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Long-term performance of instrumental activities of daily living (IADL) in young and middle-aged stroke survivors: Results from SAHLSIS outcome

Artikel i vetenskaplig tidskrift
Författare Charlotte Blomgren
Katarina Jood
Christina Jern
Lukas Holmegaard
Petra Redfors
Christian Blomstrand
Lisbeth Claesson
Publicerad i Scandinavian Journal of Occupational Therapy
Volym 25
Nummer/häfte 2
Sidor 119-126
ISSN 1103-8128
Publiceringsår 2018
Publicerad vid Institutionen för neurovetenskap och fysiologi
Institutionen för biomedicin
Sidor 119-126
Språk en
Länkar dx.doi.org/10.1080/11038128.2017.13...
Ämnesord ADL, cerebrovascular disorders, cohort study
Ämneskategorier Hälsovetenskaper, Arbetsterapi

Sammanfattning

Background: Although stroke prevalence is increasing and large proportions of stroke survivors are expected to live many years after stroke onset, research on the long-term consequences of stroke for instrumental activities of daily living (IADL) is limited. Aim: To explore performance of IADL seven years post-stroke onset and identify predictors of long-term IADL performance based on commonly employed acute measures and demographic characteristics in young and middle-aged stroke survivors. Methods: Data on stroke survivors were collected from SAHLSIS. IADL performance was assessed at 7 years using the Frenchay Activities Index (FAI). Demographic data and baseline measures were assessed as predictors of FAI outcome, using logistic regression. Results: 237 stroke survivors with a median age of 63 at follow-up were included. Participants had predominantly suffered a mild stroke and > 90% lived at home with no community services. Mean FAI was 25.7(score range 0-45), indicating reduced levels of participation in IADL. Frequency of performance of IADL was lowest for work/leisure activities. Gender, cohabitation status, initial stroke severity and baseline score on mRS were independently associated with IADL outcome. Conclusions: Reduced levels of participation in IADL persist many years after stroke onset and indicate a need to adapt a long-term perspective on stroke rehabilitation.

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