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中风后结局:使用中风后检查表了解持续后遗症的全球概况。

Post Stroke Outcome: Global Insight into Persisting Sequelae Using the Post Stroke Checklist.

机构信息

Department of Rehabilitation, Epworth HealthCare, Melbourne, Australia; Department of Rehabilitation, Epworth Monash Rehabilitation Medicine (EMReM) Unit, Melbourne, Australia; School of Clinical Sciences, Monash University, Melbourne, Australia.

Rehabilitation Department, Xuzhou Children's Hospital No.18, Jiangsu Province, China.

出版信息

J Stroke Cerebrovasc Dis. 2021 Apr;30(4):105612. doi: 10.1016/j.jstrokecerebrovasdis.2021.105612. Epub 2021 Jan 22.

DOI:10.1016/j.jstrokecerebrovasdis.2021.105612
PMID:33493876
Abstract

BACKGROUND

Following stroke, individuals commonly experience persisting loss of function. Whilst long-term care should involve continued support for ongoing stroke sequelae, this is often not routinely practiced globally. The Post Stroke Checklist was designed to standardise the process of detecting persisting treatable problems following stroke.

AIMS

This cross-sectional study aimed to identify the long-term problems reported in Australian and Chinese participants at six months post stroke using the Post Stroke Checklist. It also aimed to provide global insight into poststroke sequelae by comparing the study results to previously published studies which administered the Post Stroke Checklist in other countries.

METHODS

Participants were recruited from two hospitals in Australia and one hospital in China. The Post Stroke Checklist consists of 11 problem areas commonly experienced after stroke. This study follows a sequence of studies which have applied the checklist to monitor long-term outcomes after stroke in Germany, Italy, Singapore, Sweden and the United Kingdom.

RESULTS

Comparisons between Australia (n = 112) and China (n = 97) demonstrated statistically significant differences on the Post Stroke Checklist items. Across all seven countries, collectively the most common persisting difficulties post-stroke related to: cognition, life after stroke, mood, mobility and activities of daily living. An analysis of means procedure compared individual countries for each checklist item against the overall group mean (all countries combined).

CONCLUSIONS

Globally, individuals report persisting functional difficulties following stroke. There appear to be differences in the proportions affected across the various countries, and healthcare systems may benefit from geographically tailoring post-stroke care.

摘要

背景

中风后,个体通常会持续丧失功能。尽管长期护理应包括对持续的中风后遗症提供持续支持,但在全球范围内,这通常未得到常规实践。中风后检查表旨在标准化检测中风后持续可治疗问题的过程。

目的

本横断面研究旨在使用中风后检查表,确定澳大利亚和中国参与者在中风后 6 个月报告的长期问题。它还旨在通过将研究结果与在其他国家使用中风后检查表进行的先前发表的研究进行比较,为全球了解中风后后遗症提供信息。

方法

参与者是从澳大利亚的两家医院和中国的一家医院招募的。中风后检查表由中风后常见的 11 个问题领域组成。本研究遵循一系列研究,这些研究应用检查表监测德国、意大利、新加坡、瑞典和英国中风后的长期结果。

结果

澳大利亚(n=112)和中国(n=97)之间的比较显示,中风后检查表项目存在统计学显著差异。在所有七个国家中,中风后最常见的持续困难共同涉及:认知、中风后的生活、情绪、移动性和日常生活活动。对每个检查表项目进行的均值分析程序将个别国家与总体组平均值(所有国家的总和)进行了比较。

结论

在全球范围内,个体报告中风后持续存在功能困难。在各个国家中,受影响的比例似乎存在差异,并且医疗保健系统可能受益于针对地理位置的中风后护理。

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