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. 2024 Jul-Aug;28(4):101087.
doi: 10.1016/j.bjpt.2024.101087. Epub 2024 Jun 22.

Acute predictors of self-rated health in individuals with stroke at 3 and 12 months after hospital discharge

Camila Lima Gervásio Mendes  1 , Kênia Kiefer Parreiras de Menezes  1 , Nathália Aparecida Gravito Rodrigues  2 , Janaine Cunha Polese  3 , Iza de Faria-Fortini  4 , Christina Danielli Coelho de Morais Faria  5
Affiliations

Acute predictors of self-rated health in individuals with stroke at 3 and 12 months after hospital discharge

Camila Lima Gervásio Mendes et al. Braz J Phys Ther. 2024 Jul-Aug.

Abstract

Background: Self-rated health (SRH) is the perception of an individual regarding their health and an indicator of health status. Identifying predictors of SRH allows the selection of evidence-based interventions that mitigate factors leading to poor SRH and the identification of individuals at risk of worse SRH.

Objective: To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.

Methods: A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions ("In general, how would you say your health is?" and "Compared to a year ago, how would you rate your general health now?"). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.

Results: Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.

Conclusions: At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.

Keywords: Cerebrovascular disorders; Health; Health status; Longitudinal studies; Perceived health; Predictors; Rehabilitation.

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Conflict of interest statement

Conflicts of interest The authors declare no conflicts of interest.

Figures

Fig 1
Fig. 1
Flow of the participants thorughout the study.
See this image and copyright information in PMC

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