ArticleBMJ open2020
Exploring post acute rehabilitation service use and outcomes for working age stroke survivors (≤65 years) in Australia, UK and South East Asia: data from the international AVERT trial.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to Support the Return to Work for Individuals with Stroke: A Systematic Review and Meta-analysis.Journal of occupational rehabilitation · 2024Pooled it
- Longer term patient management following stroke: A systematic review.International journal of stroke : official journal of the International Stroke Society · 2021Pooled it
- Utilization of rehabilitation health professions' services in chronic stroke: A scoping review.BMC health services research · 2026Article
- Beyond silos: transdisciplinary collaboration for allied health clinicians providing stroke primary care.Frontiers in medicine · 2026Article
- Feasibility of a novel web-based neuropsychological rehabilitation programme for stroke patients.Journal of rehabilitation medicine · 2025Article
- Development of a digital, self-guided return-to-work toolkit for stroke survivors and employers using intervention mapping.PLOS digital health · 2025Article
- UI/UX design requirements for young stroke survivors: recommendations from the literature.NPJ digital medicine · 2025Review
- Unique Needs and Challenges Experienced by Young People With Stroke: An International Qualitative Analysis.Neurology. Clinical practice · 2025Article
- Measuring severe stroke: a scoping review of RCTs.Frontiers in neurology · 2025Review
- Stroke patients' knowledge, attitudes, and practices regarding home-based exercise and psychological rehabilitation programs.Frontiers in medicine · 2025Article
- Endovascular Treatment in Stroke Patients of Working Age: A Multicenter Observational Study of Real-World Outcomes.Therapeutics and clinical risk management · 2025Article
- Lifestyle approaches to hypertension for prevention of stroke and vascular cognitive impairment: a realist review protocol.BMJ open · 2024Article
- Technology for Young Adults with Stroke: An Australian Environmental Scan.International journal of environmental research and public health · 2024Review
- Effectiveness of rehabilitation for young patients with extensive right hemisphere cerebral infarction: A report of two cases.Clinical case reports · 2024Article
- Nomogram to predict 3 month prognosis of acute ischemic stroke among young adults.Frontiers in neurology · 2024Article
- Exploring unmet needs and preferences of young adult stroke patients for post-stroke care through PROMs and gender differences.Frontiers in stroke · 2024Article
- Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization-Lancet Neurology Commission.The Lancet. Neurology · 2023Review
- Associations of effort-reward imbalance at work and quality of life among workers after stroke: a one-year longitudinal study in Thailand.BMC public health · 2023Article
- Age-specific information resources to address the needs of young people with stroke: a scoping review protocol.Systematic reviews · 2022Article
- How to become a strategic purchaser of rehabilitation services.Bulletin of the World Health Organization · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInformation about younger people of working age (≤65 years), their post stroke outcomes and rehabilitation pathways can highlight areas for further research and service change. This paper describes: (1) baseline demographics; (2) post acute rehabilitation pathways; and (3) 12-month outcomes; disability, mobility, depression, quality of life, informal care and return to work of working age people across three geographic regions (Australasia (AUS), South East (SE) Asia and UK).
designThis post hoc descriptive exploration of data from the large international very early rehabilitation trial (A Very Early Rehabilitation Trial (AVERT)) examined the four common post acute rehabilitation pathways (inpatient rehabilitation, home with community rehabilitation, inpatient rehabilitation then community rehabilitation and home with no rehabilitation) experienced by participants in the 3 months post stroke and describes their 12-month outcomes.
settingHospital stroke units in AUS, UK and SE Asia.
participantsPatients who had an acute stroke recruited within 24 hours who were ≤65 years.
results668 participants were ≤65 years; 99% lived independently, and 88% no disability (modified Rankin Score (mRS)=0) prior to stroke. We had complete data for 12-month outcomes for n=631 (94%). The proportion receiving inpatient rehabilitation was higher in AUS than other regions (AUS 52%; UK 25%; SE Asia 23%), whereas the UK had higher community rehabilitation (UK 65%; AUS 61%; SE Asia 39%). At 12 months, 70% had no or little disability (mRS 0-2), 44% were depressed, 28% rated quality of life as poor or worse than death. For those working prior to stroke (n=228), only 57% had returned to work. A noteworthy number of working age survivors received no rehabilitation services within 3 months post stroke.
conclusionsThere was considerable variation in rehabilitation pathways and post acute service use across the three regions. At 12 months, there were high rates of depression, poor quality of life and low rates of return to work. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12606000185561).
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