Ju Yeon Woo, Lee Jung Soo, Choi Young-Ah, Kim Yeo Hyung
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Brain Neurorehabil. 2022 Mar 17;15(1):e5. doi: 10.12786/bn.2022.15.e5. eCollection 2022 Mar.
Many stroke survivors live with disabilities in the community. This study aimed to investigate the causes and trends of disabilities among community-dwelling stroke survivors. A total of 1547 community-dwelling stroke survivors ≥ 19 years were identified using the Korea National Health and Nutrition Examination Survey (KNHANES) database from 2007 to 2018. We analyzed the causes and trends of disabilities in strokes survivors using complex-samples procedures. During 2007-2018, 38.0% of stroke survivors were found to have disabilities. Stroke itself was the most common cause of disabilities (21.3%). Musculoskeletal (back or neck problems, 7.0%; arthritis, 5.7%; and leg pain excluding arthritis, 2.3%), sensory (visual problems, 3.6%; and auditory problems, 1.4%), and medical problems (diabetes 2.6%; hypertension, 2.3%; heart disease, 1.5%) accounted for the rest of the other causes of disabilities. Upon analyzing the trends, we found that both the proportion of stroke survivors with disabilities and that of stroke survivors with stroke-related disabilities decreased from KNHANES IV (2007-2009) to V (2010-2012). After 2010-2012, the proportion of both groups stayed constant. The burden of disabilities in non-hospitalized stroke survivors has decreased but still remains high. Attention is warranted because many other problems than a stroke can cause disabilities in community-dwelling stroke survivors.
许多中风幸存者在社区中生活并伴有残疾。本研究旨在调查社区中风幸存者残疾的原因和趋势。利用2007年至2018年韩国国家健康与营养检查调查(KNHANES)数据库,共识别出1547名年龄≥19岁的社区中风幸存者。我们使用复杂抽样程序分析了中风幸存者残疾的原因和趋势。在2007 - 2018年期间,发现38.0%的中风幸存者存在残疾。中风本身是残疾最常见的原因(21.3%)。肌肉骨骼问题(背部或颈部问题,7.0%;关节炎,5.7%;不包括关节炎的腿部疼痛,2.3%)、感官问题(视觉问题,3.6%;听觉问题,1.4%)以及医疗问题(糖尿病2.6%;高血压,2.3%;心脏病,1.5%)占残疾其他原因的其余部分。在分析趋势时,我们发现从韩国国家健康与营养检查调查IV期(2007 - 2009年)到V期(2010 - 2012年),有残疾的中风幸存者比例以及有中风相关残疾的中风幸存者比例均有所下降。2010 - 2012年之后,两组的比例保持不变。非住院中风幸存者的残疾负担有所下降,但仍然很高。由于除中风外还有许多其他问题可导致社区中风幸存者残疾,因此需要予以关注。