Annals of Indian Academy of Neurology
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The quality of life of stroke survivors in the Indian setting: A systematic review and meta-analysis


1 Lecturer, National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
2 Department of Psychiatric Nursing, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
3 Principal, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
4 Head of Department, Department of Neurology, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
5 Nursing officer, Department of Neurology, Post Graduate Institute of Medical Sciences, Pt. BD Sharma University of Health Sciences, Rohtak, Haryana, India
6 Assistant Professor, Department of Psychiatry, AIIMS, Deoghar, Jharkhand, India
7 Assistant Professor, College of Nursing, AIIMS, Nagpur, Maharashtra, India
8 Professor, Department of Neurosurgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Correspondence Address:
Jaison Joseph,
Department of Psychiatric Nursing, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana - 124001
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aian.aian_1069_21

Background: The significant burden of stroke on the mortality rates of developing countries, including India, is well-documented in the literature. However, robust data regarding the aggregates of evidence on the quality of life (QOL) of stroke survivors is limited. Objective: To gather relevant information for policymakers on the QOL of stroke survivors based on observational studies conducted in the Indian setting. Methods: We searched PubMed, Scopus, and Google Scholar for studies conducted in the Indian setting. The methodological quality of each study was scored, and data were extracted from the published reports. The risk of bias assessment was conducted based on the JBI Critical Appraisal Checklist criteria. The relevant data regarding QOL were analyzed by a random effects model using R software. Results: 16 studies were included in the systematic review in which the majority of the studies recruited study participants in the hospital-based setting with an average duration of 3-6 months following the stroke episode. Our findings suggest that the pooled mean quality of life in the four dimensions of the World Health Organization Quality of Life instrument (WHOQOL-BREF) were ranged from 46.86 to 61.37 and the overall Stroke Specific Quality of Life scale (SS-QOL) mean score was 157.16. There was a significant inconsistency among the included studies as heterogeneity was high (I2 >97%). Conclusion: Assessment of the quality of life among stroke survivors is a crucial step to predict the illness' imposed burden and ascertain the effectiveness of the treatment. The present meta-analysis elucidates the aggregate estimates of quality of life and contributes to the research on the quality of life following a stroke in an Indian context.


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    -  Dhandapani M
    -  Joseph J
    -  Sharma S
    -  Dabla S
    -  Varkey BP
    -  Narasimha VL
    -  Varghese A
    -  Dhandapani S
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