RESUMO
BACKGROUND AND PURPOSE: Little has been published about different elements of the health services in long-term follow-up in the countries of Central and Eastern Europe. The aim of this study was to explore the health services for stroke patients in Poland. MATERIAL AND METHODS: Patients from 3 centres representing different levels of stroke care organization from Mazowieckie province were included. Data on first-ever stroke patients with "onset-to-door" time no longer than 7 days, consecutively admitted to participating centres between March 1 and June 30, 2002 were collected prospectively. Patients were assessed on admission, on discharge and 3, 6, 12, 18, and 24 months after discharge. Type of care, rehabilitation, readmissions, consultations and diagnostic procedures were evaluated. RESULTS: One hundred and sixty-four patients with first-ever stroke were included. Twenty-one patients died during hospitalization, and 36 during the two-year follow-up. Most patients were discharged home, under family care. The total rate of readmission decreased over time, from 58% to 11%, and so did the rate of rehabilitation, from 41.5% to 15%. All patients had been seen by their general practitioners and neurologists. CONCLUSIONS: Post-stroke care is provided mostly by family members. Access to rehabilitation is limited and decreases over time. This study could help the authorities in healthcare budget allocation in Poland.
Assuntos
Isquemia Encefálica/reabilitação , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Serviços de Assistência Domiciliar/estatística & dados numéricos , Assistência Domiciliar/estatística & dados numéricos , Atividades Cotidianas , Idoso , Isquemia Encefálica/epidemiologia , Relações Familiares , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Alta do Paciente/estatística & dados numéricos , Polônia/epidemiologia , Prognóstico , Estudos Prospectivos , Acidente Vascular Cerebral/epidemiologia , Reabilitação do Acidente Vascular Cerebral , Resultado do TratamentoRESUMO
The authors present the role of reports of adverse drug reactions (ADR) in pharmacotherapy. Worldwide monitoring of ADRs together with the European and Polish pharmacovigilance systems are discussed. Some practical information concerning the report form is described i.e. types of reactions, definition of a serious adverse drug reaction, minimum information for the report validation, handling of reports.
