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Actual impairment or subjective disability

  • Sameer Sharma, Stroke fellow, Upstate university hospitalSameersharma12@gmail.com
Submitted January 12, 2016

I read with great interest the article by Sangha et al. [1] While health-related quality of life (HRQOL) seems to be a more detailed method to assess quality of life (QOL), subjective exaggeration of impairment appears to be an important part of the outcome. The results showed more prevalence of comorbidities in patients with normal QOL at 3 months. It appears as if patients with less comorbidities tended to be overwhelmed with stroke as they were not used to dealing with disease burden while those with a higher burden of comorbidities tended to downplay their functional impairments. In addition, increase in recurrence of stroke appeared to add to increase in functional impairment in patients with abnormal QOL.

1. Sangha RS, Caprio FZ, Askew R, et al. Quality of life in patients with TIA and minor ischemic stroke. Neurology 2015;85:1957-1963.

For disclosures, please contact the editorial office at journal@neurology.org.

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Neurology | Print ISSN:0028-3878
Online ISSN:1526-632X

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