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London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 791 841 Rehabilitation and reorganisation after stroke Physical activity, functional outcome, health related quality of life and fatigue after stroke. An extended protocol of the Life Early After STroke - The LEAST study T. Askim1, A. Hokstad2, J. Bernhardt3, B. Indredavik4 Norwegian University of Science and Technology, Trondheim, NORWAY1, Norwegian Universi-ty of Science and Technology, Trondheim, NORWAY2, Florey Neuroscience Institutes, Melbourne, AUSTRALIA3, Norwegian University of Science and Technology, Trondheim, NORWAY4 Background: Components of stroke unit care that improve outcome seem to be multifactorial and most likely include early mobilisation. It is probably not only commencement of mobilisation that is of interest, the amount of motor activity during the early phase is also likely to be important. Still, reduced functional outcome, reduced quality of life and fatigue are common problems after stroke, and the impact of early rehabilitation on these problems should be closer investigated. The aim of this study is to assess the association between early rehabilitation and outcome three months later in stroke patients admitted to a range of Norwegian hospitals. Methods: This is a multi-site study recruiting acute stroke patients from 11 stroke units mainly in Central Norway. All consenting patients admitted on the day of observation will be included in this prospective follow up study. The amount of early rehabilitation will be assessed by using a stan-dardised method of observation at 10-minute intervals from 8:00 AM to 5:00 PM over a single day, between 1-14 days post stroke. Motor activity will be recorded at each observation, and classified as; 1) in bed, 2) sitting out of bed and 3) higher motor activities (transfer/standing/walking). The modified Rankin Scale, EQ-5D-5L and Fatigue Severity Scale will be used to measure outcome at 3 months follow-up. Results: So far 311 patients are included and observed in the acute phase and 210 patients have been assed at three months follow-up. Inclusion will continue until we reach a total of 400 patients. It is expected that this number will be reached within the end of June 2013. Conclusion: This is to our knowledge the first multi-site study assessing the association between ear-ly rehabilitation and dependency, health related quality of life and fatigue 3 months after stroke. The results from the present study will increase the knowledge about the impact of early rehabilitation after stroke on these outcomes. 842 Rehabilitation and reorganisation after stroke Differences in long-term unmet needs between younger and older stroke survivors N.E. Andrew1, M. Kilkenny2, R. Naylor3, T. Purvis4, D.A. Cadilhac5 Monash University, Melbourne, AUSTRALIA1, Monash University, Melbourne, AUSTRALIA2, National Stroke Foundation, Australia, Melbourne, AUSTRALIA3, Monash University, Melbourne, AUSTRALIA4, Monash University / Florey Institute of Neurosciences and Mental Health, Mel-bourne, AUSTRALIA5 Background: Young stroke survivors are often faced with many years of future disability and may have needs that differ from older survivors. Limited data exists on what the specific needs of young survivors are and what might be done to address unmet needs. We aimed to describe and compare the long-term needs of younger and older stroke survivors. Methods: Data from the Australian Stroke Survivor and Carer Needs Survey were used. Adults who were 12+ months post-stroke and living in the community were eligible. Respondents from across Australia were recruited using di-rect and indirect methods. The assessed range of survivor ‘needs’ covered 6 domains: health; every-day living; work; leisure; social support; and finances. Respondents were classified as young if aged < 65 years or old ≥ 65 years. We used descriptive statistics to compare differences in the proportions of unmet needs between younger and older stroke survivors. Results: 704 stroke survivors respond-ed; 38% aged < 65 years. Younger survivors (58% male, median age 56) reported significantly more unmet/partially met needs (median 7; Q1, Q3: 2, 11); than older survivors (65% male, median age 75, median unmet/partially met needs 4 Q1, Q3: 1, 8, p<0.001). More young survivors reported unmet/partially met health needs (88%; older 82%, p=0.03) and health needs least likely to be ful-ly met were related to concentration (85%; old 73%, p=0.02) and falls prevention (56%; old 41%, p=0.02). More young survivors reported that everyday living (47%, old 29%, p<0.001), leisure (73%, old 58%, p=0.004), emotional support (63%, old 43%, p<0.001) and financial needs (55%, old 24%, p<0.001) were not being met compared to older survivors. Conclusion: Young stroke sur-vivors have greater levels of unmet needs than older survivors especially related to health, emotional support, social participation and finances. Targeted services and strategies to improve the quality of life of younger stroke survivors should be a priority.


Karger_ESC London_2013
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