活动的能力。在日本,中风是第四大死亡原因;然而,以前没有研究过中风对日本老年居民的残疾或无残疾生活的影响。本研究旨在填补这一空白。
方法:本研究使用了日本大学老龄化纵向研究(NUJLSOA)的数据和基于发病的多状态生命表,根据日本 65 岁及以上居民的中风状况,估计残疾和无残疾的预期寿命。
结果:65 岁初无残疾的日本中风幸存者预计总寿命减少约 3 年,无残疾状态减少 4-5 年,残疾状态增加 1-2 年,与无中风病史者相比(p<0.05)。对于那些在调查间隔开始时就处于残疾状态的人,有和没有中风病史的人之间的差异也与那些在调查间隔开始时就无残疾状态的人相似(分别减少 2-4 年和 5-6 年的总寿命和无残疾寿命)(p<0.05)。在年龄较大的人群中也观察到了同样的模式。
结论:经历过中风的老年人的总预期寿命、无残疾预期寿命和残疾预期寿命可能比没有经历过中风的老年人更短。这些结果可以为政策制定者和康复从业者提供中风幸存者的长期护理需求及其中风后健康状况的信息。
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