Abstract TP381: Health-related quality of life in stroke survivors: The 2015 Korea National Health and Nutrition Examination Survey

Abstract

Introduction: Health-related quality of life (HRQOL) is an important index of poststroke health outcome. Hypothesis: We hypothesized that the HRQOL in stroke survivors than individuals without stroke would be worse and associated with sociodemographic status, impaired health behaviors, and comorbidities among stroke survivors in Korea. Methods: This cross-sectional, population-based study included 5130 (132 stroke survivors; 4998 individuals without stroke) Korean adults (aged ≥18 years) who had complete data on stroke-related items in the 2015 Korea National Health and Nutrition Examination Survey. Descriptive statistics, χ 2 test, t-test, and regression analyses were used. Results: Stroke survivors than adults without stroke were more likely to be older, had lower income and education level, while having more physician-diagnosed diseases (hypertension, diabetes mellitus, dyslipidemia, myocardial infarction, angina, arthritis, osteoporosis, and depression), less meeting aerobic exercise guidelines with more physical activity limit, and more smoking at present or past (p<.001). EQ-5D index and all 5 dimensions of EQ-5D (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) of stroke survivors were much worse than that of adults without stroke (p<.01). Stroke survivors who had lower income and education level, did not meet the aerobic exercise guidelines with more physical activity limit, and had comorbidities (diabetes mellitus, depression) were more likely to have worse HRQOL score (p<.01). Education level, physical activity limit, and depression were predictors of HRQOL in stroke survivors (p<.05). Conclusions: Clinicians should pay a special attention to stroke survivors with lower sociodemographic status, while improving HRQOL of stroke survivors by intervening physical activity and comorbidities, which is important in planning effective poststroke care.