Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke

Silvia Reverté-Villarroya, Antoni Dávalos, Sílvia Font-Mayolas, Marta Berenguer-Poblet, Esther Sauras-Colón, Carlos López-Pablo, Estela Sanjuan-Menéndez, Lucía Muñoz-Narbona and Rosa Suñer-Soler
Additional contact information
Silvia Reverté-Villarroya: Department of Nursing, Rovira Virgili University, Campus Terres de l’Ebre, 43500 Tortosa, Spain
Antoni Dávalos: RETICS Research Group, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain
Sílvia Font-Mayolas: Quality of Life Institute, University of Girona, 17003 Girona, Spain
Marta Berenguer-Poblet: Department of Nursing, Rovira Virgili University, Campus Terres de l’Ebre, 43500 Tortosa, Spain
Esther Sauras-Colón: Hospital de Tortosa Verge de la Cinta, Pere Virgili Institut, 43500 Tortosa, Spain
Carlos López-Pablo: Department of Nursing, Rovira Virgili University, Campus Terres de l’Ebre, 43500 Tortosa, Spain
Estela Sanjuan-Menéndez: Stroke Unit, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
Lucía Muñoz-Narbona: RETICS Research Group, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain
Rosa Suñer-Soler: Department of Nursing, University of Girona, 17003 Girona, Spain

IJERPH, 2020, vol. 17, issue 17, 1-12

Abstract: New reperfusion therapies have improved the clinical recovery rates of acute ischemic stroke patients (AISP), but it is not known whether other factors, such as the ability to cope, might also have an effect. The aim of this study was to evaluate the effect of endovascular treatment (EVT) on coping strategies, quality of life, and neurological and functional outcomes in AISP at 3 months and 1 year post-stroke. A multicenter, prospective, longitudinal, and comparative study of a sub-study of the participants in the Endovascular Revascularization with Solitaire Device versus Best Medical Therapy in Anterior Circulation Stroke within 8 Hours (REVASCAT) clinical trial was conducted after recruiting from two stroke centers in Catalonia, Spain. The cohort consisted of 82 ischemic stroke patients ( n = 42 undergoing EVT and n = 40 undergoing standard best medical treatment (BMT) as a control group), enrolled between 2013–2015. We assessed the coping strategies using the Brief Coping Questionnaire (Brief-COPE-28), the health-related quality of life (HRQoL) with the EQ-5D questionnaire, and the neurological and functional status using the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), modified Rankin Scale (mRS), and Stroke Impact Scale-16 (SIS-16). Bivariate analyses and multivariate linear regression models were used. EVT patients were the ones that showed better neurological and functional outcomes, and more patients presented reporting no pain/discomfort at 3 months; paradoxically, problem-focused coping strategies were found to be significantly higher in patients treated with BMT at 1 year.

Keywords: stroke; endovascular treatment; coping; health behavior; health-related quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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