Classifying stroke recovery profiles based on living environment: A latent class analysis

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dc.authorid0000-0003-4048-0419
dc.authorid0000-0003-3515-6833
dc.authorid0000-0002-6016-4651
dc.authorid0000-0003-1544-677X
dc.contributor.authorÖzgün, Mete
dc.contributor.authorAkanyeti, Otar
dc.contributor.authorPovina, F. Villagra
dc.contributor.authorRahman, R.
dc.contributor.authorSaybaşılı, Hale
dc.contributor.authorAtalar, Deniz
dc.date.accessioned2026-02-02T14:26:02Z
dc.date.available2026-02-02T14:26:02Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractBackground and Aims: Post-stroke recovery is influenced by multiple factors including living environment. While skilled nursing homes may offer more comprehensive care, including physiotherapy, dietary support, and psychological counseling, many family caregivers remain concerned that such settings may lead to loneliness and a sense of abandonment in stroke survivors, which may negatively impact their recovery. This study investigates how different living environments influence functional and psychological outcomes. Methods: A total of 278 stroke survivors living either in their homes or nursing homes in Istanbul,Turkey were assessed. Patient outcomes were evaluated using Stroke Impact Scale, Stroke Specific Quality of Life Scale, Tampa Scale for Kinesiophobia, Geriatric Depression Scale, UCLA Loneliness Scale, and Tinetti Gait and Balance Test. Covariates included age, stroke years, education, medical history, treatments received and caregiver support. Results: Latent Class Analysis identified two distinct patient class, as shown in figure. Class 2 demonstrated significantly better outcomes char acterized by greater independence, improved quality of life, lower depres sion and loneliness scores, reduced kinesiophobia, lower fall risk, healthier exercise routines and sleep quality. While the overall sample included more individuals receiving home care, the class which exhibited better functional and psychological outcomes contained a higher proportion of nursing home residents. Results: Of the 382 patients, 78 were analyzed (31 stable/35 unstable plaques/12 acute occlusions). When analyzing early radiological changes, there was no significant difference between the three studied plaque types (p>0.05), while when monitoring early neurological changes (NIHSS), significant decrease in deficit was noted in stable (p=0.012) and unstable (p<0.001) plaques. A significant decrease in all groups was noted in late clinical changes (mRS, always p<0.001). However, no significant difference was found between studied plaque types and stroke severity (p>0.05) Conclusions: No significant association was found between carotid plaque morphology detected on CT and early/late stroke severity in carotid territory. Patients with stable plaques showed milder events and had better overall 3-month outcome.
dc.identifier.citationÖzgün, M., Akanyeti, O., Povina, F. V., Rahman, R., Saybaşılı, H., & Atalar, D. (2025). Classifying stroke recovery profiles based on living environment: A latent class analysis. International Journal of Stroke, 20(1), pp. 265-366.
dc.identifier.endpage266
dc.identifier.issn1747-4930
dc.identifier.issn1747-4949
dc.identifier.scopusqualityQ1
dc.identifier.startpage265
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1283
dc.identifier.volume20
dc.identifier.wosWOS:001635827300596
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorÖzgün, Mete
dc.institutionauthorid0000-0003-4048-0419
dc.language.isoen
dc.publisherSAGE Publications
dc.relation.ispartofInternational Journal of Stroke
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleClassifying stroke recovery profiles based on living environment: A latent class analysis
dc.typeConference Object
dspace.entity.typePublication

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