Deans' stroke musings: Implementation of prescheduled follow-ups with education improve poststroke depression screening compliance in routine clinical practice

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, December 19, 2018

Implementation of prescheduled follow-ups with education improve poststroke depression screening compliance in routine clinical practice

Just why the fuck are we measuring the compliance of the doctors screening patients for depression rather than measuring the results of the protocols given to patients to prevent or treat depression? Something is terribly broken in the stroke research world. It is easy to explain. THERE IS NO FUCKING STROKE STRATEGY. No strategy, nothing useful will ever come out of stroke research.

Implementation of prescheduled follow-ups with education improve poststroke depression screening compliance in routine clinical practice

Archives of Physical Medicine and Rehabilitation , Volume 99(11) , Pgs. 2198-2202.

NARIC Accession Number: J79841. What's this?
ISSN: 0003-9993.
Author(s): Berg, Anu; Hujala, Maija; Kari, Pirkko; Tapiola, Tero.
Publication Year: 2018.
Number of Pages: 5.
Abstract: Study investigated the extent to which the mood of stroke patients is assessed and what kind of assessment methods are used in routine clinical practice, and whether prescheduled follow-ups including depression screening, improved compliance with screening and detecting depression. A follow-up system was implemented for all stroke patients referred to the Neurological Unit at the South Karelia Central Hospital in Finland. Each stroke patient was assigned 2 prescheduled appointments, the first at 3 months and the second at 6 months after the stroke. The study retrospectively screened all patients diagnosed with an acute stroke before and after implementing the systematized follow-up plan. Screening took place in the first half of 2010 and then again, after the implementation of the follow-up system, in the first half of 2012. After exclusion of patients too severely ill to be interviewed, there were 105 patients in the 2010 sample and 112 patients in the 2012 sample. Outcomes included the percentage and quality of mood assessments in the medical records; and the stroke patients’ depressive symptoms and their satisfaction with their care. In the 2010 sample, 48 patients (47 percent) had documentation of mood in their medical records. After the implementation of prescheduled follow-ups, 86 patients (77 percent) had documented moods. The increase was highly significant. During the early outpatient phase, the use of interviews increased from 14 to 45 percent of the patients. The increase in the satisfaction with care did not reach statistical significance. Depressive symptoms recorded at any time were associated with depressive symptoms at 18 months. Findings suggest prescheduled follow-ups for all stroke patients, including routine depression screening, can remarkably improve the compliance with depression screening and the detection of depression.