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Article Abstract
Background: Long-term unmet needs are prevalent among stroke survivors. Their impact on quality of life (QoL) has been reported in the Western population but remain largely unexplored within Western Pacific populations.
Objectives: We aimed to identify the long-term unmet needs and unmet rehabilitation need among stroke survivors in South Korea and evaluate their intercorrelations with QoL.
Methods: In this cross-sectional study, a total of 1002 survivors of stroke, admitted to 4 Regional Cardiocerebrovascular Disease Centers between January 1, 2015 and December 31, 2019, were surveyed. Unmet needs were evaluated based on the Longer-term Unmet Needs after Stroke (LUNS) questionnaire items. QoL was evaluated using the EuroQoL 5-dimension, 3-level (EQ-5D-3 L) questionnaire. The lowest 25 percentile of the EQ-5D index was defined as low QoL. To analyze factors influencing health-related QoL, as measured by the EQ-5D index, a multiple logistic regression analysis was performed.
Results: Among the participants, 94 % experienced at least one unmet need and 311 (33 %) reported unmet rehabilitation need. The most frequently cited unmet needs after stroke were "Help with applying for benefits" (49 %), "Advice on daily occupation" (47 %), and "Fear of falling" (38 %). The odds ratio (OR) for low QoL significantly increased with number of unmet needs (OR = 1.17; 95 % confidence interval [CI], 1.10-1.24), unmet rehabilitation need (OR = 1.71; 95 % CI, 1.10-2.64), and higher Modified Rankin Scale (mRS) score (OR = 2.82; 95 % CI, 2.35-3.39).
Conclusions: Long-term unmet needs, unmet rehabilitation need, and low functional level were associated with a lower QoL. Community-based long-term care is needed to address these unmet needs to improve QoL in survivors of stroke. The generalizability of these findings, derived from a relatively younger and less severe stroke survivor population in Korea, may be limited across different age groups, stroke severities, ethnicities, and socioeconomic backgrounds. Cross-cultural validation is crucial to determine their applicability in diverse settings.
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| http://dx.doi.org/10.1016/j.rehab.2025.101996 | DOI Listing |
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