Type

Journal Article

Authors

N Frances Horgan
Emer Shelley
Peter J Kelly
Eamon Dolan
Lisa Mellon
Linda Brewer
Anne Hickey
David Williams
Patricia Hall

Subjects

Psychiatry

Topics
secondary prevention interventions occupational therapy profile prospective study speech and language therapy post stroke rehabilitation community

Access to Rehabilitation at Six Months Post Stroke: A Profile from the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) Study. (2015)

Abstract Stroke is the third leading cause of death and disability. Few studies have assessed the profile and adequacy of access to rehabilitation services after ischaemic stroke both in the inpatient and community setting. The objectives of the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) study were to assess the disability and rehabilitation profile, adherence with rehabilitation recommendations and needs of patients 6 months following hospital admission for stroke. A rehabilitation prescription was completed before hospital discharge for each participant, and adherence to this prescription was assessed at 6 months to determine whether patients received their recommended rehabilitation needs. Two hundred and fifty six patients were recruited to ASPIRE-S. The average age was 69 (SD 12.8). A majority (n = 221, 86%) were referred to the hospital multidisciplinary team, 59% (n = 132) were referred to all services (physiotherapy (PT), occupational therapy (OT), speech and language therapy (SLT)). Fifty-four percent (n = 119) of patients (seen by the multidisciplinary team) were referred for further rehabilitation in the community on discharge. Of these 119 patients, 112 (95%) recalled receiving community rehabilitation services. However, while most (68%) patients were referred for several disciplines (PT, OT, SLT), the most commonly recalled therapy (55%) was from a single discipline. The most commonly recommended frequency of therapy required was on a weekly basis. Sixty-one patients (51%) reported a delay in services, with some still awaiting services at 6 months. Results from this prospective study revealed that a significant number of patients (57%) did not receive the therapy recommended on discharge. Future initiatives should include the development of policies, which support more effective, equitable multidisciplinary rehabilitation for stroke patients in the community.
Collections Ireland -> Royal College of Surgeons in Ireland -> PubMed

Full list of authors on original publication

N Frances Horgan, Emer Shelley, Peter J Kelly, Eamon Dolan, Lisa Mellon, Linda Brewer, Anne Hickey, David Williams, Patricia Hall

Experts in our system

1
N Frances Horgan
Royal College of Surgeons in Ireland
Total Publications: 7
 
2
Emer Shelley
Royal College of Surgeons in Ireland
Total Publications: 51
 
3
Peter J Kelly
University College Dublin
Total Publications: 35
 
4
Eamon Dolan
IT Blanchardstown
Total Publications: 42
 
5
Lisa Mellon
Royal College of Surgeons in Ireland
Total Publications: 23
 
6
Linda Brewer
Royal College of Surgeons in Ireland
Total Publications: 13
 
7
Anne Hickey
Royal College of Surgeons in Ireland
Total Publications: 80
 
8
David Williams
Royal College of Surgeons in Ireland
Total Publications: 82
 
9
Patricia Hall
Royal College of Surgeons in Ireland
Total Publications: 10