POSTDISCHARGE FOLLOW-UP OF STROKE PATIENTS AT GROOTE-SCHUUR-HOSPITAL - A PROSPECTIVE-STUDY

A survey of 59 stroke patients was undertaken between 3 and 6 months a fter the event to determine whether a weekly stroke round would improv e the rate of referral for rehabilitation. Comparison with a previous survey at Groote Schuur Hospital showed a marked improvement (40% for physiotherapy and 10% for occupational therapy v. 76% and 50% respecti vely). A comparison of referral rates between younger (< 65 years old) and older patients (> 65 years old) revealed a significantly higher r ate of referral among the younger patients. Attendance for both groups was low (approx. 7 sessions per 3 months). Social work was an importa nt requirement and 60% of all patients expressed a need for more help. Social needs of older and younger patients differ. Despite the improv ed referral rate the rehabilitation of stroke patients is unsatisfacto ry, mainly because of transport difficulties. Methods should be invest igated to establish rehabilitation centres in the community to overcom e this impasse.