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15-07-2019

Disabled life expectancy with and without stroke: a 10-year Japanese prospective cohort study

Auteurs: Chi-Tsun Chiu, Vanessa Yong, Hsiao-Wen Chen, Yasuhiko Saito

Gepubliceerd in: Quality of Life Research | Uitgave 11/2019

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Abstract

Purpose

A stroke is a debilitating condition that can cause lifelong disability, severely limiting the ability of individuals to perform daily activities. In Japan, strokes are the fourth leading cause of death; however, no previous studies have examined the influence of strokes on a disabled or disability-free life for older Japanese residents. This study aims to address this gap.

Methods

The study used data from the Nihon University Japanese Longitudinal Study of Aging (NUJLSOA) and incidence-based multistate life tables to estimate disabled and disability-free life expectancy based on the stroke status of Japanese residents aged 65 and older.

Results

Japanese stroke survivors aged 65 who experienced an initial disability-free state could expect to live approximately 3 fewer total years of life, 4–5 fewer years in a disability-free state, and 1–2 more years in a disabled state compared to those without history of a stroke (p < 0.05). For those disabled at the beginning of the survey interval, the differences between individuals with and without stroke history were also similar to those disability-free at the beginning of the survey interval (2–4 and 5–6 fewer total and disability-free years, respectively) (p < 0.05). The same pattern was observed for older age groups.

Conclusion

Older adults who have experienced a stroke could experience a shorter total life expectancy, shorter disability-free life expectancy, and longer disabled life expectancy than those who have not experienced a stroke. These results can inform policymakers and rehabilitation practitioners on stroke survivor long-term care needs and their post-stroke health status.
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Metagegevens
Titel
Disabled life expectancy with and without stroke: a 10-year Japanese prospective cohort study
Auteurs
Chi-Tsun Chiu
Vanessa Yong
Hsiao-Wen Chen
Yasuhiko Saito
Publicatiedatum
15-07-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02246-1