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Health related quality of life and satisfaction with care of stroke patients in Budapest: A substudy of the EuroHOPE project

Author

Listed:
  • Ildikó Szőcs
  • Balázs Dobi
  • Judit Lám
  • Károly Orbán-Kis
  • Unto Häkkinen
  • Éva Belicza
  • Dániel Bereczki
  • Ildikó Vastagh

Abstract

Background: Disadvantaged socioeconomic status is associated with higher stroke incidence and mortality, and higher readmission rate. We aimed to assess the effect of socioeconomic factors on case fatality, health related quality of life (HRQoL), and satisfaction with care of stroke survivors in the framework of the European Health Care Outcomes, Performance and Efficiency (EuroHOPE) study in Hungary, one of the leading countries regarding stroke mortality. Methods: We evaluated 200 consecutive patients admitted for first-ever ischemic stroke in a single center and performed a follow-up at 3 months after stroke. We recorded pre- and post-stroke socioeconomic factors, and assessed case fatality, HRQoL and patient satisfaction with the care received. Stroke severity at onset was scored by the National Institutes of Health Stroke scale (NIHSS), disability at discharge from acute care was evaluated by the modified Rankin Score (mRS). To evaluate HRQoL and patient satisfaction with care we used the EQ-5D-5L, 15D and EORTC IN PATSAT 32 questionnaires. Results: At 3 months after stroke the odds of death was significantly increased by stroke severity (NIHSS, OR = 1.209, 95%CI: 1.125–1.299, p

Suggested Citation

  • Ildikó Szőcs & Balázs Dobi & Judit Lám & Károly Orbán-Kis & Unto Häkkinen & Éva Belicza & Dániel Bereczki & Ildikó Vastagh, 2020. "Health related quality of life and satisfaction with care of stroke patients in Budapest: A substudy of the EuroHOPE project," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-22, October.
    • Handle: RePEc:plo:pone00:0241059
    DOI: 10.1371/journal.pone.0241059
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    References listed on IDEAS

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    2. Häkkinen, Unto & Iversen, Tor & Peltola, Mikko & Seppälä, Timo T. & Malmivaara, Antti & Belicza, Éva & Fattore, Giovanni & Numerato, Dino & Heijink, Richard & Medin, Emma & Rehnberg, Clas, 2013. "Health care performance comparison using a disease-based approach: The EuroHOPE project," Health Policy, Elsevier, vol. 112(1), pages 100-109.
    3. Ildikó Szőcs & Dániel Bereczki & András Ajtay & Ferenc Oberfrank & Ildikó Vastagh, 2019. "Socioeconomic gap between neighborhoods of Budapest: Striking impact on stroke and possible explanations," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-19, February.
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