They talk about 'care' and 'management' neither of which survivors want. THEY WANT RECOVERY RESULTS. GET THERE! This is why survivors need to be in charge, we wouldn't waste time and money on useless crapola like this.
EXPRESS: Longer term patient management following stroke A systematic review
Abstract
Background
Tremendous progress in acute stroke therapy has improved short-term outcome(Objectively explain where you have done this. I see nothing that gets you materially closer to 100% recovery. Reperfusion doesn't count, that is an intermediate step.) but part of this achievement may be lost in the long run. Concepts for a better long-term management of stroke survivors are needed to address their unmet needs and to reduce the burden of post-stroke complications, residual deficits and recurrent vascular events.
Aims
This review summarizes current knowledge on post-hospital care and the scientific evidence supporting individual programs.
Summary of review
A systematic search of electronic databases according to PRISMA guidelines identified 10,374 articles, 77 of which met the inclusion criteria. One large randomised controlled trial on a multifaceted care program delivered by the multidisciplinary stroke team reduced recurrent vascular events and improved quality of life and functional outcome one year after the event while a number of studies offer solutions for individual components of post-hospital disease management like patient education, counselling, and self-management or the management of post-stroke complications and residual deficits. A majority of studies, however, was small in size and limited by a short follow-up. Most initiatives with a narrow focus on risk factor control failed to lower the risk of recurrent events. The caregivers’ central role in post-stroke patient management is broadly neglected in research.
Conclusions
Over the past years, first knowledge on how to best organize post-hospital care of stroke patients has emerged. Comprehensive and pragmatic programs operated by the multidisciplinary stroke team hold promise to reduce the long-term health burden of stroke. There is a clear need for further high-quality studies with both clinical endpoints and patient-reported outcomes to establish sustainable solutions in different settings and regions to improve life after stroke, a key priority of the Stroke Action Plan for Europe 2018-2030.
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