Disabled life expectancy with and without stroke: a 10-year Japanese prospective cohort study

Abstract

Purpose

A stroke is a debilitating condition that can cause lifelong disability, severely limiting the ability of individuals to perform daily activities. In Japan, strokes are the fourth leading cause of death; however, no previous studies have examined the influence of strokes on a disabled or disability-free life for older Japanese residents. This study aims to address this gap.

Methods

The study used data from the Nihon University Japanese Longitudinal Study of Aging (NUJLSOA) and incidence-based multistate life tables to estimate disabled and disability-free life expectancy based on the stroke status of Japanese residents aged 65 and older.

Results

Japanese stroke survivors aged 65 who experienced an initial disability-free state could expect to live approximately 3 fewer total years of life, 4–5 fewer years in a disability-free state, and 1–2 more years in a disabled state compared to those without history of a stroke (p < 0.05). For those disabled at the beginning of the survey interval, the differences between individuals with and without stroke history were also similar to those disability-free at the beginning of the survey interval (2–4 and 5–6 fewer total and disability-free years, respectively) (p < 0.05). The same pattern was observed for older age groups.

Conclusion

Older adults who have experienced a stroke could experience a shorter total life expectancy, shorter disability-free life expectancy, and longer disabled life expectancy than those who have not experienced a stroke. These results can inform policymakers and rehabilitation practitioners on stroke survivor long-term care needs and their post-stroke health status.

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Acknowledgements

The initial work was supported by a grant obtained by the Nihon University Population Research Institute from the “Academic Frontier” Project for Private Universities: matching fund subsidy from MEXT (Ministry of Education, Culture, Sports, Science and Technology), 2006–2010. The funding source had no role in the design, methods, subject recruitment, data collections, analysis, and preparation of paper.

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Correspondence to Chi-Tsun Chiu.

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Chiu, CT., Yong, V., Chen, HW. et al. Disabled life expectancy with and without stroke: a 10-year Japanese prospective cohort study. Qual Life Res 28, 3055–3064 (2019). https://doi.org/10.1007/s11136-019-02246-1

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Keywords

  • Life expectancy
  • Stroke
  • Disabled life expectancy
  • Disability
  • Mortality