Journal article
Associations with health-related quality of life after intracerebral haemorrhage: pooled analysis of INTERACT studies
- Abstract:
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Background and purpose: Limited data exist on health-related quality of life (HRQoL) after intracerebral haemorrhage (ICH). We aimed to determine baseline factors associated with HRQoL among participants of the pilot and main phases of the Intensive Blood Pressure Reduction in Acute Cerebral Haemorrhage Trials (INTERACT 1 and 2).
Methods: The INTERACT studies were randomised controlled trials of early intensive blood pressure (BP) lowering in patients with ICH (<6h) and elevated systolic BP (150-220 mm Hg). HRQoL was determined using the European Quality of Life Scale (EQ-5D) at 90 days, completed by patients or proxy-responders. Binary logistic regression analyses were performed to identify factors associated with poor overall HRQoL.
Results: 2756 patients were included. Demographic, clinical and radiological factors associated with lower EQ-5D utility score were: age, randomisation outside of China, antithrombotic use, high baseline National Institutes of Health Stroke Scale (NIHSS) score, larger ICH, presence of intraventricular extension, and use of proxy-responders. High (≥14) NIHSS score, larger ICH and proxy-responders were associated with low scores in all five dimensions of the EQ-5D. NIHSS score had a strong association with poor HRQoL (p<0.001). Female gender and antithrombotic use were associated with decreased scores in dimensions of pain/discomfort and usual activity, respectively.
Conclusions: Poor HRQoL was associated with age, comorbidities, proxy source of assessment, clinical severity, and ICH characteristics. The strongest association was with initial clinical severity defined by high NIHSS score.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Accepted manuscript, pdf, 324.6KB, Terms of use)
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- Publisher copy:
- 10.1136/jnnp-2016-314414
Authors
- Publisher:
- BMJ Publishing Group
- Journal:
- Journal of Neurology, Neurosurgery and Psychiatry More from this journal
- Publication date:
- 2016-10-21
- Acceptance date:
- 2016-09-27
- DOI:
- EISSN:
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1468-330X
- ISSN:
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0022-3050, 1468-330X
- Keywords:
- Pubs id:
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pubs:647837
- UUID:
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uuid:ba563b4c-6beb-4bae-a7d2-9e4202a3af18
- Local pid:
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pubs:647837
- Source identifiers:
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647837
- Deposit date:
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2016-10-03
- ARK identifier:
Terms of use
- Copyright holder:
- Delacourt et al
- Copyright date:
- 2016
- Notes:
- Author(s) retain copyright; published by BMJ Publishing Group under license. This is the accepted manuscript version of the article. The final version is available online from BMJ PG at: [10.1136/jnnp-2016-314414]
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