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Philp, Ian; Brainin, Michael; Walker, Marion F.; Ward, Anthony B.; Gillard, Patrick; Shields, Alan L.; Norrving, Bo (2013)
Publisher: Elsevier BV
Journal: Journal of Stroke and Cerebrovascular Diseases
Languages: English
Types: Article
Subjects: Rehabilitation, Cardiology and Cardiovascular Medicine, Clinical Neurology, Surgery
Background: Long-termcare for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process.\ud Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. \ud Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. World Health Organization. World health report 2002: statistical annex 2. Available at: http://www.who.int/ whr/2002/en/whr2002_annex2.pdf. Accessed November 7, 2011.
    • 2. Johnston SC, Mendis S, Mathers CD. Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modeling. Lancet Neurol 2009; 8:345-354.
    • 3. Murray J, Ashworth R, Forster A, Young J. Developing a primary care-based stroke service: a review of the qualitative literature. Br J Gen Pract 2003;53:137-142.
    • 4. Haacke C, Althaus A, Spottke A, Siebert U, Back T, Dodel R. Long-term outcome after stroke: evaluating health-related quality of life using utility measurements. Stroke 2006;37:193-198.
    • 5. Hare R, Rogers H, Lester H, McManus R, Mant J. What do stroke patients and their carers want from community services? Fam Pract 2006;23:131-136.
    • 6. Gamaldo A, Moghekar A, Kilada S, Resnick SM, Zonderman AB, O'Brien R. Effect of a clinical stroke on the risk of dementia in a prospective cohort. Neurology 2006;67:1363-1369.
    • 7. Kim JS. Post-stroke pain. Expert Rev Neurother 2009; 9:711-721.
    • 8. Urban PP, Wolf T, Uebele M, et al. Occurrence and clinical predictors of spasticity after ischemic stroke. Stroke 2010; 41:2016-2020.
    • 9. Glader EL, Stegmayr B, Asplund K. Poststroke fatigue: a 2-year follow-up study of stroke patients in Sweden. Stroke 2002;33:1327-1333.
    • 10. National Stroke Association. Lack of adequate post-stroke care unveiled 2006. Available at: http://www.stroke. org/site/DocServer/NSA_Stroke_Perceptions_Survey_ Highlights_final.pdf. Accessed August 9, 2011.
    • 11. Wissel J, Olver J, Sunnerhagen KS. Navigating the poststroke continuum of care. J Stroke Cerebrovasc Dis 2013;22:1-8.
    • 12. del Ser T, Barba R, Morin MM, et al. Evolution of cognitive impairment after stroke and risk factors for delayed progression. Stroke 2005;36:2670-2675.
    • 13. Berthier ML. Poststroke aphasia: epidemiology, pathophysiology and treatment. Drugs Aging 2005;22:163-182.
    • 14. Lynch EB, Butt Z, Heinemann A, et al. A qualitative study of quality of life after stroke: the importance of social relationships. J Rehabil Med 2008;40:518-523.
    • 15. Hackett ML, Yapa C, Parag V, Anderson CS. Frequency of depression after stroke: a systematic review of observational studies. Stroke 2005;36:1330-1340.
    • 16. Hartman-Maeir A, Soroker N, Ring H, Avni N, Katz N. Activities, participation and satisfaction one-year post stroke. Disabil Rehabil 2007;29:559-566.
    • 17. Visser-Meily A, Post M, van de Port I, van Heugten C, van den Bos T. Psychosocial functioning of spouses in the chronic phase after stroke: improvement or deterioration between 1 and 3 years after stroke? Patient Educ Couns 2008;73:153-158.
    • 18. Ilse IB, Feys H, de Wit L, Putman K, de Weerdt W. Stroke caregivers' strain: prevalence and determinants in the first six months after stroke. Disabil Rehabil 2008; 30:523-530.
    • 19. Blake H, Lincoln NB, Clarke DD. Caregiver strain in spouses of stroke patients. Clin Rehabil 2003;17:312-317.
    • 20. Bugge C, Alexander H, Hagen S. Stroke patients' informal caregivers: patient, caregiver, and service factors that affect caregiver strain. Stroke 1999;30:1517-1523.
    • 21. Teoh V, Sims J, Milgrom J. Psychosocial predictors of quality of life in a sample of community-dwelling stroke survivors: a longitudinal study. Top Stroke Rehabil 2009; 16:157-166.
    • 22. Schwamm LH, Pancioli A, Acker JE, et al. Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association's task force on the development of stroke systems. Stroke 2005;36:690-703.
    • 23. McKevitt C, Fudge N, Redfern J, Sheldenkar A, Crichton S, Wolfe C. UK stroke survivor needs survey. London: Stroke Association, 2010.
    • 24. Department of Health. National stroke strategy 12-5-2007. Available at: http://www.stroke.org.uk/ document.rm?id51576. Accessed January 28, 2011.
    • 25. National Stroke Foundation. Clinical guidelines for stroke management 2010. Melbourne (Australia): National Stroke Foundation, 2010.
    • 26. Summers D, Leonard A, Wentworth D, et al. Comprehensive overview of nursing and interdisciplinary care of the acute ischemic stroke patient: a scientific statement from the American Heart Association. Stroke 2009;40:2911-2944.
    • 27. World Health Organization. Secondary prevention of noncommunicable diseases in low- and middle-income countries through community-based and health service interventions: report of WHO-Wellcome trust meeting of experts. Geneva: World Health Organization, 2001.
    • 28. Clark L, Watson D. Constructing validity: basic issues in objective scale development. Available at: http://psycnet. apa.org/journals/pas/7/3/309/
    • 29. Stone MH. Substantive scale construction. J Appl Meas 2003;4:282-297.
    • 30. World Health Organization. International classification of functioning, disability and health. Geneva: World Health Organization, 2001. ICF.
    • 31. Fisher RJ, Gaynor C, Kerr M, et al. A consensus on stroke: early supported discharge. Stroke 2011;42:1392-1397.
    • 32. Jones J, Hunter D. Consensus methods for medical and health services research. BMJ 1995;311:376-380.
    • 33. Dalkey N, Helmer O. An experimental application of the Delphi method to the use of experts. Manage Sci 1963; 9:458-467.
    • 34. Evans C. The use of consensus methods and expert panels in pharmacoeconomic studies: practical applications and methodological shortcomings. Pharmacoeconomics 1997;12:121-129.
    • 35. Evans C, Crawford B. Expert judgment in pharmacoeconomic studies: guidance and future use. Pharmacoeconomics 2000;17:545-553.
    • 36. Stroke Unit Trialists' Collaboration. Organized inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 2000;2:CD000197.
    • 37. Wahlgren N, Ahmed N, Davalos A, et al. Thrombolysis with alteplase for acute ischemic stroke in the safe implementation of thrombolysis in stroke-monitoring study (SITS-MOST): an observational study. Lancet 2007; 369:275-282.
    • 38. Langhorne P, Taylor G, Murray G, et al. Early supported discharge services for stroke patients: a meta-analysis of individual patients' data. Lancet 2005;365:501-506.
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