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Updated: Dec 22, 2025
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
17.5K
[Stroke aftercare : Treatment reality, challenges and future perspectives]
C J Schwarzbach1, F A Eichner2, A Pankert3
1Neurologische Klinik, Klinikum der Stadt Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen, Deutschland. schwarch@klilu.de.
Der Nervenarzt
|May 4, 2020
Summary
Post-stroke care in Germany needs improvement, with high recurrent stroke rates. Optimizing interdisciplinary cooperation and support for general practitioners is crucial for better outpatient care after ischemic stroke.
Area of Science:
- Neurology
- Public Health
- Healthcare Management
Background:
- German registry data indicate higher risks of recurrent stroke and rehospitalization post-first-time stroke compared to international benchmarks.
- A report by the aQua institute highlighted significant potential for enhancing post-stroke care within Germany's healthcare system.
Purpose of the Study:
- To identify and establish strategies for improving outpatient post-stroke care in Germany.
- To address deficits in current post-stroke aftercare structures.
Main Methods:
- Critical analysis of key post-stroke care elements.
- Presentation of existing healthcare provision structures.
- Exploration of potential improvement avenues for post-stroke care.
Main Results:
- General practitioners are the primary providers of post-stroke care in Germany.
- Current standard procedures lack comprehensive, structured, cross-sectoral aftercare for ischemic stroke.
- Deficits exist in guideline-adherent cardiovascular risk factor management, timely provision of assistive devices and physiotherapy, and managing stroke-associated complications, often due to sectoral barriers.
Conclusions:
- Ischemic stroke requires management as a complex chronic disease post-discharge.
- Enhanced interdisciplinary and cross-sectoral collaboration is essential.
- Optimized support for general practitioners in outpatient settings and novel care concepts show promise for improving healthcare structures.
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