Survey on stroke rehabilitation in Europe (SUSTAIN-EU) to evaluate European stroke rehabilitation services

 Darn, this has already occurred. They managed to make it look like a success, when EVERYTHING IN STROKE IS A COMPLETE FUCKING FAILURE!

Only one question needed; Are you fully recovered? Y/N? Then you build a framework that gets there.  You'll want 100% recovery when you are 1 in 4 per WHO that has a stroke! Doesn't even look like they measured recovery! Measuring services is the height of stupidity! Services don't tell you about actual recovery! All these supposedly smart people and they fucking blew it!

Here is your business101 requirements. Not measuring 100% recovery is the height of incompetence!

“What's measured, improves.” So said management legend and author Peter F. Drucker !   

The latest here:

Survey on stroke rehabilitation in Europe (SUSTAIN-EU) to evaluate European stroke rehabilitation services

• Guna BērziņaDepartment of Rehabilitation, Riga Stradiņš University, Riga, Latvia
• Katharina S. SunnerhagenRehabilitation Medicine, Clinical Neuroscience, University of Gothenburg, Gothenburg, Sweden; Rehabilitation Medicine, Sahlgrenska University Hospital, Gothenburg, Swedenhttps://orcid.org/0000-0001-6826-2427
• Ayse A. KüçükdeveciAnkara University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkeyhttps://orcid.org/0000-0001-7255-7535
• Mauro ZampoliniDepartment of Rehabilitation, USL UMBRIA 2, Foligno, Italyhttps://orcid.org/0000-0001-8089-8583
• Volodymyr GolykDisability and Rehabilitation, Rehabilitation and Disability Unit, WHO Country Office in Ukraine; Ukrainian Society of Physical and Rehabilitation Medicine, Dnipro, Ukrainehttps://orcid.org/0000-0001-5106-6382
• Yvona AngerovaDepartment of Rehabilitation Medicine First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republichttps://orcid.org/0000-0002-9812-1614
• Marco FranceschiniResearch Area in Neuromotor Rehabilitation and Rehabilitation Robotics, Department of Neuroscience, IRCCS San Raffaele Roma, Rome, Italyhttps://orcid.org/0000-0002-2131-1583
• Daiana PopaRehabilitation Hospital Felix Spa, Oradea, Romania
• Catarina Aguiar BrancoPRM Service – Hospital Feira – ULSEDV, Portugal and FMD University of Porto, Portugalhttps://orcid.org/0000-0001-5666-842X
• Markos SgantzosMedical School, University of Thessaly, Greecehttps://orcid.org/0000-0001-6337-4534
• Paolo BoldriniPrivate Practice, Ferrara, Italy
• Dominic PerennouNeurorehabilitation Department, Institute of Rehabilitation, Grenoble-Alpes University Hospital, Echirolles, France; Lab Psychology and NeuroCognition, University of Grenoble-Alpes, Grenoble, Francehttps://orcid.org/0000-0003-2125-386X
• Thierry LejeuneUCLouvain, Institut de Recherche Expérimentale et Clinique (IREC), Neuro Musculo Skeletal Lab (NMSK), Brussels, Belgium; Cliniques universitaires Saint-Luc, Service de médecine physique et réadaptation, Brussels, Belgiumhttps://orcid.org/0000-0001-5741-7753
• Xiaolei HuDepartment of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, Umeå, Sweden

DOI:

https://doi.org/10.2340/jrm.v58.44888

Keywords:

Europe, health services, stroke rehabilitation

Abstract

Objective: This study aimed to assess the organization and delivery of post-stroke rehabilitation services across Europe, focusing on the role of Physical and Rehabilitation Medicine physicians.

Design and Methods: A cross-sectional online survey was conducted by the ESPRM Working Group of Stroke Rehabilitation from 30 European countries. The survey followed the International Classification of Service Organization in Rehabilitation framework and covered stroke care levels, rehabilitation services, registries, and quality control. Descriptive statistics were used for analysis.

Results: With an 81% response rate, the study revealed both commonalities and disparities in service provision in 30 European countries. Stroke unit rehabilitation was available in 90% of countries, and inpatient services in 100%. However, early supported discharge (53%), community-based rehabilitation (63%), and telerehabilitation (57%) were less common. Countries joining ESPRM after 1991 had significantly lower rates of early supported discharge (−48%, p=0.01) and community-based care (−55%, p=0.02).

Conclusion: Despite widespread inpatient services, major gaps remain in community- and technology-supported rehabilitation. Addressing these disparities requires targeted policy changes, altered resource allocation, and enhanced training to ensure equitable and effective stroke recovery across Europe.