Consequences of stroke in community-dwelling elderly: the health and retirement study, 1998 to 2008.

TitleConsequences of stroke in community-dwelling elderly: the health and retirement study, 1998 to 2008.
Publication TypeJournal Article
Year of Publication2011
AuthorsDivani, AA, Majidi, S, Barrett, AM, Noorbaloochi, S, Luft, AR
JournalStroke
Volume42
Issue7
Pagination1821-5
Date Published2011 Jul
ISSN Number1524-4628
KeywordsActivities of Daily Living, Aged, Case-Control Studies, Cohort Studies, Comorbidity, Female, Geriatrics, Humans, Male, Quality of Life, Retirement, Risk, Social Environment, Stroke
Abstract

<p><b>BACKGROUND AND PURPOSE: </b>Stroke survivors are at risk of developing comorbidities that further reduce their quality of life. The purpose of this study was to determine the risk of developing a secondary health problem after stroke.</p><p><b>METHODS: </b>We performed a case-control analysis using 6 biennial interview waves (1998 to 2008) of the Health and Retirement Study. We compared 631 noninstitutionalized individuals who had a single stroke with 631 control subjects matched for age, gender, and interview wave. We studied sleep problems, urinary incontinence, motor impairment, falls, and memory deficits among the 2 groups.</p><p><b>RESULTS: </b>Stroke survivors frequently developed new or worsened motor impairment (33%), sleep problems (up to 33%), falls (30%), urinary incontinence (19%), and memory deficits (9%). As compared with control subjects, the risk of developing a secondary health problem was highest for memory deficits (OR, 2.45; 95% CI, 1.34 to 4.46) followed by urinary incontinence (OR, 1.86; 95% CI, 1.31 to 2.66), motor impairment (OR, 1.61; 95% CI, 1.16 to 2.24), falls (OR, 1.5; 95% CI, 1.12 to 2.0), and sleep disturbances (OR, 1.49; 95% CI, 1.09 to 2.03). In contrast, stroke survivors were not more likely to injure themselves during a fall (OR, 1.14; 95% CI, 0.72 to 1.79). After adjusting for cardiovascular risk factors, social status, psychiatric symptoms, and pain, the risks of falling or developing sleep problems were not different from the control subjects.</p><p><b>CONCLUSIONS: </b>The risk of developing a secondary health problem that can impact daily life is markedly increased after stroke. A better understanding of frequencies and risks for secondary health problems after stroke is necessary for designing better preventive and rehabilitation strategies.</p>

Notes

Divani, Afshin A Majidi, Shahram Barrett, Anna M Noorbaloochi, Siamak Luft, Andreas R K24 HD062647-01/HD/NICHD NIH HHS/United States K24 HD062647-02/HD/NICHD NIH HHS/United States K24HD062647/HD/NICHD NIH HHS/United States R01 NS055808/NS/NINDS NIH HHS/United States R01 NS055808-01A2/NS/NINDS NIH HHS/United States R01 NS055808-02/NS/NINDS NIH HHS/United States R01 NS055808-03/NS/NINDS NIH HHS/United States R01 NS055808-04/NS/NINDS NIH HHS/United States Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't United States Stroke; a journal of cerebral circulation Nihms297056 Stroke. 2011 Jul;42(7):1821-5. Epub 2011 May 19.

DOI10.1161/STROKEAHA.110.607630
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/21597018?dopt=Abstract

Endnote Keywords

Activities of Daily Living/Case-Control Studies/Case-Control Studies/Cohort Studies/Comorbidity/Female/Geriatrics/methods/Geriatrics/methods/Humans/Quality of Life/Retirement/Social Environment/Stroke/ complications/ epidemiology/Stroke/ complications/ epidemiology

Endnote ID

62750

Alternate JournalStroke
Citation Key7646
PubMed ID21597018
PubMed Central IDPMC3125444
Grant ListR01 NS055808-03 / NS / NINDS NIH HHS / United States
R01 NS055808-01A2 / NS / NINDS NIH HHS / United States
R01 NS055808-02 / NS / NINDS NIH HHS / United States
K24HD062647 / HD / NICHD NIH HHS / United States
R01 NS055808 / NS / NINDS NIH HHS / United States
K24 HD062647 / HD / NICHD NIH HHS / United States
K24 HD062647-01 / HD / NICHD NIH HHS / United States
R01 NS055808-04 / NS / NINDS NIH HHS / United States