Patient and general practitioner perceptions of post-stroke difficulties may not always agree

Babin, Nick; Theux, G.; Sibon, Igor; Dehail, Patrick; Prouteau, A.; Belio, Christian; Joseph, Pierre-Alain; Aly, Florence; Mazaux, JM; Glize, Bertrand

doi:10.1016/j.rehab.2017.01.003

Cited by 3 publications

(2 citation statements)

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“…Post-stroke evaluation by a neurologist has several objectives, including optimizing pharmacological and non-pharmacological secondary prevention, evaluating stroke mechanisms, and detecting the presence of physical complications, cognitive impairment and neuropsychiatric complaints. However, it is also of particular importance because GPs' perceptions of their patients' disabilities are still inadequate [14].…”

Section: Discussionmentioning

confidence: 99%

“…Post-stroke sequelae also extend to all other aspects of a patient's life, yet to our knowledge, only one previous study has focused on these other aspects, including disabilities and psychological impairment, and also explored GPs' perception of patients' disabilities in a small sample of patients with relatively mild complications. In fact, the authors suggested that this perception and patients' needs assessment by GPs are still lacking [14], making their prescribed management insufficient.…”

Section: Introductionmentioning

confidence: 99%

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Post-stroke follow-up: Time to organize

et al. 2019

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%