Preliminary results from the use of the Post Stroke Checklist (PSC) in an Australian population.

Abstract

BACKGROUND/OBJECTIVES: Current estimates suggest that 30% of Australian stroke survivors experience persisting disability and decreased daily functioning. The incidence of common ongoing deficits is often underestimated and there is often no routine system for appropriate long-term follow-up of patients. Post stroke review generally focuses on risk factor measurement and modification. This continuing study trials the Post Stroke Checklist (PSC) (endorsed by the World Stroke Organisation) in an Australian population. DESIGN/METHOD: The PSC was designed to identify the incidence of 11 common sequelae after stroke with a focus on patient functioning and suggests appropriate courses of action. The study administered the PSC to sixty patients recruited from two acute stroke units at 6 months post stroke. RESULTS: Preliminary analyses found that 78.3% patients reported at least one deficit at 6 months. Stiffness (spasticity) in upper or lower limbs was reported in 33.3% of patients which equates to current estimates of the incidence of spasticity. Of these, 60% found spasticity interfered with daily living tasks. Changes in mood were also common with 30% of patients reporting depression or anxiety. Difficulties with mobility were experienced by 26.7% of patients yet only half of these patients were receiving rehabilitation. Almost 50% of patients had ongoing difficulties performing activities of daily living. Patients were satisfied with the checklist and 35% requested it be relayed to their healthcare professional. CONCLUSIONS: Results from this study highlight the need for increased long-term surveillance and further management of patients’ post stroke disability.