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. 2019 Sep 7;19(1):221.
doi: 10.1186/s12883-019-1448-6.

Self-rated health after stroke: a systematic review of the literature

Érika de Freitas Araújo  1 , Ramon Távora Viana  1   2 , Luci Fuscaldi Teixeira-Salmela  3 , Lidiane Andrea Oliveira Lima  2 , Christina Danielli Coelho de Morais Faria  4
Affiliations

Self-rated health after stroke: a systematic review of the literature

Érika de Freitas Araújo et al. BMC Neurol. .

Abstract

Background: Self-rated health (SRH) allows for comparison and identification of the health status of various populations. The aim of this study was to conduct a systematic review of the literature to expand the understanding of SRH after stroke.

Methods: This systematic review was registered with PROSPERO (CRD42017056194) and conducted according to PRISMA guidelines. Studies published until December 2018 that evaluated the SRH of adults with stroke were included.

Results: Of the 2132 identified studies, 51 were included. Only four studies had experimental designs (7.8%). In 60.7% of the studies, SRH was assessed by variations on direct questions (i.e., general and comparative SRH). Analog visual scales and quality of life instruments were also used to evaluate SRH, but there is no consensus regarding whether they are appropriate for this purpose. The results of cross-sectional and longitudinal studies revealed significant associations between poor SRH and stroke as well as between SRH, function, and disability. The power of SRH to predict stroke mortality is still uncertain. Two interventions (a home-based psychoeducational program concerning stroke health care and family involvement in functional rehabilitation) effectively improved SRH.

Conclusions: Direct questions are the most common method of evaluating SRH after stroke. Studies reported significant associations between the SRH of individuals with stroke and several relevant health outcomes. However, few experimental studies have evaluated SRH after stroke. Interventions involving health education and family involvement had a significant impact on SRH.

Keywords: Cerebrovascular disorders; Health status; Perceived health; Review; Self-assessment; Self-rated health; Stroke.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow diagram of the study selection process. Adapted PRISMA flow diagram (2009). LILACS = Latin American & Caribbean Health Sciences Literature, MEDLINE = Medical Literature Analysis and Retrieval System Online, n = number of studies, PEDro = Physiotherapy Evidence Database, SCIELO = Scientific Electronic Library Online, WHO = World Health Organization
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