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.

Saturday, June 21, 2025

Effects of long-term unmet needs and unmet rehabilitation need on the quality of life in stroke survivors: A cross-sectional study

 The largest unmet need is 100% recovery; all this other stuff is secondary. SOLVE THE CORRECT PROBLEM; 100% RECOVERY!

Effects of long-term unmet needs and unmet rehabilitation need on the quality of life in stroke survivors: A cross-sectional study


https://doi.org/10.1016/j.rehab.2025.101996Get rights and content

Highlights

  • •
    Over 93 % of Korean stroke survivors report at least one unmet need after stroke.
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    Approximately one third of stroke survivors perceive rehabilitation needs as unmet.
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    The most frequent unmet need (49 %) is help with applying for benefits.
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    Higher unmet needs and poorer function increase the risk of lower quality of life.

Abstract

Background

Long-term unmet needs are prevalent among stroke survivors. Their impact on quality of life (QoL) has been reported in the Western population but remain largely unexplored within Western Pacific populations.

Objectives

We aimed to identify the long-term unmet needs and unmet rehabilitation need among stroke survivors in South Korea and evaluate their intercorrelations with QoL.

Methods

In this cross-sectional study, a total of 1002 survivors of stroke, admitted to 4 Regional Cardiocerebrovascular Disease Centers between January 1, 2015 and December 31, 2019, were surveyed. Unmet needs were evaluated based on the Longer-term Unmet Needs after Stroke (LUNS) questionnaire items. QoL was evaluated using the EuroQoL 5-dimension, 3-level (EQ-5D-3 L) questionnaire. The lowest 25 percentile of the EQ-5D index was defined as low QoL. To analyze factors influencing health-related QoL, as measured by the EQ-5D index, a multiple logistic regression analysis was performed.

Results

Among the participants, 94 % experienced at least one unmet need and 311 (33 %) reported unmet rehabilitation need. The most frequently cited unmet needs after stroke were “Help with applying for benefits” (49 %), “Advice on daily occupation” (47 %), and “Fear of falling” (38 %). The odds ratio (OR) for low QoL significantly increased with number of unmet needs (OR = 1.17; 95 % confidence interval [CI], 1.10–1.24), unmet rehabilitation need (OR = 1.71; 95 % CI, 1.10–2.64), and higher Modified Rankin Scale (mRS) score (OR = 2.82; 95 % CI, 2.35–3.39).

Conclusions

Long-term unmet needs, unmet rehabilitation need, and low functional level were associated with a lower QoL. Community-based long-term care is needed to address these unmet needs to improve QoL in survivors of stroke. The generalizability of these findings, derived from a relatively younger and less severe stroke survivor population in Korea, may be limited across different age groups, stroke severities, ethnicities, and socioeconomic backgrounds. Cross-cultural validation is crucial to determine their applicability in diverse settings.
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