Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden.
J Rehabil Med. 2021 Mar 22;53(3):jrm00167. doi: 10.2340/16501977-2808.
The long-term impact of transient ischaemic attack is largely unknown.
To assess the long-term perceived impact of transient ischaemic attack and explore the influence of sex and age on these perceptions; and to evaluate the relationships between activities of daily living, participation and overall recovery, and the other domains of the Stroke Impact Scale 3.0 (SIS).
A retrospective study among adult community-dwelling individuals from 6 months up to 10 years after onset of transient ischaemic attack. A total of 299 survivors of transient ischaemic attack responded to the SIS.
Most self-reported disabilities involved emotion, strength, and participation domains of SIS and remained stable until 10 years post-transient ischaemic attack. Women reported significantly more disabilities for emotion and hand function. Elderly subjects (age > 65 years) reported more disabilities for strength, mobility, hand function, activities of daily living/instrumental activities of daily living, and participation. The activities of daily living/instrumental activities of daily living, participation, and overall recovery demonstrated significant, although low-to-moderate, associations with other SIS domains after transient ischaemic attack.
The broadly perceived disabilities were demonstrated consistently and played a significant meaningful role in everyday life and recovery among community-dwelling individuals up to 10 years after a transient ischaemic attack. These findings indicate the need for long-term multi-professional follow-up with holistic rehabilitation to improve overall recovery among survivors of transient ischaemic attack.
短暂性脑缺血发作的长期影响在很大程度上是未知的。
评估短暂性脑缺血发作后的长期感知影响，并探讨性别和年龄对这些感知的影响；评估日常生活活动、参与度和整体恢复与中风影响量表 3.0（SIS）其他领域之间的关系。
一项对发病后 6 个月至 10 年的成年社区居民进行的回顾性研究。共有 299 名短暂性脑缺血发作幸存者对 SIS 做出了回应。
大多数自我报告的残疾涉及 SIS 的情感、力量和参与领域，并且在短暂性脑缺血发作后 10 年内保持稳定。女性报告的情感和手部功能残疾明显更多。老年受试者（年龄>65 岁）报告的力量、移动性、手部功能、日常生活活动/工具性日常生活活动以及参与度的残疾更多。日常生活活动/工具性日常生活活动、参与度和整体恢复在短暂性脑缺血发作后与其他 SIS 领域表现出显著的（尽管是低到中度的）关联。
在发病后长达 10 年的时间里，在社区居住的个体中，广泛感知到的残疾表现出一致性，并在日常生活和恢复中发挥了重要的有意义的作用。这些发现表明需要对短暂性脑缺血发作幸存者进行长期多专业随访和整体康复，以提高整体恢复水平。
