Post-stroke Pathway: Analysis and Link With One Year Sequelae in a French Cohort of Stroke Patients

Post-stroke Pathway: Analysis and Link With One Year Sequelae in a French Cohort of Stroke Patients

The link between post-stroke pathways and patient sequelae have not yet been clearly defined. The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode.

Stroke is a serious health event, involving the entire health care system and generating considerable socioeconomic weight for society. Knowledge of the components, the diversity and the scalability of post-stroke life pathways is currently not sufficient. Moreover the link between post-stroke pathways and patient sequelae have not yet been clearly defined.

The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode. The secondary objectives are: 1) To define a typology of the life pathways of stroke patients, , 2) To analyze the social and geographical inequalities in the management of stroke, 4) To estimate the cost of the pathway elements of stroke management; 5) Measure the sequelae of stroke patients at three months and one year after the acute episode.

The design is a prospective multicenter cohort study with a follow up to 1 year after the acute episode, managed in several hospitals in the Aquitaine region (France).

Inclusion Criteria:

• Patient being over 18 years of age living in metropolitan France;
• Patient with recent stroke (not before 2019) whose diagnosis confirmed by a neuro-vascular physician;
• Patient managed for stroke in one of the 13 participating hospitals of the Aquitaine region;
• Patient giving consent to participate to PAPASéPA;
• Patient to be alive at the end of the acute management hospital stay

Exclusion Criteria:

• Patient refuse to participate to PAPASéPA
• Patient died during the initial stay