Impact of a stroke care pathway on self-perceived health 3 months after stroke.

IF 2.3 4区医学 Q1 REHABILITATION Journal of Rehabilitation Medicine Pub Date : 2025-02-18 DOI:10.2340/jrm.v57.42443

Elin Bergh, Torunn Askim, Ole Morten Rønning, Stian Lydersen, Bente Thommessen

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Abstract

Background: A national stroke care pathway aiming at reducing time delays in stroke care was implemented in Norway in 2018. This study aimed to investigate the impact of goal attainment in the pre- and intrahospital care pathway on self-perceived health 3 months after stroke.

Methods: Data from the Norwegian Stroke Register (NSR) from 2019 were used. Patients were classified into attainment or non-attainment groups, depending on goal achievement of the SCP. Linear regression analyses were used to assess a possible association between goal attainment and self-perceived health evaluated by EQ-5D-5L and EQ-VAS at 3 months post-stroke.

Results: Among 4,133 included patients, 908 (22%) were included in the attainment group. We found no effect of goal attainment upon mean EQ-5D-5L. However, when adjusting for stroke severity, attaining the SCP was significantly associated with self-perceived health.

Conclusion: In this study, with a cohort of patients with mild to moderate strokes, we found no association between attaining goals of the stroke care pathway and self-perceived health. However, stroke severity might have acted as a suppressor variable underscoring the importance of stroke severity for self-perceived health.

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卒中护理途径对卒中后3个月自我感知健康的影响。

背景：2018年，挪威实施了一项旨在减少卒中护理延误的国家卒中护理途径。本研究旨在探讨院前及院内护理途径的目标达成对脑卒中后3个月自我感知健康的影响。方法：使用2019年挪威卒中登记（NSR）的数据。根据SCP的目标实现情况，将患者分为达到或未达到两组。采用线性回归分析评估目标实现与卒中后3个月EQ-5D-5L和EQ-VAS评估的自我感知健康之间可能存在的关联。结果：纳入的4133例患者中，908例（22%）纳入达标组。我们发现目标达成对平均EQ-5D-5L没有影响。然而，当调整中风严重程度时，获得SCP与自我感知健康显著相关。结论：在这项研究中，我们对一组轻中度中风患者进行了研究，发现卒中护理途径目标的实现与自我感知健康之间没有关联。然而，中风严重程度可能是一个抑制变量，强调中风严重程度对自我感知健康的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.