0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Clinical Assessment of Function among Women with a Recent Cerebrovascular Event: A Self-Reported versus Performance-Based Measure

Pamela L. Owens, PhD; Elizabeth H. Bradley, PhD; Sarah M. Horwitz, PhD; Catherine M. Viscoli, PhD; Walter N. Kernan, MD; Lawrence M. Brass, MD; Philip M. Sarrel, MD; and Ralph I. Horwitz, MD
[+] Article and Author Information

From Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; Yale University School of Medicine, New Haven, Connecticut; and the Veterans Administration Connecticut Healthcare System, West Haven, Connecticut.


Note: Dr. Ralph I. Horwitz is a member of John D. and Catherine T. MacArthur Foundation Network on Socioeconomic Status and Health.

Disclaimer: Although the principal author is currently employed at the Agency for Healthcare Research and Quality, this study was conceived and designed, the data were analyzed, and the manuscript was written while the principal author was a doctoral student at Yale University and postdoctoral fellow at Johns Hopkins University.

Grant Support: By a grant from the National Institute of Neurological Diseases and Stroke (RO1-N531251), a grant from Meade Johnson Laboratories, and training grants from the National Institute of Mental Health (5T32-MH15783 and 5T32-MH19545).

Requests for Single Reprints: Pamela L. Owens, PhD, Agency for Healthcare Research and Quality, 2101 East Jefferson, Suite 605, Rockville, MD 20852; e-mail, POwens@ahrq.gov.

Current Author Addresses: Dr. Owens: Center for Organization and Delivery Studies, Agency for Healthcare Research and Quality, 2101 East Jefferson, Suite 605, RM 6W42, Rockville, MD 20852.

Drs. S.M. Horwitz and Bradley: Yale University School of Public Health, 60 College Street, New Haven, CT 06520-8034.

Drs. Kernan, Viscoli, and R.I. Horwitz: Department of Internal Medicine, Yale University School of Medicine, 333 Cedar Street, PO Box 208056, New Haven, CT 06520-8056.

Dr. Sarrel: Departments of Psychiatry and Obstetrics and Gynecology, Yale University School of Medicine, 333 Cedar Street, PO Box 208063, New Haven, CT 06520-8063.

Dr. Brass: Department of Neurology, LCI-700, Yale University School of Medicine, 20 York Street, Box 208018, New Haven, CT 06520-8018.

Author Contributions: Conception and design: P. Owens, S.M. Horwitz, W.N. Kernan, P.M. Sarrel, R.I. Horwitz.

Analysis and interpretation of the data: P. Owens, S.M. Horwitz, C.M. Viscoli, W.N. Kernan, P.M. Sarrel, R.I. Horwitz.

Drafting of the article: E.H. Bradley, S.M. Horwitz, C.M. Viscoli, R.I. Horwitz.

Critical revision of the article for important intellectual content: P. Owens, E.H. Bradley, S.M. Horwitz, C.M. Viscoli, W.N. Kernan, L.M. Brass, P.M. Sarrel, R.I. Horwitz.

Final approval of the article: P. Owens, E.H. Bradley, S.M. Horwitz, C.M. Viscoli, W.N. Kernan, L.M. Brass, P.M. Sarrel, R.I. Horwitz.

Provision of study materials or patients: C.M. Viscoli, W.N. Kernan, L.M. Brass, P.M. Sarrel, R.I. Horwitz.

Statistical expertise: P. Owens, C.M. Viscoli.

Obtaining of funding: L.M. Brass, R.I. Horwitz.

Administrative, technical, or logistic support: W.N. Kernan, L.M. Brass.

Collection and assembly of data: C.M. Viscoli, W.N. Kernan, L.M. Brass, P.M. Sarrel.


Ann Intern Med. 2002;136(11):802-811. doi:10.7326/0003-4819-136-11-200206040-00008
Text Size: A A A

Most women who participated in WEST were 65 years of age or older (range, 46 to 91 years) (75.5%), white (85.5%), and had at least a high school education (67.8%). Fewer than half of the women were married (41.3%), although 43.1% were widows. Although 74.3% had had a stroke (index event), 51.8% had a severe index event, and 39.2% had two or more comorbid conditions, few women had cognitive impairment (11.1%) or currently smoked (12.7%). More than one third of women reported depressive symptoms (36.8%) and indicated that “religion was not a major source of strength” (32.5%), but fewer than one quarter reported the absence of a health locus of control (23.4%), few friends and relatives (8.8%), or inadequate social support (17.3%). Consistent with previous studies (40), more than one quarter of the women died (12.7%) or had a stroke (15.3%) during the nearly 3 years of follow-up.

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Evaluating Function in Women after a Stroke Using Two Different Types of Measures

The summary below is from the full report titled “Clinical Assessment of Function among Women with a Recent Cerebrovascular Event: A Self-Reported versus Performance-Based Measure.” It is in the 4 June 2002 issue of Annals of Internal Medicine (volume 136, pages 802-811). The authors are P Owens, EH Bradley, SM Horwitz, CM Viscoli, WN Kernan, LM Brass, PM Sarrel, and RI Horwitz.

Read More...

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)