Cerebrovascular Disease

Change in Health Status

Change in Health Status After Acute Stroke

2023, Cerebrovascular, All Patients

PROMIS = Patient-Reported Outcomes Measurement Information System.

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The graph illustrates the percentage of patients who improved, worsened, or were stable approximately 1 year after acute stroke. Analysis was restricted to patients who had abnormal scores at baseline. Meaningful change was defined as a 5-point change in score for all scales.¹

Global mental and physical health, physical function, anxiety, pain interference, and social role satisfaction were measured by the PROMIS set of measures. Patients with a score of ≤ 45 (significantly lower than population normal) were followed. Change was defined as ≥ 5 point difference between measurements (one-half standard deviation). Depression was measured by the Patient Health Questionnaire, a self-reporting measure of depression. Only those with depression at early assessment (score ≥ 10 points) were included in analysis. A change of ≥ 5 points was deemed a meaningful change.

References
  1. Norman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care. 2003 May;41(5):582-592.