Access to rehabilitation after stroke in Brazil (AReA study): multicenter study protocol.

Autor:	Cacho RO; Universidade Federal do Rio Grande do Norte, Faculdade de Ciências da Saúde do Trairi, Santa Cruz RN, Brazil., Moro CHC; Hospital Municipal de São José, Joinville SC, Brazil., Bazan R; Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, São Paulo SP, Brazil., Guarda SNFD; Universidade Federal da Bahia, Departamento de Neurociências e Saúde Mental, Faculdade de Medicina da Bahia, Salvador BA, Brazil., Pinto EB; Escola Bahiana de Medicina e Saúde Pública, Fundação para o Desenvolvimento das Ciências, Salvador BA, Brazil., Andrade SMMDS; Universidade Federal da Paraíba, Departamento de Fisioterapia, João Pessoa PB, Brazil., Valler L; Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Campinas SP, Brazil., Almeida KJ; Universidade Federal do Piauí, Centro Universitário UniFacid, Departamento de Medicina Especializada em Neurologia, Teresina PI, Brazil., Ribeiro TS; Universidade Federal do Rio Grande do Norte, Departamento de Fisioterapia, Natal RN, Brazil., Jucá RVBM; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza CE, Brazil., Minelli C; Hospital Carlos Fernando Malzoni, Instituto 'Você sem AVC', Matão SP, Brazil.; Universidade de São Paulo, Departamento de Neurociências e Ciências Comportamentais, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brazil., Piemonte MEP; Universidade de São Paulo, Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, São Paulo SP, Brazil., Paschoal EHA; Hospital Ophir Loyola, Belém PA, Brazil., Pedatella MTA; Hospital Estadual de Urgência de Goiânia Dr Valdemiro Cruz, Goiânia GO, Brazil., Pontes-Neto OM; Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brazil., Fontana AP; Universidade Federal do Rio de Janeiro, Faculdade de Fisioterapia, Laboratório Pesquisa em Recuperação Funcional Após AVC, Rio de Janeiro RJ, Brazil., Pagnussat AS; Universidade Federal de Ciências da Saúde de Porto Alegre, Departamento de Fisioterapia, Porto Alegre RS, Brazil., Conforto AB; Universidade de São Paulo, Hospital de Clínicas, Divisão de Neurologia Clínica, São Paulo SP, Brazil.; Hospital Israelita Albert Einstein, São Paulo SP, Brazil.
Jazyk:	angličtina
Zdroj:	Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2022 Oct; Vol. 80 (10), pp. 1067-1074. Date of Electronic Publication: 2022 Dec 19.
DOI:	10.1055/s-0042-1758558
Abstrakt:	Background: Most of the Brazilian population relies on public healthcare and stroke is a major cause of disability in this country of continental dimensions. There is limited information about access to rehabilitation after stroke in Brazil. Objective: To provide comprehensive information about Access to Rehabilitation After discharge from public hospitals in Brazil (AReA study), up to 6 months after stroke. Methods: The present study intends to collect information from 17 public health centers in 16 Brazilian cities in the 5 macroregions of the country. Each center will include 36 participants ( n  = 612). The inclusion criteria are: age ≥ 18 years old; ischemic or hemorrhagic stroke, from 6 months to 1 year prior to the interview; admission to a public hospital in the acute phase after stroke; any neurological impairment poststroke; patient or caregiver able to provide informed consent and answer the survey. Patients can only be recruited in public neurology or internal medicine outpatient clinics. Outcomes will be assessed by a standard questionnaire about rehabilitation referrals, the rehabilitation program (current status, duration in months, number of sessions per week) and instructions received. In addition, patients will be asked about preferences for locations of rehabilitation (hospitals, clinics, or at home). Trial Status: The study is ongoing. Recruitment started on January 31 st , 2020 and is planned to continue until June 2022. Conclusion: The AReA study will fill a gap in knowledge about access to stroke rehabilitation in the public health system in different Brazilian regions. Competing Interests: The authors have no conflict of interests to declare. (Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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