Access to rehabilitation after stroke in Brazil (AReA study): multicenter study protocol

Roberta de Oliveira Cacho; Carla Heloísa Cabral Moro; Rodrigo Bazán; Suzete Nascimento Farias da Guarda; Elen Beatriz Pinto; Suellen Marinho Andrade; Lenise Valler; Kelson James Almeida; Tatiana Souza Ribeiro; Renata Viana Brígido de Moura Jucá; César Minelli; Maria Elisa Pimentel Piemonte; Eric Homero Albuquerque Paschoal; Marco Túlio Araújo Pedatella; Octávio Marques Pontes‐Neto; Ana Paula Fontana; Aline Souza Pagnussat; Adriana Bastos Conforto

doi:10.1055/s-0042-1758558

Key Points

To describe the design of the AReA study evaluating access to rehabilitation services within six months following hospital discharge for stroke.
Multicenter protocol targeting 612 patients aged 18 years or older who had an ischemic or hemorrhagic stroke 6 to 12 months prior.
Recruits patients with neurological impairment admitted to public hospitals during acute stroke, via public neurology or internal medicine clinics.
Administers a standardized questionnaire evaluating rehabilitation referrals, program duration, session frequency, received guidance, and preferred rehabilitation settings.
Protocol implementation commenced in 2020 with scheduled data collection running through June 2022.
Outcomes will characterize post-acute referral patterns, active rehabilitation participation rates, and session volumes in public care.
Analysis will document patient preferences across hospital, outpatient clinic, and home-based rehabilitation settings.

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Implication

Multicenter study protocol outlines methods to evaluate post-stroke rehabilitation access across public hospitals, highlighting disparities in long-term neurological recovery care.

Abstract

BACKGROUND: Most of the Brazilian population relies on public healthcare and stroke is a major cause of disability in this country of continental dimensions. There is limited information about access to rehabilitation after stroke in Brazil. OBJECTIVE: To provide comprehensive information about Access to Rehabilitation After discharge from public hospitals in Brazil (AReA study), up to 6 months after stroke. METHODS: = 612). The inclusion criteria are: age ≥ 18 years old; ischemic or hemorrhagic stroke, from 6 months to 1 year prior to the interview; admission to a public hospital in the acute phase after stroke; any neurological impairment poststroke; patient or caregiver able to provide informed consent and answer the survey. Patients can only be recruited in public neurology or internal medicine outpatient clinics. Outcomes will be assessed by a standard questionnaire about rehabilitation referrals, the rehabilitation program (current status, duration in months, number of sessions per week) and instructions received. In addition, patients will be asked about preferences for locations of rehabilitation (hospitals, clinics, or at home). TRIAL STATUS: , 2020 and is planned to continue until June 2022. CONCLUSION: The AReA study will fill a gap in knowledge about access to stroke rehabilitation in the public health system in different Brazilian regions.

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Cite This Study

Cacho et al. (2022) studied this question.

synapsesocial.com/papers/6a8991bda4df84145ecb178c https://doi.org/10.1055/s-0042-1758558

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Access to rehabilitation after stroke in Brazil (AReA study): multicenter study protocol

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Cite This Study

Access to rehabilitation after stroke in Brazil (AReA study): multicenter study protocol

Key Points

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