riwc_para_a085 outcomes in stroke rehabilitation
TRANSCRIPT
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
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
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
Thomas Maribo Associate Professor Aarhus University, Denmark
Stroke – relevant outcome
• Cognition
• Mobility
• Communication
• ADL
• Dysphagia
• Work
ICF core set and guidelines
Thomas Maribo Associate Professor Aarhus University, Denmark
The journey of rehabilitation
Thomas Maribo Associate Professor Aarhus University, Denmark
Stages in illness
Different perspectives in rehabilitation
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
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)?”
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!
Thomas Maribo Associate Professor Aarhus University, Denmark
Denmark
The survey covers
a population of 2.96
million
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
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
Thomas Maribo Associate Professor Aarhus University, Denmark
Thank you
Thomas Maribo