Haaglanden Medical Center, Department of Neurology, Lijnbaan 32, 2512 VA, The Hague, the Netherlands.
Basalt Rehabilitation Center, Vrederustlaan 180, 2543 SW, The Hague, the Netherlands.
Disabil Health J. 2024 Jul;17(3):101582. doi: 10.1016/j.dhjo.2024.101582. Epub 2024 Jan 15.
Poststroke health-related quality of life (HRQOL) is an important outcome that may be influenced by ethnicity.
To compare long-term HRQOL, mental health and healthcare utilization between stroke survivors with a European (EUB) and non-European background (NEUB) in a hospital population.
In this retrospective cohort study patients completed questionnaires 2-5 years after stroke. Assessments included the EuroQol-5D-3L (EQ-5D), Short Form (SF-36, with physical and mental component summary scales, PCS and MCS), Hospital Anxiety and Depression Scale (HADS; scores ≥8 indicate clinically relevant complaints) and a questionnaire on the usage of services from physicians and/or healthcare professionals (HCP) in the past 6 months. Linear and logistic regression analysis was used, adjusted for age, sex, level of education and functional outcome.
We included 207 patients (169 EUB, 38 NEUB); mean age 63.8 years (SD 14.4); 60.4 % male; mean follow up 36.3 months (SD 9.9). The EQ-5D and the PCS were higher in EUB versus NEUB patients (42.9 vs 35.4, p < 0.01; 0.76 vs 0.60, p < 0.01). The MCS showed a comparable, non-significant trend. The percentage of patients with HADS depression ≥8 was higher in NEUB patients versus EUB patients (54.3 % vs 29.8 %; p > 0.01). Significantly more NEUB patients had visited two or more physicians in the past six months compared to EUB patients (52.0 % vs 26.0 %; p = 0.01) whereas the use of services from HCP was similar.
NEUB stroke patients had worse outcomes regarding HRQOL and depressive symptoms compared to EUB patients. NEUB patients visited more physicians.
脑卒中后健康相关生活质量（HRQOL）是一个重要的结局，可能受到种族的影响。
比较有欧洲背景（EUB）和非欧洲背景（NEUB）的脑卒中幸存者在医院人群中的长期 HRQOL、心理健康和医疗保健利用情况。
在这项回顾性队列研究中，患者在脑卒中后 2-5 年完成了问卷。评估包括 EuroQol-5D-3L（EQ-5D）、简短形式（SF-36，包括身体和精神成分综合量表，PCS 和 MCS）、医院焦虑和抑郁量表（HADS；得分≥8 表示存在临床相关的抱怨）以及过去 6 个月内使用医生和/或医疗保健专业人员（HCP）服务的问卷。使用线性和逻辑回归分析，调整了年龄、性别、教育程度和功能结局。
我们纳入了 207 名患者（169 名 EUB，38 名 NEUB）；平均年龄 63.8 岁（SD 14.4）；60.4%为男性；平均随访 36.3 个月（SD 9.9）。EUB 患者的 EQ-5D 和 PCS 高于 NEUB 患者（42.9 比 35.4，p<0.01；0.76 比 0.60，p<0.01）。MCS 则显示出类似的、非显著的趋势。NEUB 患者的 HADS 抑郁得分≥8 的比例高于 EUB 患者（54.3%比 29.8%；p>0.01）。NEUB 患者在过去 6 个月内就诊于两名或更多医生的比例明显高于 EUB 患者（52.0%比 26.0%；p=0.01），而使用 HCP 服务的情况则相似。
与 EUB 患者相比，NEUB 脑卒中患者的 HRQOL 和抑郁症状较差。NEUB 患者就诊的医生更多。
