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

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...

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Autores: Reverté i Villarroya, Sílvia, Dávalos, Antoni, Font-Mayolas, Sílvia, Berenguer-Poblet, Marta, Sauras-Colón, Esther, López-Pablo, Carlos, Sanjuan Menéndez, Estel·la, Muñoz-Narbona, Lucía, Suñer Soler, Rosa
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/18648
Acceso en línea:http://hdl.handle.net/10256/18648
Access Level:acceso abierto
Palabra clave:Atac isquèmic transitori
Transient ischemic attack
Pacients -- Satisfacció
Patient satisfaction
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spelling Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic StrokeReverté i Villarroya, SílviaDávalos, AntoniFont-Mayolas, SílviaBerenguer-Poblet, MartaSauras-Colón, EstherLópez-Pablo, CarlosSanjuan Menéndez, Estel·laMuñoz-Narbona, LucíaSuñer Soler, RosaAtac isquèmic transitoriTransient ischemic attackPacients -- SatisfaccióPatient satisfactionNew 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 yearThis research was funded by Fundació Dr. Ferran, grant number PSI-5930MDPI (Multidisciplinary Digital Publishing Institute)2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/18648http://hdl.handle.net/10256/18648International Journal of Environmental Research and Public Health, 2020, vol. 17, núm. 17, p. 6014Articles publicats (D-I)Reverté i Villarroya, Sílvia Dávalos, Antoni Font-Mayolas, Sílvia Berenguer-Poblet, Marta Sauras-Colón, Esther López-Pablo, Carlos Sanjuan Menéndez, Estel·la Muñoz-Narbona, Lucía Suñer Soler, Rosa 2020 Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke International Journal of Environmental Research and Public Health 17 17 6014reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph17176014info:eu-repo/semantics/altIdentifier/issn/1661-7827info:eu-repo/semantics/altIdentifier/eissn/1660-4601Reconeixement 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:recercat.cat:10256/186482026-05-29T05:05:01Z
dc.title.none.fl_str_mv Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
title Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
spellingShingle Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
Reverté i Villarroya, Sílvia
Atac isquèmic transitori
Transient ischemic attack
Pacients -- Satisfacció
Patient satisfaction
title_short Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
title_full Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
title_fullStr Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
title_full_unstemmed Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
title_sort Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
dc.creator.none.fl_str_mv Reverté i Villarroya, Sílvia
Dávalos, Antoni
Font-Mayolas, Sílvia
Berenguer-Poblet, Marta
Sauras-Colón, Esther
López-Pablo, Carlos
Sanjuan Menéndez, Estel·la
Muñoz-Narbona, Lucía
Suñer Soler, Rosa
author Reverté i Villarroya, Sílvia
author_facet Reverté i Villarroya, Sílvia
Dávalos, Antoni
Font-Mayolas, Sílvia
Berenguer-Poblet, Marta
Sauras-Colón, Esther
López-Pablo, Carlos
Sanjuan Menéndez, Estel·la
Muñoz-Narbona, Lucía
Suñer Soler, Rosa
author_role author
author2 Dávalos, Antoni
Font-Mayolas, Sílvia
Berenguer-Poblet, Marta
Sauras-Colón, Esther
López-Pablo, Carlos
Sanjuan Menéndez, Estel·la
Muñoz-Narbona, Lucía
Suñer Soler, Rosa
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Atac isquèmic transitori
Transient ischemic attack
Pacients -- Satisfacció
Patient satisfaction
topic Atac isquèmic transitori
Transient ischemic attack
Pacients -- Satisfacció
Patient satisfaction
description 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
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/18648
http://hdl.handle.net/10256/18648
url http://hdl.handle.net/10256/18648
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph17176014
info:eu-repo/semantics/altIdentifier/issn/1661-7827
info:eu-repo/semantics/altIdentifier/eissn/1660-4601
dc.rights.none.fl_str_mv Reconeixement 4.0 Internacional
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Reconeixement 4.0 Internacional
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
dc.source.none.fl_str_mv International Journal of Environmental Research and Public Health, 2020, vol. 17, núm. 17, p. 6014
Articles publicats (D-I)
Reverté i Villarroya, Sílvia Dávalos, Antoni Font-Mayolas, Sílvia Berenguer-Poblet, Marta Sauras-Colón, Esther López-Pablo, Carlos Sanjuan Menéndez, Estel·la Muñoz-Narbona, Lucía Suñer Soler, Rosa 2020 Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke International Journal of Environmental Research and Public Health 17 17 6014
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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