Functional outcome of stroke inpatients according to human immunodeficiency virus status: A feasibility study

African Journal of Disability

Field Value
Title Functional outcome of stroke inpatients according to human immunodeficiency virus status: A feasibility study
Creator Hartley, Tasneem Burger, Marlette Esterhuizen, Tonya M. Inglis-Jassiem, Gakeemah
Subject Health Sciences; Physiotherapy; Neurology stroke; HIV; function; activities of daily living; mobility
Description Background: Stroke in human immunodeficiency virus positive (HIV+) individuals is becoming an increasing concern. Being significantly younger than typical stroke patients, the impact of functional challenges on quality of life and burden on society becomes more eminent.Objectives: This feasibility study aims to determine the requirements for a large descriptive cohort, to adequately describe the functional outcome of stroke patients with varying HIV status.Method: All stroke patients meeting the inclusion criteria were recruited over a 6-month period at a South African inpatient rehabilitation centre. Data were collected on admission and discharge using outcome measures including the Barthel Index (BI), Berg Balance Scale (BBS) and the use of assistive devices used to describe independence with activities of daily living (ADL), mobility and safety post-stroke. Statistical analysis was performed using Stata version 14.2.Results: The feasibility study identified appropriate procedures and barriers to a successful study in addition to describing preliminary data on participant demographics, relevant medical history and functional outcomes post-stroke. Limitations that affected feasibility included minimal recruitment sites, length of data collection period, timely communication of participant discharge plans and dates, and confirmation of participant HIV status. An appropriate comparison between sub-groups could not be made because of disproportionate group sizes, median age differences and no assessor blinding.Conclusion: To increase generalisability and the understanding of the unique HIV+ stroke profile, multiple recruitment sites, longer data collection periods, assessor blinding and age-matched groups with HIV status confirmation are recommended.
Publisher AOSIS
Contributor Harry Crossley Foundation Prof Q. Louw, Division of Physiotherapy, Stellenbosch University Ms. G Inglis-Jassiem, Division of Physiotherapy, Stellenbosch Univeristy
Date 2020-03-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Convenient Sampling
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v9i0.618
Source African Journal of Disability; Vol 9 (2020); 9 pages 2226-7220 2223-9170
Language eng
Coverage South Africa, Western Cape; Cape Town July-December 2016 Median Age 48; Gender Male and Female; Ethnicity South African (Black, White, Coloured, Indian); Stroke inpatients
Rights Copyright (c) 2020 Tasneem Hartley, Marlette Burger, Tonya M. Esterhuizen, Gakeemah Inglis-Jassiem