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Title: Handicap 5 years after stroke in the North East Melbourne Stroke Incidence Study
Authors: Sturm, Jonathan
Gall, S.L.
Dewey, H.M.
Macdonell, R.A.
Thrift, A.G.
Keywords: Neurology;Stroke
Year: 2009
Citation: Volume 27, Issue 2, pp. 123 - 130
Abstract: BACKGROUND: Handicap is rarely comprehensively examined after stroke. We examined handicap among 5-year stroke survivors from an 'ideal' stroke incidence study. METHODS: Survivors were assessed with the London Handicap Scale [LHS, score range: 0 (greatest handicap) to 100 (least handicap)]. Multivariable regression was used to examine demographic, risk and stroke-related factors associated with handicap. RESULTS: 351 of 441 (80%) survivors were assessed. Those assessed were more often Australian born than those not assessed (p < 0.05). The mean LHS score was 73 (SD = 21). The greatest handicap was present for physical independence and occupation/leisure items. Handicap was associated with older age, manual occupations, smoking, initial stroke severity, recurrent stroke and mood disorders. CONCLUSION: Reducing recurrent stroke, through better risk factor management, is likely to reduce handicap. The association between handicap and mood disorders, which are potentially modifiable, warrants further investigation.
ISSN: 1421-9786
DOI: 10.1159/000177919
Journal Title: Cerebrovascular Diseases
Appears in Collections:Neurology

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