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MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study

Amber E. Corrigan, Ben Carter, Alexander Smith Orcid Logo, Anna Pennington, Jonathan Hewitt

BMC Neurology, Volume: 22, Issue: 1

Swansea University Author: Alexander Smith Orcid Logo

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DOI (Published version): 10.1186/s12883-022-02634-0

Abstract

Background and PurposeThe use of patient reported outcomes measures (PROMs) may offer utility that are important for stroke survivors. This study assessed the PROMIS-10, which contains Mental health (MH) and Physical Health (PH) domains, with an additional five stroke specific questions. The aim of...

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Published in: BMC Neurology
ISSN: 1471-2377
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa67741
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spelling v2 67741 2024-09-19 MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study a7a45e9adb57476de1eb1ae5613d2098 0000-0001-9656-6751 Alexander Smith Alexander Smith true false 2024-09-19 HSOC Background and PurposeThe use of patient reported outcomes measures (PROMs) may offer utility that are important for stroke survivors. This study assessed the PROMIS-10, which contains Mental health (MH) and Physical Health (PH) domains, with an additional five stroke specific questions. The aim of this study was to evaluate the association between the MH and PH measures following a stroke and pre-existing health conditions.MethodsA multicentre prospective cohort study at 19 hospital sites across England and Wales during 2019 was conducted. The association between each PROMIS-10 domain and demographic and health conditions were calculated using a multilevel multivariable linear and present the adjusted mean difference (aMD).ResultsThe study enrolled 549 stroke survivors within 14 days of the index event, 232 were women (42.3%) and with a mean age of 72.7 years (SD = 12.9, range 25 to 97). The MH domain was scored as poor in 3.9% of participants, and very good or excellent in almost a half (48.4%). In contrast the PH domain was scored as poor in 39.9%, compared to very good or excellent in 8.5%. The MH domain was associated with pre-existing diabetes (aMD = − 2.01; 95%CI -3.91, − 0.12; p = 0.04), previous stroke (aMD = − 3.62; 95%CI -5.86, − 1.39; p = 0.001), age (aMD = 0.07; 95%CI: 0.01, 0.14; p = 0.037), and female sex (aMD = 1.91; 95%CI 0.28, 3.54; p = 0.022). The PH domain was found to be associated with sex (female) (aMD = 2.09; 95%CI 0.54, 3.65; p = 0.008) and previous stroke (aMD = − 3.05; 95%CI -5.17, − 0.93; p = 0.005).ConclusionsAlmost half of stroke survivors reported poor PH using a PROM with less reporting poor MH. age, and sex were associated with both MH and PH domains, and additionally pre-exising diabetes and stroke were associated with poorer MH. Clinical management offers an opportunity to investigate and intervene to prevent long term poorer health in stroke survivors. Journal Article BMC Neurology 22 1 Springer Science and Business Media LLC 1471-2377 Morbidity; Patient reported outcome; PROM; Stroke 20 4 2022 2022-04-20 10.1186/s12883-022-02634-0 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee 2024-10-21T16:51:10.0855983 2024-09-19T15:18:32.7788476 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Therapies Amber E. Corrigan 1 Ben Carter 2 Alexander Smith 0000-0001-9656-6751 3 Anna Pennington 4 Jonathan Hewitt 5 67741__32669__5349eb05ee6c4cce8adb16b6996a8f0b.pdf 67741.VoR.pdf 2024-10-21T16:50:24.2248701 Output 746270 application/pdf Version of Record true © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
spellingShingle MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
Alexander Smith
title_short MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
title_full MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
title_fullStr MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
title_full_unstemmed MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
title_sort MORe PREcISE: a multicentre prospective study of patient reported outcome measures in stroke morbidity: a cross sectional study
author_id_str_mv a7a45e9adb57476de1eb1ae5613d2098
author_id_fullname_str_mv a7a45e9adb57476de1eb1ae5613d2098_***_Alexander Smith
author Alexander Smith
author2 Amber E. Corrigan
Ben Carter
Alexander Smith
Anna Pennington
Jonathan Hewitt
format Journal article
container_title BMC Neurology
container_volume 22
container_issue 1
publishDate 2022
institution Swansea University
issn 1471-2377
doi_str_mv 10.1186/s12883-022-02634-0
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Therapies{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Therapies
document_store_str 1
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description Background and PurposeThe use of patient reported outcomes measures (PROMs) may offer utility that are important for stroke survivors. This study assessed the PROMIS-10, which contains Mental health (MH) and Physical Health (PH) domains, with an additional five stroke specific questions. The aim of this study was to evaluate the association between the MH and PH measures following a stroke and pre-existing health conditions.MethodsA multicentre prospective cohort study at 19 hospital sites across England and Wales during 2019 was conducted. The association between each PROMIS-10 domain and demographic and health conditions were calculated using a multilevel multivariable linear and present the adjusted mean difference (aMD).ResultsThe study enrolled 549 stroke survivors within 14 days of the index event, 232 were women (42.3%) and with a mean age of 72.7 years (SD = 12.9, range 25 to 97). The MH domain was scored as poor in 3.9% of participants, and very good or excellent in almost a half (48.4%). In contrast the PH domain was scored as poor in 39.9%, compared to very good or excellent in 8.5%. The MH domain was associated with pre-existing diabetes (aMD = − 2.01; 95%CI -3.91, − 0.12; p = 0.04), previous stroke (aMD = − 3.62; 95%CI -5.86, − 1.39; p = 0.001), age (aMD = 0.07; 95%CI: 0.01, 0.14; p = 0.037), and female sex (aMD = 1.91; 95%CI 0.28, 3.54; p = 0.022). The PH domain was found to be associated with sex (female) (aMD = 2.09; 95%CI 0.54, 3.65; p = 0.008) and previous stroke (aMD = − 3.05; 95%CI -5.17, − 0.93; p = 0.005).ConclusionsAlmost half of stroke survivors reported poor PH using a PROM with less reporting poor MH. age, and sex were associated with both MH and PH domains, and additionally pre-exising diabetes and stroke were associated with poorer MH. Clinical management offers an opportunity to investigate and intervene to prevent long term poorer health in stroke survivors.
published_date 2022-04-20T16:51:08Z
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