Impact of central facial palsy and dysarthria on quality of life in patients with stroke: The KOSCO study.

Abstract:

BACKGROUND:There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in stroke patients. OBJECTIVE:To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes. METHODS:This study represents an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation study. We selected data from patients with functional independence of 0 or 1 by the modified Rankin Scale at 6 months after stroke onset, who showed an impairment only in National Institute of Health Stroke Scale items 4 (facial palsy) or 10 (dysarthria). Assessments included the European Quality of Life-5 Dimensions (EQ-5D) and the Geriatric depression scale-short form (GDS-SF). RESULTS:Data from 149 patients were selected for this analysis from 3,929 patients who were followed up at 6 months. Thirty-nine and 110 patients were classified into the facial palsy and dysarthria groups, respectively. The groups did not differ significantly in baseline characteristics or functional assessments. EQ-5D was significantly lower in the facial palsy group than in the dysarthria group at 6 months after stroke (p = 0.036). GDS-SF was significantly higher in the facial palsy group than in the dysarthria group (p = 0.005). CONCLUSIONS:The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic stroke patients with functional independence.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Chang WH,Sohn MK,Lee J,Kim DY,Lee SG,Shin YI,Oh GJ,Lee YS,Joo MC,Han EY,Kim YH

doi

10.3233/NRE-161355

subject

Has Abstract

pub_date

2016-06-27 00:00:00

pages

253-9

issue

2

eissn

1053-8135

issn

1878-6448

pii

NRE1355

journal_volume

39

pub_type

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