Community-based care of stroke patients in a rural african setting
| dc.contributor.author | Wasserman, Sean | |
| dc.contributor.author | de Villiers, Linda | |
| dc.contributor.author | Bryer, Alan | |
| dc.date.accessioned | 2016-09-19T06:58:32Z | |
| dc.date.available | 2016-09-19T06:58:32Z | |
| dc.date.issued | 2009 | |
| dc.date.updated | 2016-01-07T07:52:13Z | |
| dc.description.abstract | Background: In order to develop a community based-model of stroke care we assessed discharge planning of stroke patients, available resources, and continuity of care between hospital and community in a remote rural setting in South Africa. We sought to determine outcomes, family participation and support needs, as well as implementation of secondary prevention strategies. Methods: Thirty consecutive stroke patients from the local hospital were assessed clinically (including Barthel Index and modified Rankin scores) at time of discharge. Patients were re-assessed three months after discharge in their homes by a trained field worker using a structured questionnaire. Results: Two thirds of all families received no stroke education before discharge. At discharge 27 (90%) were either bed or chair-bound. All the patients were discharged into family care as there was no stroke rehabilitation facility available to the community. Of 30 patients recruited, 20 (66.7%) were alive at 3 months, 9 (30%) were deceased, and 1 was lost to follow-up. At 3 months, 55% of survivors were independently mobile as compared with 10% at discharge. A total of 13 (65%) patients in our cohort were visited by home-based carers. Only 45% reported taking aspirin at 3 months. Conclusions: The 3 month mortality rate was high. Most survivors improved functionally but were left with significant disability. Measures to improve family education and the level of home-based care can be introduced in a model of stroke care attempting to reduce carer strain and improve functional disability in rural stroke patients. | |
| dc.identifier | http://dx.doi.org/10.7196/SAMJ.3284 | |
| dc.identifier.apacitation | Wasserman, S., de Villiers, L., & Bryer, A. (2009). Community-based care of stroke patients in a rural african setting. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/21791 | en_ZA |
| dc.identifier.chicagocitation | Wasserman, Sean, Linda de Villiers, and Alan Bryer "Community-based care of stroke patients in a rural african setting." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/21791 | en_ZA |
| dc.identifier.citation | Wasserman, S., de Villiers, L., & Bryer, A. (2009). Community-based care of stroke patients in a rural African setting. South African Medical Journal, 99(8), 579. | |
| dc.identifier.ris | TY - Journal Article AU - Wasserman, Sean AU - de Villiers, Linda AU - Bryer, Alan AB - Background: In order to develop a community based-model of stroke care we assessed discharge planning of stroke patients, available resources, and continuity of care between hospital and community in a remote rural setting in South Africa. We sought to determine outcomes, family participation and support needs, as well as implementation of secondary prevention strategies. Methods: Thirty consecutive stroke patients from the local hospital were assessed clinically (including Barthel Index and modified Rankin scores) at time of discharge. Patients were re-assessed three months after discharge in their homes by a trained field worker using a structured questionnaire. Results: Two thirds of all families received no stroke education before discharge. At discharge 27 (90%) were either bed or chair-bound. All the patients were discharged into family care as there was no stroke rehabilitation facility available to the community. Of 30 patients recruited, 20 (66.7%) were alive at 3 months, 9 (30%) were deceased, and 1 was lost to follow-up. At 3 months, 55% of survivors were independently mobile as compared with 10% at discharge. A total of 13 (65%) patients in our cohort were visited by home-based carers. Only 45% reported taking aspirin at 3 months. Conclusions: The 3 month mortality rate was high. Most survivors improved functionally but were left with significant disability. Measures to improve family education and the level of home-based care can be introduced in a model of stroke care attempting to reduce carer strain and improve functional disability in rural stroke patients. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Community-based care of stroke patients in a rural african setting TI - Community-based care of stroke patients in a rural african setting UR - http://hdl.handle.net/11427/21791 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/21791 | |
| dc.identifier.uri | http://www.samj.org.za/index.php/samj/article/view/3284 | |
| dc.identifier.vancouvercitation | Wasserman S, de Villiers L, Bryer A. Community-based care of stroke patients in a rural african setting. South African Medical Journal. 2009; http://hdl.handle.net/11427/21791. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Department of Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.source | South African Medical Journal | |
| dc.source.uri | http://www.samj.org.za/index.php/samj | |
| dc.title | Community-based care of stroke patients in a rural african setting | |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |