In Autumn 2020, DOAJ will be relaunching with a new website with updated functionality, improved search, and a simplified application form. More information is available on our blog. Our API is also changing.

Hide this message

The impact of stroke on people living in central Uganda: A descriptive study

African Journal of Disability. 2018;7(0):e1-e7 DOI 10.4102/ajod.v7i0.438

 

Journal Homepage

Journal Title: African Journal of Disability

ISSN: 2223-9170 (Print); 2226-7220 (Online)

Publisher: AOSIS

LCC Subject Category: Medicine: Public aspects of medicine | Social Sciences: Communities. Classes. Races

Country of publisher: South Africa

Language of fulltext: English

Full-text formats available: PDF, HTML, ePUB, XML

 

AUTHORS


Julius T. Kamwesiga (Department of Neurobiology Care Sciences and Society, Karolinska Institute, Sweden; and, Occupational Therapy School, Institute of Allied Health and Management Sciences - Mulago)

Lena K. von Kock (Department of Neurobiology Care Sciences and Society, Karolinska Institute, Sweden; and, Department of Neurology, Karolinska University Hospital)

Gunilla M. Eriksson (Department of Neurobiology Care Sciences and Society, Karolinska Institute, Sweden; and, Department of Neuroscience, Rehabilitation Medicine, Uppsala University)

Susanne G.E. Guidetti (Department of Neurobiology Care Sciences and Society, Karolinska Institute)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 20 weeks

 

Abstract | Full Text

Background: Knowledge about perceived impact of stroke on everyday life as well as rehabilitation needs after stroke in Uganda is necessary to identify and develop rehabilitation interventions. Objectives: To explore and describe clinical characteristics and functioning during the acute or subacute phase and chronic phase, as well as the impact of stroke on everyday life during the chronic phase in stroke survivors in central Uganda. Method: A cross-sectional observational study was conducted on a consecutively included acute or subacute (n = 58) sample and a chronic (n = 62) sample. Face-to-face interviews were conducted to collect demographic information and clinical characteristics. The Scandinavian Stroke Scale (SSS) was used to collect clinical characteristics, assess neurological impairment and define stroke severity. The Barthel Index was used to assess the level of dependence in activities of daily living. In addition, the Stroke Impact Scale (SIS) 3.0 Uganda version was used to assess the impact of stroke in everyday life as perceived by the individuals in the chronic sample receiving rehabilitation. Results: The mean age of the acute/subacute sample was 49 years and 81% had moderate or severe stroke. The mean age of the chronic rehabilitation group was 53 years and 58% had mild stroke. Time since onset in the acute sample was between 2 days and 3 weeks, and time since onset for the chronic sample varied between 3 months and 3 years. Strength, hand function and participation were the most impacted SIS domains in the chronic sample. Conclusion: People with severe and moderate stroke were more likely to be admitted to Mulago Hospital. The mean age in the study sample was lower than that in high-income countries. Further knowledge is needed regarding the impact of stroke to develop guidelines for stroke rehabilitation interventions feasible in the Ugandan healthcare context in both rural and urban areas.