Stroke outcome in the absence of a structured rehabilitation programme

The outcome of acute stroke in 210 hospitalised patients was investigated by retrospective case-note review and household follow-up. The first month was the critical period for survival, with the highest number of fatalities being recorded in the first week (38%). Survival to 1 year was much lower than expected. Functional status of survivors (N = 35) was assessed by means of a structured interview, which included an objective functional assessment scale, carried out in the patient's own home. The factors influencing low assessment scores were identified. Recommendations centre on the development of a standard policy for co-ordinated stroke management and the methods by which this might be achieved.