Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network
The evidence-based acute treatment of stroke patients in Germany is carried out according to standardized algorithms in more than 300 certified stroke units, and its quality is repeatedly assured by the German Stroke Society (DSG) and others. However, nationally structured and uniform stroke afterca...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1507003/full |
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| author | John-Ih Lee Robin Jansen Jan F. Cornelius Hubert Schelzig Bernd Turowski Rüdiger J. Seitz Til Menge Philipp Albrecht Philipp Albrecht Sebastian Jander Jan Sobesky Hans-Jürgen von Giesen Marcel Dihné Lars Wojtecki Lars Wojtecki Tristan Kölsche Sajjad Muhammad Tobias Ruck Sven G. Meuth Michael Gliem |
| author_facet | John-Ih Lee Robin Jansen Jan F. Cornelius Hubert Schelzig Bernd Turowski Rüdiger J. Seitz Til Menge Philipp Albrecht Philipp Albrecht Sebastian Jander Jan Sobesky Hans-Jürgen von Giesen Marcel Dihné Lars Wojtecki Lars Wojtecki Tristan Kölsche Sajjad Muhammad Tobias Ruck Sven G. Meuth Michael Gliem |
| author_sort | John-Ih Lee |
| collection | DOAJ |
| description | The evidence-based acute treatment of stroke patients in Germany is carried out according to standardized algorithms in more than 300 certified stroke units, and its quality is repeatedly assured by the German Stroke Society (DSG) and others. However, nationally structured and uniform stroke aftercare programs are missing, despite evidence that they contribute to the success of rehabilitation and improvement of everyday life. We used a 27-item online questionnaire, which was mailed to 4,195 outpatient physicians in the catchment area of the neurovascular network Neurovascular Network North Rhine plus (NEVANO+) located in the western part of Germany to assess actual structures of stroke aftercare, identify barriers, and possible solutions. Based on 152 completed anonymous answers to the questionnaire, a descriptive evaluation revealed that general practitioners and neurologists are seen to be responsible for stroke aftercare. Important improvement aspects, among others, were identified in intersectoral cooperation, the use of a post-stroke checklist, and connections to local self-help organizations. Stroke units could play a key role in stroke aftercare by providing these checklists, connecting self-help organizations, and offering education and coaching for supportive coordinating staff. Furthermore, existing neurovascular networks can be expanded to include rehabilitation clinics, geriatric clinics, and outpatient physicians to improve intersectoral communication, collaboration, and post-stroke care. Further studies should investigate whether intersectoral cooperation, checklists, and cooperation with self-help organizations within an extended neurovascular network have a positive impact on stroke aftercare and patients’ quality of life. |
| format | Article |
| id | doaj-art-7e06f81e475c47a5a0ce1074c4ee5ccc |
| institution | DOAJ |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-7e06f81e475c47a5a0ce1074c4ee5ccc2025-08-20T02:47:39ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-03-011610.3389/fneur.2025.15070031507003Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular networkJohn-Ih Lee0Robin Jansen1Jan F. Cornelius2Hubert Schelzig3Bernd Turowski4Rüdiger J. Seitz5Til Menge6Philipp Albrecht7Philipp Albrecht8Sebastian Jander9Jan Sobesky10Hans-Jürgen von Giesen11Marcel Dihné12Lars Wojtecki13Lars Wojtecki14Tristan Kölsche15Sajjad Muhammad16Tobias Ruck17Sven G. Meuth18Michael Gliem19Department of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, LVR-Klinikum Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, LVR-Klinikum Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Maria Hilf Clinic, Mönchengladbach, GermanyDepartment of Neurology, Marienhospital Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Johanna-Etienne-Hospital, Neuss, GermanyDepartment of Neurology, Maria Hilf Clinic, Krefeld, Germany0Department of Neurology, St. Lukas Klinik, Solingen, Germany1Departmemt of Neurology and Neurorehabilitation, Hospital Zum Heiligen Geist, Academic Teaching Hospital of the Heinrich-Heine-University Duesseldorf, Kempen, Germany2Institute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich Heine University, Duesseldorf, GermanyDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyThe evidence-based acute treatment of stroke patients in Germany is carried out according to standardized algorithms in more than 300 certified stroke units, and its quality is repeatedly assured by the German Stroke Society (DSG) and others. However, nationally structured and uniform stroke aftercare programs are missing, despite evidence that they contribute to the success of rehabilitation and improvement of everyday life. We used a 27-item online questionnaire, which was mailed to 4,195 outpatient physicians in the catchment area of the neurovascular network Neurovascular Network North Rhine plus (NEVANO+) located in the western part of Germany to assess actual structures of stroke aftercare, identify barriers, and possible solutions. Based on 152 completed anonymous answers to the questionnaire, a descriptive evaluation revealed that general practitioners and neurologists are seen to be responsible for stroke aftercare. Important improvement aspects, among others, were identified in intersectoral cooperation, the use of a post-stroke checklist, and connections to local self-help organizations. Stroke units could play a key role in stroke aftercare by providing these checklists, connecting self-help organizations, and offering education and coaching for supportive coordinating staff. Furthermore, existing neurovascular networks can be expanded to include rehabilitation clinics, geriatric clinics, and outpatient physicians to improve intersectoral communication, collaboration, and post-stroke care. Further studies should investigate whether intersectoral cooperation, checklists, and cooperation with self-help organizations within an extended neurovascular network have a positive impact on stroke aftercare and patients’ quality of life.https://www.frontiersin.org/articles/10.3389/fneur.2025.1507003/fullstrokeneurorehabiliationaftercare and long term careneurovascularoutpatient care |
| spellingShingle | John-Ih Lee Robin Jansen Jan F. Cornelius Hubert Schelzig Bernd Turowski Rüdiger J. Seitz Til Menge Philipp Albrecht Philipp Albrecht Sebastian Jander Jan Sobesky Hans-Jürgen von Giesen Marcel Dihné Lars Wojtecki Lars Wojtecki Tristan Kölsche Sajjad Muhammad Tobias Ruck Sven G. Meuth Michael Gliem Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network Frontiers in Neurology stroke neurorehabiliation aftercare and long term care neurovascular outpatient care |
| title | Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network |
| title_full | Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network |
| title_fullStr | Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network |
| title_full_unstemmed | Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network |
| title_short | Stroke aftercare in Germany: findings from an online survey in the outpatient setting of a neurovascular network |
| title_sort | stroke aftercare in germany findings from an online survey in the outpatient setting of a neurovascular network |
| topic | stroke neurorehabiliation aftercare and long term care neurovascular outpatient care |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1507003/full |
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