| 제목 |
Prevalence of OA and health-related QoL in stroke patients: a cross-sectional study using KNAHNES |
| 소속 |
Ajou University Hospital, Department of Rehabilitation Medicine1, Jeju National University Hospital, Department of Rehabilitation Medicine2 |
| 저자 |
Kiyong KIM 1*, Beomsu Kim2, Su Jong Lee2, Kil-Yong Jeong1, Hyun Jung Lee2† |
Prevalence of osteoarthritis and health-related quality of life in stroke patients: a cross-sectional study using Korean National Health and Nutrition Examination Survey VII
Background>
The purpose of this study was to analyze the risk factors affecting the prevalence of osteoarthritis and the health - related quality of life (HRQoL) of stroke patients from various angles, including demographic factors, socioeconomic factors, comorbidities, and lifestyle factors.
Methods>
A total of 13,959 patients ≥ 40 years of age (stroke group n = 416, non-stroke group n = 13,535) were identified from the 2016–2018 Korean National Health and Nutrition Examination Survey for analysis. The European quality of life - 5 dimensions questionnaire (EQ-5D) was used to compare the differences in stroke patient’s HRQoL according to the presence or absence of osteoarthritis. Multiple regression analysis was performed to determine the factors affecting the HRQoL of the stroke group.
Results>
The prevalence of osteoarthritis was 21.72% in the stroke group and 12.49 % in the non-stroke group. The prevalence of osteoarthritis in female patients who had strokes was 35.95 % and was higher than that of male patients who had strokes (10.23 %). The EQ-5D index was significantly higher in the stroke group with osteoarthritis (0.84 ± 0.01) than in those without osteoarthritis (0.73 ± 0.02). Factors that significantly influenced the HRQoL in the stroke group were the presence of osteoarthritis, aerobic exercise, drinking status, types of health insurance, and educational levels.
Conclusions>
The EQ-5D index difference confirmed that the HRQoL was significantly lower in stroke group with osteoarthritis. Also, stroke survivors, especially those of older age and females, are more vulnerable to osteoarthritis than the general population. Findings were taken to suggest that the active management of osteoarthritis in stroke patients are important.
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Table 1. Health-related quality of life by osteoarthritis in stroke group
Table 2. Factors influencing the health-related quality of life in stroke group
Figure 1. Flowchart of the study
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