ArticleJournal of rehabilitation medicine2026
Survey on stroke rehabilitation in Europe (SUSTAIN-EU) to evaluate European stroke rehabilitation services.
Article in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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14 authors.
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Abstract
objectiveThis study aimed to assess the organization and delivery of post-stroke rehabilitation services across Europe, focusing on the role of Physical and Rehabilitation Medicine physicians. DESIGN AND
methodsA cross-sectional online survey was conducted by the ESPRM Working Group of Stroke Rehabilitation from 30 European countries. The survey followed the International Classification of Service Organization in Rehabilitation framework and covered stroke care levels, rehabilitation services, registries, and quality control. Descriptive statistics were used for analysis.
resultsWith an 81% response rate, the study revealed both commonalities and disparities in service provision in 30 European countries. Stroke unit rehabilitation was available in 90% of countries, and inpatient services in 100%. However, early supported discharge (53%), community-based rehabilitation (63%), and telerehabilitation (57%) were less common. Countries joining ESPRM after 1991 had significantly lower rates of early supported discharge (-48%, p=0.01) and community-based care (-55%, p=0.02).
conclusionDespite widespread inpatient services, major gaps remain in community- and technology-supported rehabilitation. Addressing these disparities requires targeted policy changes, altered resource allocation, and enhanced training to ensure equitable and effective stroke recovery across Europe.
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