Article

Rééducation précoce -
The aim of this work was to survey the contemporary facilities for early
poststroke rehabilitation in Poland. The main research questions were as follows:
what is the availability of inpatient rehabilitation for poststroke patients in
neurological departments and in rehabilitation departments? The growing costs of
healthcare are encouraging healthcare planners to look for new organizational
solutions of services that could enable rehabilitation as early as possible after
disease onset. Early poststroke rehabilitation includes many elements that
provide for early-onset rehabilitation and its continuation after discharge from
the stroke unit. Two questionnaires evaluating neurorehabilitation of individuals
who had stroke were designed and distributed: the first questionnaire was
distributed to 221 neurological wards and the second questionnaire was
distributed to 154 rehabilitation departments in Poland. We obtained information
about delay before admission from neurological wards to rehabilitation
departments, the number of sessions per day, the time duration of one session,
the number of sessions per week, the average length of stay in department, the
methods of outcome measurement, etc. We sent out 375 questionnaires and received
129 (35%) responses, 78 from neurological wards and 51 from rehabilitation
departments. Only 25% of all patients were moved from neurological wards to the
rehabilitation department after stroke (15% directly). Of those moved to
rehabilitation departments, only 54% were treated early after stroke; that is,
within 3 months of stroke. Considering that about half of stroke survivors will
require rehabilitation (30 days after stroke onset), the current facilities of
early poststroke rehabilitation in Poland cannot meet this need. We should do our
best to introduce rehabilitation services such as early home-supported discharge
after stroke, which is currently not available in Poland. Although we have
focused on resources in Poland, we anticipate that similar patterns may be found
in other countries in the region.

Langue : ANGLAIS