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Background <p>Since 2020, patients treated for ischemic stroke at the LVR hospital Düsseldorf have been followed by a stroke manager for 12&#xa0;months to improve cross-sector care after hospital discharge. It was hypothesized that this would improve the adherence to treatment, risk prevention, and patient satisfaction.</p> Methods <p>Following the criteria of the STROKE OWL project 65&#xa0;consecutive patients with stroke were assessed at defined timepoints (1, 3, 6, 12&#xa0;months) using standardized questionnaires regarding outcome, stroke recurrence, risk factors, care situation, and patient satisfaction. Thus, data could be compared with those of 1512&#xa0;patients obtained in the STOKE OWL project.</p> Results <p>During the intervention, no secondary strokes and no deaths occurred. A positive effect on the regulation of elevated arterial blood pressure and blood lipids, a reduction in the number of smokers, and an increase in physical activity were observed. Patient satisfaction was high. The results confirmed and supplemented those of the STOKE OWL project.</p> Conclusion <p>The data show that case managers have a positive effect on outpatient care of stroke patients. Implementation of case managers provides a promising approach for a comprehensive aftercare.</p>

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Lotsen in der Nachversorgung von Schlaganfallpatienten

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月12日

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  • R. J. Seitz,
  • J. von der Schulenburg,
  • S. Robbers,
  • T. Menge,
  • J. Miethe,
  • G. Galle

摘要

Background

Since 2020, patients treated for ischemic stroke at the LVR hospital Düsseldorf have been followed by a stroke manager for 12 months to improve cross-sector care after hospital discharge. It was hypothesized that this would improve the adherence to treatment, risk prevention, and patient satisfaction.

Methods

Following the criteria of the STROKE OWL project 65 consecutive patients with stroke were assessed at defined timepoints (1, 3, 6, 12 months) using standardized questionnaires regarding outcome, stroke recurrence, risk factors, care situation, and patient satisfaction. Thus, data could be compared with those of 1512 patients obtained in the STOKE OWL project.

Results

During the intervention, no secondary strokes and no deaths occurred. A positive effect on the regulation of elevated arterial blood pressure and blood lipids, a reduction in the number of smokers, and an increase in physical activity were observed. Patient satisfaction was high. The results confirmed and supplemented those of the STOKE OWL project.

Conclusion

The data show that case managers have a positive effect on outpatient care of stroke patients. Implementation of case managers provides a promising approach for a comprehensive aftercare.