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Updated: Jun 19, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

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Published on: January 18, 2018

Patient dissatisfaction with acute stroke care.

Kjell Asplund1, Fredrik Jonsson, Marie Eriksson

  • 1Riks-Stroke, Department of Medicine, University Hospital, SE-90185 Umeå, Sweden. kjell.asplund@branneriet.se

Stroke
|October 24, 2009
PubMed
Summary

Patient dissatisfaction with acute stroke care is linked to poor outcomes and mood. Stroke unit care and discharge planning reduced dissatisfaction, highlighting organizational impacts on patient experience.

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

  • Neurology
  • Health Services Research
  • Patient Experience

Background:

  • The Riks-Stroke, the Swedish Stroke Register, facilitates research on stroke care.
  • Understanding patient dissatisfaction is crucial for improving acute in-hospital stroke care.

Purpose of the Study:

  • To identify patient characteristics and stroke services influencing dissatisfaction with acute in-hospital care.
  • To explore determinants of patient satisfaction following acute stroke.

Main Methods:

  • Utilized data from Riks-Stroke, a national registry of acute stroke patients in Sweden.
  • Analyzed follow-up questionnaire responses from 104,876 stroke survivors (2001-2007) regarding satisfaction with care.
  • Employed multivariate analyses to determine predictors of dissatisfaction.

Main Results:

  • Over 90% of patients reported satisfaction with acute in-hospital stroke care.
  • Dissatisfaction strongly correlated with poor functional outcomes (dependency, depression, poor self-perceived health) at 3 months.
  • Treatment in stroke units, smaller hospitals, and participation in discharge planning were associated with lower dissatisfaction.

Conclusions:

  • Patient dissatisfaction with acute stroke care is interconnected with functional outcomes, mood, and broader healthcare/social service experiences.
  • Optimizing stroke care organization, including specialized units and discharge planning, can mitigate patient dissatisfaction.