Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Prevalence of Worsening Problems Using Post-stroke Checklist and Associations with Quality of Life in Patients with Stroke

Version 1 : Received: 19 August 2019 / Approved: 20 August 2019 / Online: 20 August 2019 (10:26:42 CEST)
Version 2 : Received: 24 August 2019 / Approved: 26 August 2019 / Online: 26 August 2019 (12:21:22 CEST)

A peer-reviewed article of this Preprint also exists.

Journal reference: Journal of Stroke and Cerebrovascular Disease 2020
DOI: 10.1016/j.jstrokecerebrovasdis.2020.105406


Background: This study investigated the prevalence of worsening problems using Post Stroke Checklist (PSC) at 3, 6, and 12 months post-stroke and their associations with health-related quality of life. Methods: In stroke patients admitted between June 2014 and December 2015, PSC and EuroQol-5Dthree level (EQ-5D-3L) were assessed at post-stroke 3 (n=181), 6 (n=175), and 12months (n=89). The prevalence of worsening problems and its association withEQ-5D-3L at post-stroke 3 and 6months were analyzed. Results: An average of 0.59 (range 0–12), 1.47 (range 0–12), and 1.00 (range 0–10) worsening problems per patient was identified at 3, 6, and 12months after stroke, respectively. The most frequently and continuously identified worsening problems were mood disturbances (reported by 8.8%, 16.0% and13.5% of patients at 3, 6, and 12 months post-stroke, respectively). Worsening mobility was significantly associated with worse EQ-5D index at post-stroke 3 months (β,-0.583; 95% CI, -1.045 to -0.120). The worsening of mobility and communication was significantly associated with worse EQ-5D index at post-stroke 6 months (mobility: β,-0.170; 95% CI, -0.305 to -0.034, communication: β,-0.164; 95% CI, -0.309 to -0.020). Conclusions: PSC may be useful for the detection of various subjective worsening problems during serial clinical follow-up after stroke. Appropriate rehabilitation and management strategy to solve the identified problems could improve the quality of life in stroke survivors.


Rehabilitation, Stroke, Long-term care, Quality of life, Post-stroke checklist, Unmet needs

Comments (1)

Comment 1
Received: 26 August 2019
Commenter: Won-Seok Kim
Commenter's Conflict of Interests: Author
Comment: Figure 2 is changed to represent the real prevalence. The figure 2 in the first version represents the percentage of each worsening problems among the subjects who responded yes for any PSC items. Therefore it was not the prevalence. The figure 2 in the first version was used by the mistake. As the readers can read in the first version, the number for mood worsening prevalence described in the abstract or results section did not match with the figure 2 in the first version. The authors want to fix this error in the second version.
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