{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:14:33Z","timestamp":1791180873982,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1997,3]]},"abstract":"<jats:p>\n            <jats:italic>Background and Purpose<\/jats:italic>\n            Two hundred ninety-one residents of southeast London, younger than 75 years, suffered their first stroke in 1989\/1990. The objectives of this study were to determine the long-term outcome of this cohort of stroke patients in terms of impairment, disability, handicap, and quality of life and their use of services and prevention measures subsequent to their stroke.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods<\/jats:italic>\n            The survivors and their identified caregivers were traced and completed a structured interview questionnaire that included the Barthel Index, modified Rankin Scale, Hospital Anxiety and Depression Scale (HAD), Mini-Mental State Examination, Frenchay Activities Index, and Caregiver Strain Index.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Results<\/jats:italic>\n            One hundred twenty-three people (42%) were alive, of whom 106 were interviewed. The mean interval between the stroke and the long-term follow-up was 4.9 years. Thirty-one of the survivors (29%) were severely or moderately disabled, 39 (37%) were mildly disabled, and 36 (34%) were functionally independent. Of the 96 people who completed the HAD, 35 (36%) had scores suggesting that they were depressed or had borderline depression. The most likely nontherapy services to have been provided were chiropody and district nursing. Five people had received respite care. Of the 104 subjects for whom information about their home was available, 53 (51%) had had an adaptation. Seventy-five people (71%) had an aid or appliance. Sixty-five people (61%) were on aspirin, and an additional 14 (13%) were on warfarin. Fifty subjects (47%) identified a main caregiver. No one with a moderate or more severe disability was living at home without an identified caregiver.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            The levels of both health and social service provision are likely to be inadequate for this population. The use of prevention measures is encouraging. There is a clear need for a coordinated policy to guide assessment and management across sectors.\n          <\/jats:p>","DOI":"10.1161\/01.str.28.3.507","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"507-512","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":201,"title":["A Long-term Follow-up of Stroke Patients"],"prefix":"10.1161","volume":"28","author":[{"given":"Peter R.","family":"Wilkinson","sequence":"first","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles D.A.","family":"Wolfe","sequence":"additional","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona G.","family":"Warburton","sequence":"additional","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony G.","family":"Rudd","sequence":"additional","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin S.","family":"Howard","sequence":"additional","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph W.","family":"Ross-Russell","sequence":"additional","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger R.","family":"Beech","sequence":"additional","affiliation":[{"name":"From the Divisions of Public Health Sciences and Medicine (P.R.W., C.D.A.W., F.G.W.), United Medical and Dental School, Guy\u2019s and St Thomas\u2019 Medical and Dental School, and the Department of Neurology (A.G.R., R.S.H., R.W.R.-R.), St Thomas\u2019 Hospital, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","unstructured":"Weddell J Beresford S. Planning for Stroke Patients: A Four Year Descriptive Study of Home and Hospital Care. London England: HMSO; 1979."},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.24.6.8506550"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.51.11.1373"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/20.5.337"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.47.2.139"},{"key":"e_1_3_2_6_2","first-page":"541","volume":"54","year":"1976","unstructured":"Hatano S. Experience from a multicentre stroke register: a preliminary report. Bull World Health Organ. 1976;54:541-553.","journal-title":"Bull World Health Organ"},{"key":"e_1_3_2_7_2","first-page":"61","volume":"14","year":"1965","unstructured":"Mahoney F, Barthel D. Functional evaluation: the Barthel Index. 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London England: Chapman and Hall; 1994.","DOI":"10.1007\/978-1-4899-3115-3"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700039659"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.50.2.177"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.22.10.1833860"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.151.2.200"},{"key":"e_1_3_2_18_2","first-page":"485","volume":"29","year":"1995","unstructured":"Gariballa S, Robinson T, Parker S, Castleden C. A prospective study of primary and secondary risk factor management in stroke patients. 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