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Post Soft Care: Italian implementation of a post-stroke checklist software for primary care and identification of unmet needs in community-dwelling patients

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Abstract

The needs of community-dwelling stroke patients are often not fully addressed. The Global Stroke Community Advisory Panel had developed the Post Stroke Checklist (PSC) with the aim of standardizing long-term stroke assessment and consequently care of patients. PSC has been validated for UK and Singapore, and an Italian version has been proposed. The aim of this study is to assess the needs of community-dwelling Italian stroke patients using an online version of PSC. Secondary aim is to assess utility of PSC for patients and clinicians. The PSC was administered to a sample of 64 patients with stroke in Italy by general practioners. PSC is a questionnaire formed by 11 questions, each one covering a domain identified as important for patients’ health. After administration of PSC, patient and clinician satisfaction with the PSC was assessed by a specific questionnaire. The PSC identified specific problems for patients related to a worsening from the last examination not evaluated by any specialist. The online PSC highlighted problems related to mood, (in 50% of sample), mobility (53.1%), spasticity (42.2%), and pain (37.5%). Both patients and clinicians provided good results about the utility of online PSC. The PSC was confirmed to be a useful tool for identifying the needs of community-dwelling patients with stroke. Particular attention should be deserved to problems related to mood, mobility, and hence participation to social life, pain, and spasticity. For taking into account these aspects, the online PSC can be a useful portable tool for clinicians.

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Funding

This study was funded by an unrestricted grant from Allergan.

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Authors and Affiliations

  1. Clinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S. Fondazione Santa Lucia, Rome, Italy

    M. Iosa, G. Morone & S. Paolucci

  2. Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, Naples, Italy

    A. Lupo

  3. Health Sciences Department, Università del Piemonte Orientale, Novara, Italy

    A. Baricich & C. Cisari

  4. Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy

    A. Picelli & N. Smania

  5. ASReM Azienda Sanitaria Regionale del Molise, PO “A. Cardarelli”, Campobasso, Italy

    G. Panza

  6. IRCCS Fondazione Istituto Neurologico C. Mondino, Pavia, Italy

    G. Sandrini

  7. Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy

    G. Sandrini

Authors
  1. M. Iosa
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  2. A. Lupo
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  3. G. Morone
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  4. A. Baricich
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  5. A. Picelli
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  6. G. Panza
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  7. N. Smania
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  8. C. Cisari
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  9. G. Sandrini
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  10. S. Paolucci
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Corresponding author

Correspondence to M. Iosa.

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Iosa, M., Lupo, A., Morone, G. et al. Post Soft Care: Italian implementation of a post-stroke checklist software for primary care and identification of unmet needs in community-dwelling patients. Neurol Sci 39, 135–139 (2018). https://doi.org/10.1007/s10072-017-3140-1

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  • DOI: https://doi.org/10.1007/s10072-017-3140-1

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