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Investigating predictors of community integration in individuals after stroke in a residential setting: A longitutinal study

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Listed:
  • Isabela Matos
  • Adriana Fernandes
  • Iara Maso
  • Jamary Oliveira-Filho
  • Pedro Antônio de Jesus
  • Helena Fraga-Maia
  • Elen Beatriz Pinto

Abstract

Aim: To identify potential predictors of community integration in individuals after stroke using a residential setting-based strategy. Method: A prospective cohort of post-stroke individuals was recruited from the Stroke Unit of the Roberto Santos General Hospital (UAVC-HGRS). All included individuals were aged over 18 years, received a diagnosis of ischemic stroke confirmed by neuroimaging and resided in the city of Salvador (Bahia, Brazil). Following discharge from the stroke unit, the individuals themselves, or their responsible parties, were contacted by telephone to schedule a home visit no less than three months after discharge. All subjects were examined in their homes, at which time the Community Integration Questionnaire (CIQ) was also applied. A robust linear regression model was used to assess community reintegration using CIQ score as the outcome variable. Results: A total of 124 individuals effectively fulfilled the eligibility criteria: 51.6% were females, the median (IQR) age was 63(53–69) years, 82.3% were non-white, 53.2% were married, the median (IQR) of years of schooling was 6 (4–12) and family income averaged two minimum monthly wages. Investigated individuals presented a median (IQR) NIH Stroke Scale (NIHSS) score of 7 (4–12). Multivariate linear regression identified the following independent predictors of community integration: age (β = -0.095; 95% CI = -0.165 to -0.025; p = 0.008), diabetes mellitus (β = -2.348; 95% CI = -4.125 to -0.571; p = 0.010), smoking habit (β = -2.951; 95% CI = -5.081 to -0.821; p = 0.007), functional capacity upon hospital discharge (β = 0.168; 95% CI = 0.093 to 0.242; p =

Suggested Citation

  • Isabela Matos & Adriana Fernandes & Iara Maso & Jamary Oliveira-Filho & Pedro Antônio de Jesus & Helena Fraga-Maia & Elen Beatriz Pinto, 2020. "Investigating predictors of community integration in individuals after stroke in a residential setting: A longitutinal study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-11, May.
    • Handle: RePEc:plo:pone00:0233015
    DOI: 10.1371/journal.pone.0233015
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    References listed on IDEAS

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    1. Avvai Singam & Charlotte Ytterberg & Kerstin Tham & Lena von Koch, 2015. "Participation in Complex and Social Everyday Activities Six Years after Stroke: Predictors for Return to Pre-Stroke Level," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-12, December.
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