LAUSR

Introduction/Background Post-Stroke Checklist (PSCL) is an easy-to-use questionnaire to standardize follow-up care of Chronicpost-stroke patients and facilitate referral to Rehabilitation Services by general practitioners (GPs) in an evidence-based-way. Although it was developed some time ago, there is no published Our main objective was to further understand if training GPs if the use of the PSC makes an impact on referral of these patients in our area. Material and method We reviewed 55,000 inter-consultations (IC) from chronic stroke patients 6 months before and after training and presentation of the PSC to GP in our area. We determined endpoints such as number and percentage of patients undergoing treatment and concordance in goal setting between GP and physical rehabilitators (PR). Results We identified 16 chronic stroke patients from 756 inter-consultations from GPs in our area, 6 months before PSC training session. Only seven in these 16 patients underwent any intervention [5 were treated with botulinum toxin (BT) and in 3 patient postural orthosis was recommended]. Goals between GPs and physical rehabilitator matched in less than 50% of patients. After PSC training session, we identified 23 patients that suffer from a cardiovascular event in 682 inter-consultations reviewed. Twenty underwent any interventions, 18 were treated with BT (10/18 cases after a diagnostic nerve block), 21 were referred to physiotherapist and we prescribed functional orthosis to 8 patients. Diagnosis between GPs and our team matched in 20/23 patients. Conclusion Bearing in mind limitations of the study such as the small numbers of patients included, we may conclude that training in PSC to GPs may improve referral of chronic stroke patients, as it improves diagnosis concordance and the ratio of patient that underwent any intervention.