Satisfaction with Stroke Care Among Patients with Alzheimer's and Other Dementias: A Swedish Register-Based StudyShow others and affiliations
2021 (English)In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 79, no 2, p. 905-916Article in journal (Refereed) Published
Abstract [en]
BACKGROUND: Patient dissatisfaction with stroke care is associated with poor self-rated health and unmet care needs. Dementia patients' satisfaction with stroke care is understudied.
OBJECTIVE: To compare satisfaction with stroke care in patients with and without dementia.
METHODS: This longitudinal cohort study included 5,932 dementia patients (2007-2017) who suffered a first stroke after dementia diagnosis and 39,457 non-dementia stroke patients (2007-2017). Data were retrieved by linking the Swedish Stroke Register, the Swedish Dementia Register, the Swedish National Patient Register, and the Swedish Prescribed Drug Register. The association between dementia and satisfaction was analyzed with ordinal logistic regression.
RESULTS: When dementia patients answered themselves, they reported significantly lower odds of satisfaction with acute stroke care (OR: 0.71; 95% CI: 0.60-0.85), healthcare staff's attitude (OR: 0.79; 95% CI: 0.66-0.96), communication with doctors (OR: 0.78; 95% CI: 0.66-0.92), stroke information (OR: 0.62; 95% CI: 0.52-0.74); but not regarding inpatient rehabilitation (OR: 0.93; 95% CI: 0.75-1.16), or outpatient rehabilitation (OR: 0.93; 95% CI: 0.73-1.18). When patients answered with caregivers' help, the association between dementia status and satisfaction remained significant in all items. Subgroup analyses showed that patients with Alzheimer's disease and mixed dementia reported lower odds of satisfaction with acute care and healthcare staff's attitude when they answered themselves.
CONCLUSION: Patients with dementia reported lower satisfaction with stroke care, revealing unfulfilled care needs among dementia patients, which are possibly due to different (or less) care, or because dementia patients require adaptations to standard care.
Place, publisher, year, edition, pages
IOS Press, 2021. Vol. 79, no 2, p. 905-916
Keywords [en]
Care, dementia, patient-reported, rehabilitation, satisfaction, stroke
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:oru:diva-88418DOI: 10.3233/JAD-200976ISI: 000611560100034PubMedID: 33361596Scopus ID: 2-s2.0-85100392972OAI: oai:DiVA.org:oru-88418DiVA, id: diva2:1516395
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-01646Swedish Society for Medical Research (SSMF)
Note
Funding Agencies:
Johanniterorden I Sverige/Swedish Order of St. John, Stroke-Riksforbundet (the Swedish Stroke Association)
Stiftelsen for Sigurd och Elsa Goljes Minne
2021-01-122021-01-122024-01-02Bibliographically approved