Post-stroke follow-up: Time to organize - 14/02/19
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Abstract |
Background/Objective |
General practitioners (GPs) are pivotal in the organization of the entire post-stroke management system. This study aimed to examine the sequelae of chronic post-stroke patients and to assess whether the medical follow-up organized by GPs is truly in accordance with current recommendations and patients’ clinical needs.
Methods |
This was an observational study including chronic post-stroke patients after a first stroke. Their post-stroke follow-ups (visits to GPs and specialist doctors) were compared with guidelines and with clinical needs as evaluated through a number of questionnaires.
Results |
Overall, 53.2% of patients visited a neurologist as recommended and, although 49.4% had neuropsychiatric consequences, only 6.3% visited a psychiatrist. Similarly, while 34.2% had significant post-stroke disability, only 6.3% saw a rehabilitation physician.
Conclusion |
Taking into account not only cardiovascular prevention, but all post-stroke consequences, medical follow-ups as organized by GPs were not in accordance with recommendations and failed to take advantage of the currently available multidisciplinary resources required to improve patients’ needs.
Le texte complet de cet article est disponible en PDF.Keywords : Stroke, General practice, Follow-up, Health resources, Neuropsychiatric impairment
Plan
Vol 175 - N° 1-2
P. 59-64 - janvier 2019 Retour au numéro
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