Use of the Health Utilities Index with stroke patients and their caregivers.

Abstract:

BACKGROUND AND PURPOSE:Few studies currently assess the health-related quality of life of individuals following a stroke. One of the major challenges of assessing quality of life is the high likelihood that after a stroke a patient will not be able to complete such an assessment. One practical solution is to have a family caregiver complete the assessment on behalf of these individuals. This current pilot study examined the interrater reliability of having family caregivers complete the Health Utilities Index (HUI) on behalf of stroke patients. METHODS:A total of 74 patients who experienced an ischemic stroke and 37 family caregivers completed the interviewer-administered HUI (data were available for 33 pairs). The HUI is designed to produce a single summary measure of health-related quality of life, the global multiattribute utility score, as well as descriptive information on each of its attributes. Interrater reliability was measured by evaluating the percent agreement, Cohen's kappa statistics, intraclass correlation coefficients (ICCs), Pearson's R correlations, and paired t tests between the patient and caregiver responses. RESULTS:In most instances interrater reliability was acceptable, with values suggesting moderate to high agreement. The mean global multiattribute utility scores for the HUI 2 were identical for patients and caregivers (0.64 +/- 0.29), with an ICC of .72. A preponderance of patients reported decrements in several attributes of the HUI. CONCLUSIONS:These data indicate a substantial decrement in functioning in stroke patients and suggest that family caregivers can complete the HUI reliably when patients are unable to do so.

journal_name

Stroke

journal_title

Stroke

authors

Mathias SD,Bates MM,Pasta DJ,Cisternas MG,Feeny D,Patrick DL

doi

10.1161/01.str.28.10.1888

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

1888-94

issue

10

eissn

0039-2499

issn

1524-4628

journal_volume

28

pub_type

杂志文章

相关文献

STROKE文献大全
  • Incremental predictive value of carotid inflammation in acute ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:Microwave Radiometry (MWR) allows in vivo noninvasive assessment of internal temperature of tissues. The aim of the present study was to evaluate in patients with ischemic stroke and bilateral carotid plaques (1) whether ipsilateral carotid arteries exhibit higher temperature differences (ΔT), as...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.007526

    authors: Toutouzas K,Benetos G,Drakopoulou M,Deligianni C,Spengos K,Stefanadis C,Siores E,Tousoulis D

    更新日期:2015-01-01 00:00:00

  • Constraint-induced therapy of chronic aphasia after stroke.

    abstract::Patients with chronic aphasia were assigned randomly to a group to receive either conventional aphasia therapy or constraint-induced (CI) aphasia therapy, a new therapeutic technique requiring intense practice over a relatively short period of consecutive days. CI aphasia therapy is realized in a communicative therape...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.str.32.7.1621

    authors: Pulvermüller F,Neininger B,Elbert T,Mohr B,Rockstroh B,Koebbel P,Taub E

    更新日期:2001-07-01 00:00:00

  • Ultrasonographic evaluation of vertebral artery to detect vertebrobasilar axis occlusion.

    abstract:BACKGROUND AND PURPOSE:We performed the present study to determine whether the site of occlusion in the vertebrobasilar circulation could be identified by the measurement of blood flow velocity in the bilateral vertebral arteries. METHODS:Using color-coded duplex carotid ultrasonography, we measured the time-averaged ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.5.1006

    authors: Kimura K,Yasaka M,Moriyasu H,Tsuchiya T,Yamaguchi T

    更新日期:1994-05-01 00:00:00

  • Infarct volume is a major determiner of post-stroke immune cell function and susceptibility to infection.

    abstract:BACKGROUND AND PURPOSE:Acute ischemic stroke in humans is associated with profound alterations in the immune system. Hallmarks of this stroke-induced immunodepression syndrome are: lymphocytopenia, impairment of T helper cell and monocyte function. We studied which stroke-specific factors predict these immunologic alte...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.557967

    authors: Hug A,Dalpke A,Wieczorek N,Giese T,Lorenz A,Auffarth G,Liesz A,Veltkamp R

    更新日期:2009-10-01 00:00:00

  • Safety and efficacy of transcranial direct current stimulation in acute experimental ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:Transcranial direct current stimulation is emerging as a promising tool for the treatment of several neurological conditions, including cerebral ischemia. The therapeutic role of this noninvasive treatment is, however, limited to chronic phases of stroke. We thus ought to investigate whether diff...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001687

    authors: Peruzzotti-Jametti L,Cambiaghi M,Bacigaluppi M,Gallizioli M,Gaude E,Mari S,Sandrone S,Cursi M,Teneud L,Comi G,Musco G,Martino G,Leocani L

    更新日期:2013-11-01 00:00:00

  • Persistent use of secondary preventive drugs declines rapidly during the first 2 years after stroke.

    abstract:BACKGROUND AND PURPOSE:To prevent new cardiovascular events after stroke, prescribed preventive drugs should be used continuously. This study measures persistent use of preventive drugs after stroke and identifies factors associated with persistence. METHODS:A 1-year cohort (21,077 survivors) from Riks-Stroke, the Swe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.566950

    authors: Glader EL,Sjölander M,Eriksson M,Lundberg M

    更新日期:2010-02-01 00:00:00

  • Reliability of prehospital real-time cellular video phone in assessing the simplified National Institutes Of Health Stroke Scale in patients with acute stroke: a novel telemedicine technology.

    abstract:BACKGROUND AND PURPOSE:The National Institutes of Health Stroke Scale (NIHSS) is the gold standard to assess patients with acute stroke. We aimed to examine the feasibility and reliability of prehospital real-time cellular video phone (VP) in performing the NIHSS. METHODS:Forty physicians prospectively performed a sim...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.600296

    authors: Gonzalez MA,Hanna N,Rodrigo ME,Satler LF,Waksman R

    更新日期:2011-06-01 00:00:00

  • Diffusion- and perfusion-weighted MRI patterns in borderzone infarcts.

    abstract:BACKGROUND AND PURPOSE:The pathophysiology of borderzone infarcts is not well understood. We investigated whether combined diffusion-weighted imaging (DWI) and perfusion-weighted imaging (PWI) could identify pathophysiologically meaningful categories of borderzone infarcts. METHODS:Seventeen patients with borderzone i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.31.5.1090

    authors: Chaves CJ,Silver B,Schlaug G,Dashe J,Caplan LR,Warach S

    更新日期:2000-05-01 00:00:00

  • Controlled contrast transcranial Doppler and arterial blood gas analysis to quantify shunt through patent foramen ovale.

    abstract:BACKGROUND AND PURPOSE:A right-to-left shunt can be identified by contrast transcranial Doppler ultrasonography (c-TCD) at rest and/or after a Valsalva maneuver (VM) or by arterial blood gas (ABG) measurement. We assessed the influence of controlled strain pressures and durations during VM on the right-to-left passage ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000119384.28376.EB

    authors: Devuyst G,Piechowski-Józwiak B,Karapanayiotides T,Fitting JW,Kémeny V,Hirt L,Urbano LA,Arnold P,van Melle G,Despland PA,Bogousslavsky J

    更新日期:2004-04-01 00:00:00

  • Interleukin-6 promoter polymorphism modulates the effects of heavy alcohol consumption on early carotid artery atherosclerosis: the Carotid Atherosclerosis Progression Study (CAPS).

    abstract:BACKGROUND AND PURPOSE:A J-shaped relationship has been demonstrated between alcohol and both clinical cardiovascular events and carotid atherosclerosis. A similar J-shaped relationship has been found between alcohol intake and inflammatory markers. If inflammation were on the intermediate causal pathway between alcoho...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.0000053849.09308.b2

    authors: Jerrard-Dunne P,Sitzer M,Risley P,Steckel DA,Buehler A,von Kegler S,Markus HS,Carotid Atherosclerosis Progression Study.

    更新日期:2003-02-01 00:00:00

  • Better Collaterals Are Independently Associated With Post-Thrombolysis Recanalization Before Thrombectomy.

    abstract::Background and Purpose- In acute stroke patients with large vessel occlusion, the goal of intravenous thrombolysis (IVT) is to achieve early recanalization (ER). Apart from occlusion site and thrombus length, predictors of early post-IVT recanalization are poorly known. Better collaterals might also facilitate ER, for...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.022815

    authors: Seners P,Roca P,Legrand L,Turc G,Cottier JP,Cho TH,Arquizan C,Bracard S,Ozsancak C,Ben Hassen W,Naggara O,Lion S,Debiais S,Berthezene Y,Costalat V,Richard S,Magni C,Mas JL,Baron JC,Oppenheim C

    更新日期:2019-04-01 00:00:00

  • Characteristics of blood pressure profiles as predictors of long-term outcome after acute ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:Most patients have elevated blood pressure (BP) in the early phase after an acute ischemic stroke. Mechanism and effects of this BP elevation are not well understood. The benefits of intervention by lowering the initial BP or waiting for spontaneous return to normal values remain debated. We stud...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.STR.0000189998.74892.24

    authors: Yong M,Diener HC,Kaste M,Mau J

    更新日期:2005-12-01 00:00:00

  • Stroke rehabilitation outcome: impact of coronary artery disease.

    abstract::The frequency of clinically significant coronary artery disease (CAD) among stroke patients and the impact of CAD on stroke rehabilitation were studied in 132 patients with first thrombotic or embolic stroke who participated in comprehensive rehabilitation. Sixty-one patients (46%) had a history of CAD, and 16 of the ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.1.42

    authors: Roth EJ,Mueller K,Green D

    更新日期:1988-01-01 00:00:00

  • Recovery of upper limb function after cerebellar stroke: lesion symptom mapping and arm kinematics.

    abstract:BACKGROUND AND PURPOSE:Loss of movement coordination is the main postacute symptom after cerebellar infarction. Although the course of motor recovery has been described previously, detailed kinematic descriptions of acute stage ataxia are rare and no attempt has been made to link improvements in motor function to measu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.583641

    authors: Konczak J,Pierscianek D,Hirsiger S,Bultmann U,Schoch B,Gizewski ER,Timmann D,Maschke M,Frings M

    更新日期:2010-10-01 00:00:00

  • Reduction in distal emboli with proximal flow control during mechanical thrombectomy: a quantitative in vitro study.

    abstract:BACKGROUND AND PURPOSE:To evaluate the impact of proximal flow control on efficacy and safety of mechanical thrombectomy in an in vitro middle cerebral artery occlusion. METHODS:Three independent variables, including clot type, device (Merci Retriever, Solitaire FR, and Trevo devices), and use of a balloon guide cathe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.670463

    authors: Chueh JY,Kühn AL,Puri AS,Wilson SD,Wakhloo AK,Gounis MJ

    更新日期:2013-05-01 00:00:00

  • Iron Overload Exacerbates the Risk of Hemorrhagic Transformation After tPA (Tissue-Type Plasminogen Activator) Administration in Thromboembolic Stroke Mice.

    abstract::Background and Purpose- Recanalization with tPA (tissue-type plasminogen activator) is the only pharmacological therapy available for patients with ischemic stroke. However, the percentage of patients who may receive this therapy is limited by the risk of hemorrhagic transformation (HT)-the main complication of ischem...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.021540

    authors: García-Yébenes I,García-Culebras A,Peña-Martínez C,Fernández-López D,Díaz-Guzmán J,Negredo P,Avendaño C,Castellanos M,Gasull T,Dávalos A,Moro MA,Lizasoain I

    更新日期:2018-09-01 00:00:00

  • Coffee consumption and risk of stroke in women.

    abstract:BACKGROUND AND PURPOSE:Coffee consumption has been inconsistently associated with stroke incidence and mortality in previous studies. We investigated the association between coffee consumption and stroke incidence in the Swedish Mammography Cohort. METHODS:We prospectively followed of 34,670 women without a history of...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.603787

    authors: Larsson SC,Virtamo J,Wolk A

    更新日期:2011-04-01 00:00:00

  • Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral Artery (DESTINY): a randomized, controlled trial.

    abstract:BACKGROUND AND PURPOSE:Decompressive surgery (hemicraniectomy) for life-threatening massive cerebral infarction represents a controversial issue in neurocritical care medicine. We report here the 30-day mortality and 6- and 12-month functional outcomes from the DESTINY trial. METHODS:DESTINY (ISRCTN01258591) is a pros...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.107.485649

    authors: Jüttler E,Schwab S,Schmiedek P,Unterberg A,Hennerici M,Woitzik J,Witte S,Jenetzky E,Hacke W,DESTINY Study Group.

    更新日期:2007-09-01 00:00:00

  • Is diabetic retinopathy an independent risk factor for ischemic stroke?

    abstract:BACKGROUND AND PURPOSE:The relationship between diabetic retinopathy and ischemic stroke is uncertain and examined in this study. METHODS:A population-based, prospective cohort study of 1617 middle-aged persons with diabetes. Diabetic retinopathy signs were ascertained from retinal photographs, and incident ischemic s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000254547.91276.50

    authors: Cheung N,Rogers S,Couper DJ,Klein R,Sharrett AR,Wong TY

    更新日期:2007-02-01 00:00:00

  • Prolonged hypoperfusion and early stroke after transient ischemic attack.

    abstract::Many patients suffer a stroke early after a transient ischemic attack, but the reason why is often unclear. We studied 12 patients with less than 75% stenosis of the internal carotid artery and a single hemispheric transient ischemic attack lasting less than 1 hour who had a normal neurologic examination 3-13 hours la...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.21.1.40

    authors: Bogousslavsky J,Delaloye-Bischof A,Regli F,Delaloye B

    更新日期:1990-01-01 00:00:00

  • Identification of embolic stroke patterns by diffusion-weighted MRI in clinically defined lacunar stroke syndromes.

    abstract:BACKGROUND:A number of clinical syndromes describing the presentation of deep brain infarcts are called lacunar syndromes resulting from small vessel occlusion (SVO). To verify the reliability of the clinical diagnosis "lacunar syndrome," the value was investigated with diffusion-weighted MRI (DWI). METHODS AND RESULT...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000158908.48022.d7

    authors: Wessels T,Röttger C,Jauss M,Kaps M,Traupe H,Stolz E

    更新日期:2005-04-01 00:00:00

  • Alteration of intracellular metabolite diffusion in rat brain in vivo during ischemia and reperfusion.

    abstract:BACKGROUND AND PURPOSE:Diffusion-weighted MRI can demonstrate decreases of the apparent diffusion coefficient (ADC) of brain tissue water shortly after the onset of ischemia. To further elucidate underlying mechanisms, this study extended diffusion assessment to intracellular metabolites in rat brain in vivo before, du...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.10.1930

    authors: Wick M,Nagatomo Y,Prielmeier F,Frahm J

    更新日期:1995-10-01 00:00:00

  • The beta-hCG+erythropoietin in acute stroke (BETAS) study: a 3-center, single-dose, open-label, noncontrolled, phase IIa safety trial.

    abstract:BACKGROUND AND PURPOSE:Animal data suggest the use of beta-human chorionic gonadotropin followed by erythropoietin to promote brain repair after stroke. The current study directly translated these results by evaluating safety of this sequential growth factor therapy through a 3-center, single-dose, open-label, noncontr...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.109.574343

    authors: Cramer SC,Fitzpatrick C,Warren M,Hill MD,Brown D,Whitaker L,Ryckborst KJ,Plon L

    更新日期:2010-05-01 00:00:00

  • Increased vulnerability of the blood-brain barrier to experimental subarachnoid hemorrhage in spontaneously hypertensive rats.

    abstract::The influence of chronic arterial hypertension upon the permeability to albumin of the cerebral capillaries, i.e. the blood-brain barrier, was studied in normotensive Wistar and spontaneously hypertensive Wistar rats with experimental subarachnoid hemorrhage. The blood-brain barrier permeability to albumin was assesse...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.17.3.498

    authors: Dóczi T,Joó F,Sonkodi S,Adám G

    更新日期:1986-05-01 00:00:00

  • The California, ABCD, and unified ABCD2 risk scores and the presence of acute ischemic lesions on diffusion-weighted imaging in TIA patients.

    abstract:BACKGROUND AND PURPOSE:Some clinical models, like California ABCD and unified ABCD2 scores, are now available to predict the early risk of stroke after a TIA. Despite the transitivity of symptoms, DWI identified an area of acute brain ischemia in almost half of patients. It would be interesting to know how the presence...

    journal_title:Stroke

    pub_type: 信件

    doi:10.1161/STROKEAHA.108.537969

    authors: Purroy F,Begué R,Quílez A,Piñol-Ripoll G,Sanahuja J,Brieva L,Setó E,Gil MI

    更新日期:2009-06-01 00:00:00

  • Lung function as a risk factor for subarachnoid hemorrhage: a prospective cohort study.

    abstract:BACKGROUND AND PURPOSE:The etiology of subarachnoid hemorrhage (SAH) is poorly understood. Reduced lung function, expressed as low forced expiratory volume in 1 second (FEV(1)) and low forced vital capacity (FVC), is a predictor of cardiovascular disease, but whether reduced lung function is a risk factor for SAH is no...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.112.658427

    authors: Söderholm M,Zia E,Hedblad B,Engström G

    更新日期:2012-10-01 00:00:00

  • Aneurysmal subarachnoid hemorrhage in Izumo City and Shimane Prefecture of Japan. Incidence.

    abstract::During the 5-year period from 1980 to 1984, the incidence of subarachnoid hemorrhage due only to rupture of aneurysms was investigated in Izumo City, a small city with a population of 79,026. Additionally, to ascertain the relation of incidence to the size of the geographic area and/or population, a similar analysis w...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.2.170

    authors: Inagawa T,Ishikawa S,Aoki H,Takahashi M,Yoshimoto H

    更新日期:1988-02-01 00:00:00

  • Safety of thrombolysis in patients with acute ischemic stroke and cerebral cavernous malformations.

    abstract:BACKGROUND AND PURPOSE:Data on safety of intravenous thrombolysis with recombinant tissue-type plasminogen activator for acute ischemic stroke in patients with coexisting cerebral cavernous malformations (CCMs) are scarce. We assessed the risk of thrombolysis-associated hemorrhage in these patients. METHODS:We searche...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.113.004559

    authors: Erdur H,Scheitz JF,Tütüncü S,Fiebach JB,Endres M,Werring DJ,Nolte CH

    更新日期:2014-06-01 00:00:00

  • Fibromuscular dysplasia and the brain. I. Observations on angiographic, clinical and genetic characteristics.

    abstract::The angiographic, clinical, and genetic characteristics of fibromuscular dysplasia (FMD) are reviewed in 37 patients (mean age 48 years) selected from a pool of 4000 angiograms of carotid or vertebral arteries. FMD was a neglected pathogenic factor in 28 patients with hemorrhagic or ischemic cerebral lesions. The aneu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.13.1.46

    authors: Mettinger KL,Ericson K

    更新日期:1982-01-01 00:00:00

  • Cerebral hemodynamic evaluation using perfusion-weighted magnetic resonance imaging: comparison with positron emission tomography values in chronic occlusive carotid disease.

    abstract:BACKGROUND AND PURPOSE:Perfusion-weighted magnetic resonance imaging (PWI) is a reliable and semiquantitative method for estimating cerebral hemodynamics. We sought to evaluate the potential of PWI for assessing cerebral blood flow (CBF) and metabolism compared with positron emission tomography (PET) in patients with c...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.STR.0000076014.60026.45

    authors: Kajimoto K,Moriwaki H,Yamada N,Hayashida K,Kobayashi J,Miyashita K,Naritomi H

    更新日期:2003-07-01 00:00:00