Perceived Unmet Rehabilitation Needs 1 Year After @entity64 : An Observational Study From the Swedish XXXX Register.

@entity1 @entity64 @entity308 @entity6 @entity63 @entity158 @entity955
BACKGROUND AND PURPOSE: Met care demands are key aspects in poststroke quality of care. This study aimed to identify baseline predictors and 12-month factors that were associated with perceived unmet rehabilitation needs 1 year poststroke. METHODS: Data on @entity1 who were independent in activities of daily living, hospitalized for @entity64 during 2008 to 2010, and followed up 1 year poststroke through a postal questionnaire were obtained from the Swedish @entity64 register. @entity1 reporting fulfilled rehabilitation needs were compared with those with unmet needs (Chi square test). RESULTS: The study included 37 383 @entity1 , 46% female. At 12 months, 8019 (21.5%) @entity1 reported unmet rehabilitation needs. Compared with those with met rehabilitation needs, @entity1 reporting unmet rehabilitation needs were older (75.4 versus 72.4 years; P<0.0001); a higher proportion was activities of daily living-dependent (59% versus 31.9%; P<0.0001) and institutionalized (24.3% versus 11.5%; P<0.0001) at 12 months. @entity308 (32.3% versus 24.9%; P<0.0001) and insufficient @entity158 medication were more common in @entity1 with unmet needs (54.5% versus 32.3%; P<0.0001). Baseline predictors of unmet rehabilitation needs at 12 months in an age-adjusted model were severe @entity64 (odds ratio [OR]=3.04; confidence interval [CI]: 2.39-3.87), prior @entity64 (OR=1.63; CI: 1.53-1.75), female sex (OR=1.14; CI: 1.07-1.20), @entity6 (OR=1.24; CI: 1.15-1.32), @entity64 other than @entity63 (OR=1.26; CI: 1.20-1.32), and @entity955 (OR=1.19; CI: 1.12-1.27). CONCLUSIONS: Unfulfilled rehabilitation needs 1 year poststroke are common and associated with high age, dependency, @entity158 , and @entity308 . Long-term follow-up systems should, therefore, be comprehensive and address multiple domains of poststroke problems, rather than having a single-domain focus.
