Presenter of 1 Presentation
STROKELINE OUTREACH – A NEED FOR CONTINUITY OF STROKE CARE EXTENDING BEYOND COVID19
Abstract
Background and Aims
In anticipation of care disruption for survivors of stroke from the coronavirus pandemic (COVID-19), Stroke Foundation developed StrokeLine Outreach to ensure continuity of care for Queensland survivors of stroke supported by a Queensland Government grant.
Methods
StrokeLine Outreach was a one-year outbound telephone service targeting vulnerable and at-risk survivors of stroke and carers referred at discharge from acute hospital services. It was delivered by Stroke Foundation health professionals and built on established Stroke Foundation services. The program focus was health and medication management, understanding and managing the impacts of stroke, stroke risk factors, secondary prevention, and mental health risk assessment (using Patient Health Questionnaire-4 - PHQ-4). This was achieved through the provision of information, resources and services including connecting in with general practioners, allied health, community services, hospital services and support groups and mental health services.
Results
10 hospitals participated with 551 referrals. 69% completed the service. 31% of survivors of stroke reported significant issues on discharge and 25% reported difficulties coping or not coping post stroke. Of those screened for mental health issues 72% were at low risk for developing anxiety and depression, 14% at medium risk and 14% scored at high-risk. Eighteen cases required extensive support.
Conclusions
We identified that post hospital discharge continuity of care for survivors of stroke is a pressing area of need with mental health an important consideration. The program demonstrated an existing and ongoing need for the StrokeLine Outreach service given the less than anticipated impact of COVID-19 in Queensland.