Deans' stroke musings: Portrait of driving practice following a mild stroke: a secondary analysis of a chart audit

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.

Friday, May 15, 2020

Portrait of driving practice following a mild stroke: a secondary analysis of a chart audit

You wouldn't even need to consider this problem if you had protocols leading to 100% recovery. Solve the primary problem, NOT these secondary problems.

Portrait of driving practice following a mild stroke: a secondary analysis of a chart audit

opics in Stroke Rehabilitation , Volume 27(3) , Pgs. 181-189.

NARIC Accession Number: J83477. What's this?
ISSN: 1074-9357.
Author(s): Ouellet, Marie-Andrée ; Rochette, Annie ; Miéville, Carole ; Poissant, Lise.
Publication Year: 2020.
Number of Pages: 9.

Abstract:

Study describes acute care practice related to driving assessments among individuals who have had a mild stroke whose discharge location is home. A secondary analysis of data from a chart audit was conducted in the Province of Quebec, Canada. Evaluation practice was described according to whether the driving assessment was specific or nonspecific to driving (cognitive, perceptual, and visual functions). Descriptive statistics were used. The study sample consisted of 419 individuals with a mean age of 70.5 years old. Mean length of hospital stay was 10.3 days. Specific driving assessment was documented among 26 (6.2 percent) of the 419 participants, while for seven of these, the assessment was considered full. Meanwhile, 92 (22.0 percent) were considered as problematic for driving a vehicle. Nonspecific driving assessment was documented among 16.7 percent, 10.3 percent, and 7.9 percent of charts for cognitive, perceptual, and visual functions, respectively. Charts were characterized by several missing data relating to driving. The proportion of charts documenting driving restriction post-stroke in acute care was very low. Assuming that all driving discussions and referrals were captured in the charts (which may not be the case), the results indicate an important gap in acute care practice as compared to best practices relating to driving post-stroke.
Descriptor Terms: ACUTE CARE, CLINICAL MANAGEMENT, DRIVING, EVALUATION, INTERNATIONAL REHABILITATION, MOTOR VEHICLES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Ouellet, Marie-Andrée , Rochette, Annie , Miéville, Carole , Poissant, Lise. (2020). Portrait of driving practice following a mild stroke: a secondary analysis of a chart audit. Topics in Stroke Rehabilitation , 27(3), Pgs. 181-189. Retrieved 5/15/2020, from REHABDATA database.