WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India

Purpose of review To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development...

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Veröffentlicht in:Current physical medicine and rehabilitation reports 2023-12, Vol.11 (4), p.410-423
Hauptverfasser: Handa, Gita, Hazra, Sandipan, Chalageri, Prashanth H.
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container_title Current physical medicine and rehabilitation reports
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creator Handa, Gita
Hazra, Sandipan
Chalageri, Prashanth H.
description Purpose of review To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development activities. Recent Findings The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India. Summary Stroke rehabilitation infrastructure in India is a work in progress, but structured planning is needed to make WHO rehabilitation for all a reality by 2030.
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Understanding the current status will help in planning of future policy and development activities. Recent Findings The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India. 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Understanding the current status will help in planning of future policy and development activities. Recent Findings The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India. 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subjects Caregivers
Data collection
Disability
Epidemiology
Life expectancy
Medicine
Medicine & Public Health
Pain
People with disabilities
Public health
Questionnaires
Rehabilitation Medicine
Shoulder
Spasticity
Stroke
Systematic review
Topical Collection on Stroke Rehabilitation
Urinary incontinence
title WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India
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