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RIWC_PARA_A085 Outcomes in Stroke Rehabilitation

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A085 Outcomes in Stroke Rehabilitation

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RIWC_PARA_A085 Outcomes in Stroke Rehabilitation

  1. 1. Thomas Maribo Associate Professor Aarhus University, Denmark The need for consensus in the use of outcome measures in stroke rehabilitation Thomas Maribo Associate Professor; MHs, PT. Aarhus University and Central Denmark Region Aarhus Denmark
  2. 2. Thomas Maribo Associate Professor Aarhus University, Denmark Stroke • A brain injury – caused when a blood vessel to the brain becomes blocked or bursts, cutting off blood flow and oxygen to the brain • After acute treatment  rehabilitation
  3. 3. Thomas Maribo Associate Professor Aarhus University, Denmark Stroke • Occurs 152,000 times a year in the UK – A stroke every 3 minutes 27 seconds. • A leading cause of adult disability • Most stoke survivors need rehabilitation • Hospitals  and followed in the community • In rehabilitation transitions, good descriptions of functioning are important (guidelines) • Relevant outcome measures offer a way of ensuring good description
  4. 4. Thomas Maribo Associate Professor Aarhus University, Denmark Stroke – relevant outcome • Cognition • Mobility • Communication • ADL • Dysphagia • Work ICF core set and guidelines
  5. 5. Thomas Maribo Associate Professor Aarhus University, Denmark The journey of rehabilitation
  6. 6. Thomas Maribo Associate Professor Aarhus University, Denmark Stages in illness Different perspectives in rehabilitation
  7. 7. Thomas Maribo Associate Professor Aarhus University, Denmark Assessment of functioning along the path of rehabilitation Survey: outcome measures used to decribe functioning in stroke rehabilitation
  8. 8. Thomas Maribo Associate Professor Aarhus University, Denmark Survey – stroke rehabilitation: relevant outcome measures • Hospitals and municipalities • ”Which outcome measures do you use to assess function (with particular emphasis on the transition between hospital and municipality)?”
  9. 9. Thomas Maribo Associate Professor Aarhus University, Denmark Survey – stroke rehabilitation: relevant outcome measures • 26 hospitals • Response rate 85% • One reports no systematic use • 61 different tools used! • 52 municipalities • Response rate 90% • Two report no systematic use • 60 different tools used!
  10. 10. Thomas Maribo Associate Professor Aarhus University, Denmark Denmark The survey covers a population of 2.96 million
  11. 11. Thomas Maribo Associate Professor Aarhus University, Denmark Use of outcome measures in stroke rehabilitation in Denmark • 61 tools used at hospitals • 60 tools used in municipal rehabilitation • In total 89 different tools • No consensus
  12. 12. Thomas Maribo Associate Professor Aarhus University, Denmark The National Board of Health and the Society of Neurorehabilitation • Working group will identify the tools to be used for assessing functioning in six areas • Municipalities and hospitals commit to using those tools
  13. 13. Thomas Maribo Associate Professor Aarhus University, Denmark Thank you Thomas Maribo Thomas.maribo@au.dk

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