Please use this identifier to cite or link to this item:
|Title:||Long-term unmet needs and associated factors in stroke or TIA survivors: An observational study.|
|Epworth Authors:||Gerraty, Richard|
|Other Authors:||Olaiya, M. T.|
Nelson, M. R.
Srikanth, V. K.
Bladin, C. F.
Fitzgerald, S. M.
Phan, T. G.
Thrift, A. G.
Transient Ischemic Attack
Long-term Unmet Needs
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
|Publisher:||American Academy of Neurology|
|Citation:||Neurology. 2017 May 31.|
|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.|
|Affiliated Organisations:||Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton.|
Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Menzies Institute for Medical Research, Hobart, Tasmania.
School of Medicine, University of Tasmania, Hobart
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne
Department of Neurosciences, Box Hill Hospital, Victoria, Australia
Department of Neurology, Alfred Hospital, Melbourne, Australia
|Type of Clinical Study or Trial:||Observational Study|
|Appears in Collections:||Mental Health|
Files in This Item:
There are no files associated with this item.
Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.