Care for patients after stroke. Results of a two-year prospective observational study from Mazowieckie province in Poland

Neurologia i neurochirurgia polska
Izabela SkibickaAndrzej Członkowski

Abstract

Little has been published about different elements of the health services in long-term follow-up in the countries of Central and Eastern Europe. The aim of this study was to explore the health services for stroke patients in Poland. Patients from 3 centres representing different levels of stroke care organization from Mazowieckie province were included. Data on first-ever stroke patients with "onset-to-door" time no longer than 7 days, consecutively admitted to participating centres between March 1 and June 30, 2002 were collected prospectively. Patients were assessed on admission, on discharge and 3, 6, 12, 18, and 24 months after discharge. Type of care, rehabilitation, readmissions, consultations and diagnostic procedures were evaluated. One hundred and sixty-four patients with first-ever stroke were included. Twenty-one patients died during hospitalization, and 36 during the two-year follow-up. Most patients were discharged home, under family care. The total rate of readmission decreased over time, from 58% to 11%, and so did the rate of rehabilitation, from 41.5% to 15%. All patients had been seen by their general practitioners and neurologists. Post-stroke care is provided mostly by family members. Access to rehabilitatio...Continue Reading

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Citations

Apr 2, 2014·Archives of Physical Medicine and Rehabilitation·Jibby E KurichiMargaret G Stineman
Aug 30, 2014·Neurologia i neurochirurgia polska·Krystyna JaraczWojciech Kozubski
Nov 12, 2016·Stroke; a Journal of Cerebral Circulation·Jeyaraj D PandianJanet P Bettger
Jul 10, 2012·Neurologia i neurochirurgia polska·Krystyna JaraczWojciech Kozubski

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