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Background: The SF-6D, derived from the SF-36, is a preference-based instrument measuring health-related
quality of life (HRQOL). Using this tool, we measured the HRQOL of persons disabled by stroke dwelling in
Gyeongju city and identified factors affecting the HRQOL.
Methods: As of March 2008, 991 persons who had had a stroke and were aged 50 and over were identified on
the Gyeongju city disabled registry. Interviewers specifically trained for this face-to-face survey gathered pertinent
information including general and clinical characteristics from June to October 2008. In addition, the health
status was measured using the Modified Rankin Scale, the Barthel ADL index, and the SF-36. The SF-6D index
was derived from the SF-36. We analyzed the known-group construct validity and convergent validity. Finally,
we performed multiple regression analyses to identify factors affecting the HRQOL.
Results: Of the 991 potential subjects, 498 persons participated in the interviews (response rate: 50.3%). The
SF-6D indices for females and those aged 70 and over were lower than indices for males and those aged 60
and less. Correlation coefficients between the Modified Rankin Scale, the Barthel index, and the SF-6D index
were relatively high (-0.533 and 0.555, respectively) and statistically significant (P<0.001). Multiple regression
analyses showed that sex, age, smoking, alcohol use, comorbidity, the Modified Rankin Scale, and the Barthel index
had an effect on the SF-6D index of persons with stroke, and the Barthel index was the most important factor.
Conclusions: Our results indicate that the SF-6D can be a valid tool for evaluating health states of persons disabled
by stroke, and functional limitation was the main factor affecting the HRQOL. |