Assessment of functioning using the WHODAS 2.0 among people with stroke in Taiwan: A 4-year follow-up study - 14/12/21
, Chia-Man Kao a, 1 , Kwang-Hwa Chang c, d, e , Chia-Feng Yen f , Hua-Fang Liao g, h , Wen-Chou Chi i , Wen-Kuei Chung e , Tsan-Hon Liou c, g, ⁎
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Highlights |
• | The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a suitable tool for assessing function in individuals after stroke. |
• | Individuals with stroke showed improvements in WHODAS 2.0 domains over the 4-year period. |
• | Younger patients (< 65 years) tended to show significantly better outcomes and institutionalized individuals tended to show significant and considerable deterioration in all WHODAS 2.0 domains over the 4-year follow-up. |
Abstract |
Background |
Stroke is a leading cause of long-term disability and is considered a major global health burden.
Objectives |
We aimed to explore the 4-year changes in disability among patients with stroke under the existing health care system in Taiwan.
Methods |
We used the “Taiwan Data Bank of Persons with Disability” (TDPD), which collects data on candidates nationwide who want to apply for government benefits or social welfare. We included adults>18 years with stroke who were registered between July 11, 2012 and October 31, 2018. This was a longitudinal follow-up study with 2 times of assessments. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was used to evaluate function initially and at 4-year follow-up. Generalized estimating equations (GEE) were used to analyse changes in disability over 4 years and interaction effects.
Results |
A total of 3506 participants (2080 men) with mean age 62.2 (12.5) years and followed up for more than 4 years were included. Generally, participants with stroke showed improved function over the 4 years. Domain scores of mobility, participation, life activities, and overall score significant improved from 55.9 to 54.3, 53.0 to 43.6, 70.9 to 67.4, and 49.8 to 47.3, respectively (P<0.05). With respect to upper- and lower-limb motor deficiency, participants who required assistance or who were dependent showed significant improvement (P<0.05) in most of the WHODAS 2.0 domains except cognition. Younger patients (<65 years) tended to have significantly better outcomes, and institutionalized residents tended to show a significant and considerable deterioration in all WHODAS 2.0 domains.
Conclusion |
Participants with stroke showed an improvement in levels of functioning, specifically in mobility, participation, and life activities, over 4 years of follow-up.
Le texte complet de cet article est disponible en PDF.Keywords : Stroke, WHODAS 2.0, Follow-up
Plan
Vol 64 - N° 6
Article 101442- novembre 2021 Retour au numéro
Article précédent
- Care transitions in the first 6 months following traumatic brain injury: Lessons from the CENTER-TBI study
- Ida M.H. Borgen, Cecilie Røe, Cathrine Brunborg, Olli Tenovuo, Philippe Azouvi, Helen Dawes, Marek Majdan, Jukka Ranta, Martin Rusnak, Eveline J.A. Wiegers, Cathrine Tverdal, Louis Jacob, Mélanie Cogné, Nicole von Steinbuechel, Nada Andelic, CENTER-TBI participants investigators
- Hospitalised traumatic brain injury victims in France: An analysis of the French hospital discharge database for 2011–2016
- Louis-Marie Paget, Francis Chin, Nathalie Beltzer
Bienvenue sur EM-consulte, la référence des professionnels de santé.