Browse > Article
http://dx.doi.org/10.5393/JAMCH.2010.35.4.405

Factors Related to the Disability of Stroke Patients in Gyeongju, Korea  

Kang, Min-Soo (Department of Medicine, The Graduate School, Dongguk University)
Jo, Min-Woo (Department of Preventive Medicine, Ulsan University, College of Medicine)
Lim, Hyun-Sul (Department of Preventive Medicine, Dongguk University, College of Medicine)
Kim, Sang-Kyu (Department of Preventive Medicine, Dongguk University, College of Medicine)
Publication Information
Journal of agricultural medicine and community health / v.35, no.4, 2010 , pp. 405-416 More about this Journal
Abstract
Objectives: This study was conducted to evaluate factors related to the degree of disability of stroke patients in a rural community. Methods: The study subjects included 641 patients selected from 975 stroke patients over the age of 50 with brain lesion-related disabilities living in Gyeongju, Korea, an urban-rural consolidated community. The data were obtained by interviews from July to October 2008. The subjects were divided into a seriously disabled group (1st and 2nd disability grade) and mildly disabled group (3th, 4th, 5th and 6th disability grade) by degree of disability according to registered disability grade. The collected data were analyzed using the SPSS 14.0 statistical package. Results: The study subjects included 379 males (59.1%) and 262 females (40.9%), and most patients were in their 70s (256 cases, 39.9%). The seriously disabled group included 287 patients (44.8%) and the mildly disabled group included 354 persons (55.2%). Age, prehospital delayed time and number of related chronic diseases were risk factors for serious disability (p<0.05). Conclusions: Our results indicate that the degree of disability can be reduced by decreasing prehospital delayed time. We suggest that education of high risk groups and establishment of emergency services as well as a transport system for stroke patients are required to reduce the degree of disability due to stroke.
Keywords
Stroke; Cerebrovascular disorders; Disability; Emergencies;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Song YS, Lee SY. Factors Delaying Hospital Arrival Time after Stroke. Korean J Oriental Physiology & Pathology 2002; 16(5):1075-1078 (Korean)   과학기술학회마을
2 Alberts MJ, Perry A, Dawson DV, Bertels C. Effects of public and professional education on reducing the delay in presentation and referral of stroke patients. Stroke 1992;23 (3):352-356   DOI   ScienceOn
3 Jang SH, Kang PS, Lee KS, Kim SB, Yun SH. Change in Health Behaviors of Patients Before and After Stroke. Korean J of Rural Med 2002;27(1):9-19 (Korean)
4 An KE. Pre-hospital Delay and Factors Associated with Delayed Admission to Hospital in Acute Stroke Patients. Nursing Science 2002;14(1):36-47 (Korean)
5 Cho YJ, Park BJ, Yoon BW, Chung JM, Cho JH, Rho JK. Factors Related to Hospital Arrival Time of Acute Stroke Patients Who Visited Seoul National University Hospital. J Korean Neurol Assoc 1996;14(3): 696-703 (Korean)
6 Hong ST, Park HS. The Study on Hospital Arrival Time and the Aspect of Using Alternative Medicine of Acute Stroke Patients. J Korean Acad Adult Nurs 1999;11(3): 389-400 (Korean)
7 Yoo BD, Lee MG, Seo YJ, Jo J, Park CS, Lee DP. Adequacy of Siriraj Stroke Score in Differentiation of Stroke Patients. J Korean Soc Emerg Med 2000;11(4):525-529 (Korean)
8 Ryu JY, Eo EK, Kim YJ, Jung KY. Factors Associated with Delayed Arrival at the Hospital in Cases of Acute Stroke. J Korean Soc Emerg Med 2000;11(3):296-304 (Korean)
9 Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289(19):2560-2572   DOI
10 Burchfiel CM, Curb JD, Rodriguez BL, Abbott RD, Chiu D, Yano K. Glucose intolerance and 22-year stroke incidence. The Honolulu Heart Program. Stroke 1994;25(5):951-957   DOI   ScienceOn
11 Adams HP Jr, Brott TG, Furlan AJ, Gomez CR, Grotta J, Helgason CM, Kwiatkowski T, Lyden PD, Marler JR, Torner J, Feinberg W, Mayberg M, Thies W. Guidelines for thrombolytic therapy for acute stroke: a supplement to the guidelines for the management of patients with acute ischemic srtoke. Circulation 1996;94:1167-1174   DOI
12 Leppala JM, Virtamo J, Fogelholm R, Albanes D, Heinonen OP. Different risk factors for different stroke subtypes: association of blood pressure, cholesterol, and antioxidants. Stroke 1999;30(12):2535-2540   DOI   ScienceOn
13 Loh E, Sutton MS, Wun CC, Rouleau JL, Flaker GC, Gottlieb SS, Lamas GA, Moyé LA, Goldhaber SZ, Pfeffer MA. Ventricular dysfunction and the risk of stroke after myocardial infarction. N Engl J Med 1997;336(4):251-257   DOI
14 European Stroke Organisation (ESO) Executive Committee; ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack. Cerebrovasc Dis 2008;25(5):457-507   DOI
15 Azzimondi G, Bassein L, Fiorani L, Nonino F, Montaguti U, Celin D, Re G, D'Alessandro R. Variables associated with hospital arrival time after stroke: effect of delay on the clinical efficiency of early treatment. Stroke 1997;28(3):537-542   DOI   ScienceOn
16 Williams JE, Rosamond WD, Morris DL. Stroke symptom attribution and time to emergency department arrival: the delay in accessing stroke healthcare study. Acad Emerg Med 2000;7(1):93-96   DOI
17 Williams LS, Bruno A, Rouch D, Marriott DJ. Stroke patients' knowledge of stroke. Influence on time to presentation. Stroke 1997;28(5):912-915   DOI   ScienceOn
18 Taylor TN, Davis PH, Torner JC, Holmes J, Meyer JW, Jacobson MF. Life Time Cost of Stroke in the United States. Stroke 1996;27(9):1459-1466   DOI   ScienceOn
19 Yu RF, San Jose MC, Manzanilla BM, Oris MY, Gan R. Sources and reasons for delays in the care of acute stroke patients. J Neurol Sci 2002;199(1-2):49-54   DOI
20 Sacco RL, Boden-Albala B, Gan R, Chen X, Kargman DE, Shea S, Paik MC, Hauser WA. Stroke incidence among white, black, and Hispanic residents of an urban community: the Northern Manhattan Stroke Study. Am J Epidemiol 1998;147(3):259-268   DOI
21 Jung KY, Chung CS, Shin KS, Lee HB, Kim JH, Lee AY, Kim JM. Variables Associated with Delayed Hospital Arrival of Stroke Patients Living in Taejon and Its Suburban Areas. J Korean Neurol Assoc 1995;13(2):207-213 (Korean)
22 Sacco RL. Pathogenesis, classification, and epidemiology of cerebrovascular disease. In Rowland(ed): Merritt's Neurology. 10th ed. Philadelphia: Lippincott Williams & Wilkins, 2000, pp.217-229
23 Korea National Statistical Office. Death and the Cause of Death Statistics in 2007, 2008
24 King RB. Quality of life after stroke. Stroke 1996;27:1467-1472   DOI   ScienceOn
25 Lawrence L, Christie D. Quality of life after stroke: a three-year follow-up. Age Ageing 1979;8:167-172   DOI   ScienceOn
26 Yoon H. Factors affecting quality of life of the Korean aged stroke patients. Int J Aging Hum Dev 1997;44:167-181   DOI
27 Bethoux F, Calmels P, Gautheron V. Changes in the quality of life of hemiplegic stroke patients with time: a preliminary report. Am J Phys Med Rehabil 1999;78: 19-23   DOI
28 Hong YS, Suh MJ, Kim KS, Kim IJ, Jeong SH, Cho NO, Choi HJ, Kim EM. Related Factors of the Quality of Life in Stroke Patients. Korean J of Rehabil Nurs 1998;1(1):111-123 (Korean)