www.diseases-diagnosis.com Homepage Diseases Symptoms Diseases Diagnosis Diseases Treatment Diseases Living Care Diseases Prevention Diseases Research
www
Search
Thursday, February 15th, 2018
Table of Contents

1 Introduction
5 PMID
 [F] Diseases Research  / PubMed Research Articles  /
Quality of Life Is Poorer for Patients With Stroke Who Require an Interpreter: An Observational Australian Registry Study.

PubMed

 

Resource

Stroke Feb ; ()

Authors

Kilkenny MF1; Lannin NA2; Anderson CS3; Dewey HM4; Kim J5; Barclay-Moss K6; Levi C7; Faux S8; Hill K9; Grabsch B10; Middleton S11; Thrift AG12; Grimley R13; Donnan G14; Cadilhac DA15;

Author Information
  • 1From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.). monique.kilkenny@monash.edu.
  • 2From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 3From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 4From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 5From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 6From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 7From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 8From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 9From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 10From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 11From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 12From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 13From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 14From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).
  • 15From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (M.F.K., J.K., A.G.T., D.A.C.); Eastern Health Clinical School, Monash University, Box Hill, Australia (H.M.D.), Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia (M.F.K., J.K., K.B-M., B.G., G.D., D.A.C.); Faculty of Health Sciences, La Trobe University, Bundoora, Australia (N.A.L.); Occupational Therapy Department, Alfred Health, Melbourne, Australia (N.A.L.); The George Institute for Global Health, University of New South Wales, Sydney, Australia (C.S.A.); Royal Prince Alfred Hospital, Sydney, Australia (C.S.A.); The George Institute for Global Health at Peking University Health Science Center Beijing, China (C.S.A.); Acute Stroke Services, John Hunter Hospital, Newcastle, Australia (C.L.); St Vincent's Health Australia, Sydney (S.F.); Stroke Foundation, Melbourne, Australia (K.H.); Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (S.M.); and Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.).

Abstract

BACKGROUND AND PURPOSE: In multicultural Australia, some patients with stroke cannot fully understand, or speak, English. Language barriers may reduce quality of care and consequent outcomes after stroke, yet little has been reported empirically.

METHODS: An observational study of patients with stroke or transient ischemic attack (2010-2015) captured from 45 hospitals participating in the Australian Stroke Clinical Registry. The use of interpreters in hospitals, which is routinely documented, was used as a proxy for severe language barriers. Health-Related Quality of Life was assessed using the EuroQoL-5 dimension-3 level measured 90 to 180 days after stroke. Logistic regression was undertaken to assess the association between domains of EuroQoL-5 dimension and interpreter status.

RESULTS: Among 34 562 registrants, 1461 (4.2%) required an interpreter. Compared with patients without interpreters, patients requiring an interpreter were more often women (53% versus 46%;P<0.001), aged ≥75 years (68% versus 51%;P<0.001), and had greater access to stroke unit care (85% versus 78%;P<0.001). After accounting for patient characteristics and stroke severity, patients requiring interpreters had comparable discharge outcomes (eg, mortality, discharged to rehabilitation) to patients not needing interpreters. However, these patients reported poorer Health-Related Quality of Life (visual analogue scale coefficient, -9; 95% CI, -12.38, -5.62), including more problems with self-care (odds ratio: 2.22; 95% CI, 1.82, 2.72), pain (odds ratio: 1.84; 95% CI, 1.52, 2.34), anxiety or depression (odds ratio: 1.60; 95% CI, 1.33, 1.93), and usual activities (odds ratio: 1.62; 95% CI, 1.32, 2.00).

CONCLUSIONS: Patients requiring interpreters reported poorer Health Related Quality of Life after stroke/transient ischemic attack despite greater access to stroke units. These findings should be interpreted with caution because we are unable to account for prestroke Health Related Quality of Life. Further research is needed.

© 2018 American Heart Association, Inc.

PMID

29439194

Others

Publication Type: Journal Article


This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.


Last Modified:   2016-03-27


Search
All informatin on the site is © www.diseases-diagnosis.com 2002-2016. Last revised: March 27, 2016
Are you interested in our site or/and want to use our information? please read how to contact us and our copyrights.
To let us provide you with high quality information, you can help us by making a more or less donation: