Projects per year
Abstract
Objective: To extensively investigate long-term unmet needs in survivors of stroke or TIA and to identify factors associated with these unmet needs. Methods: Community-dwelling adults were invited to participate in a survey ≥2 years after discharge for stroke/TIA. Unmet needs were assessed across 5 domains: Activities and participation, environmental factors, body functions, post-acute care, and secondary prevention. Factors associated with unmet needs were determined with multivariable negative binomial regression. Results: Of 485 participants invited to complete the survey, 391 (81%) responded (median age 73 years, 67% male). Most responders (87%) reported unmet needs in ≥1 of the measured domains, particularly in secondary prevention (71%). Factors associated with fewer unmet needs included older age (incident rate ratio [IRR] 0.62, 95% confidence interval [CI] 0.50-0.77), greater functional ability (IRR 0.33, 95% CI 0.17-0.67), and reporting that the general practitioner was the most important in care (IRR 0.69, 95% CI 0.57-0.84). Being depressed (IRR 1.61, 95% CI 1.23-2.10) and receiving community services after stroke (IRR 1.45, 95% CI 1.16-1.82) were associated with more unmet needs. Conclusions: Survivors of stroke/TIA reported considerable unmet needs ≥2 years after discharge, particularly in secondary prevention. The factors associated with unmet needs could help guide policy decisions, particularly for tailoring care and support services provided after discharge.
Original language | English |
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Pages (from-to) | 68-75 |
Number of pages | 8 |
Journal | Neurology |
Volume | 89 |
Issue number | 1 |
DOIs | |
Publication status | Published - 4 Jul 2017 |
Projects
- 4 Finished
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Improving the quality, efficiency and outcomes of stroke care: transforming policy and practice
Cadilhac, D. (Primary Chief Investigator (PCI))
National Health and Medical Research Council (NHMRC) (Australia)
1/01/14 → 31/12/17
Project: Research
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Cerebrovascular diseases and Brain Ageing - a program of research into novel mechanisms, risk prevention and innovative health care delivery
Srikanth, V. (Primary Chief Investigator (PCI))
National Health and Medical Research Council (NHMRC) (Australia)
1/01/14 → 31/12/17
Project: Research
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Shared Team Approach between Nurses and Doctors for Improved Risk Factor Management (STAND FIRM)
Thrift, A. (Primary Chief Investigator (PCI)), Bladin, C. (Chief Investigator (CI)), Fitzgerald, S. (Chief Investigator (CI)), Gerraty, R. (Chief Investigator (CI)), Phan, T. (Chief Investigator (CI)), Srikanth, V. (Chief Investigator (CI)), Cadilhac, D. (Partner Investigator (PI)) & Nelson, M. R. (Partner Investigator (PI))
National Health and Medical Research Council (NHMRC) (Australia)
1/01/10 → 31/12/14
Project: Research