Skip to main content

Table 3 Proportions of stroke survivors who received follow-up care

From: Coverage and equity of essential care services among stroke survivors in the Western Province of Sri Lanka: a community-based cross-sectional study

Service

n

% (out of those who should have received the service)

95% CI

Monitoring of Risk Conditions

 Blood pressure measured at least once (N = 363)

341

93.9

91.4- 93.9

 Blood pressure measured 6 times or more among study sample with elevated blood pressure (N = 222)

60

27.0

21.1–32.8

 Blood lipids monitoring at least once (N = 363)

184

50.7

45.5–55.8

 Blood lipids monitoring 2 times or more among study sample with elevated blood lipids (N = 116)

14

12.1

6.1–18.0

 Blood glucose monitoring at least once (N = 363)

226

62.3

57.3–67.2

 Blood glucose monitoring 6 times or more among the study sample with elevated blood sugar levels (N = 128)

9

7.0

2.6–11.4

 Body Mass Index monitoring (N = 363)

57

15.6

11.8–19.3

 2-D Echocardiogram performed (N = 363)

187

51.5

46.3–56.6

 Electrocardiograph (ECG) performed (N = 363)

316

87.1

83.6–90.5

 Carotid duplex performed among those with ischemic stroke (N = 289)

79

27.3

22.1–32.4

Treatment services

 Anti-hypertensive treatment for study sample with elevated blood pressure (N = 222)

164

73.9

68.1- 79.7

 Lipid lowering drugs for the study sample with elevated blood lipids (N = 116)

61

52.6

43.5- 61.7

 Blood glucose lowering treatment for study sample with elevated blood glucose levels (N = 128)

82

64.1

55.7–72.3

 Drugs for management among those with atrial fibrillation (N = 26)

10

38.5

19.8–57.2

 Anti-platelet treatment for the study sample with ischemic stroke (N = 289)

281

97.2

95.3–99.1

Services to Limit Disabilities

 Early mobilization before discharge from hospital for study sample with lower limb paralysis but not quadriplegia (N = 297)

176

59.3

53.7–64.8

 Advice on walking training and relevant limb exercises at least once for study sample with lower limb paralysis but not quadriplegia (N = 297)

176

59.3

53.7–64.8

 Training on moving from bed to chair and vice versa for study sample with lower limb paralysis but not quadriplegia (N = 297)

139

46.8

41.1–52.4

 Screening for vision impairment at least once (N = 363)

97

26.7

22.1–31.2

 Screening for cognitive impairment at least once (N = 363)

25

6.9

4.2–9.5

 Referral speech and language therapy clinics for study sample with speech difficulties (N = 203)

51

25.1

19.1–31.0

 Training on activities of daily living at least once (N = 363)

49

13.5

9.9–17.0

 Provision of modified equipment’s to support activities of daily living (N = 363)

12

3.3

1.4–5.1

 Advice to modify houses to limit disabilities at least once (N = 363)

65

17.9

13.9–21.8

 Referral to training on swallowing for those with swallowing difficulties group (N = 98)

29

29.6

20.5–38.6

 Swallowing training once a month for those with swallowing difficulties group (N = 98)

19

19.4

11.5–27.2

 Advice on managing NG tube at least once for the NG tube users (N = 93)

32

34.4

24.7–44.0

 Advices on managing urinary catheter at least once for urinary catheter users (N = 92)

39

42.4

32.3–52.5

 Referral to closet hospital for catheter management for urinary catheter users (N = 92)

27

29.3

20.0–38.6

 Training on pelvic floor exercises at least once for those with urinary incontinence (N = 97)

13

13.4

6.6–20.1

 Advice on sexual activities at least once among those who considered it as relevant (N = 98)

7

7.1

2.0–12.1

Services to Prevent complications

 Advised on use of compression stockings for the study sample with lower limb paralysis (N = 303)

23

7.6

4.6–10.5

 Advice on family planning at least once for 15–49 years females, who were declared it relevant (N = 10)

2

20

0–44.7

 Advice to prevent shoulder dislocation at least once for the study sample with shoulder pain (N = 149)

77

51.7

43.6–59.7

 Referral for mental health screening at least once (N = 363)

12

3.3

1.4–5.1

 Advising at least once on positioning to prevent pressure ulcers for study sample with lower limb paralysis (N = 303)

123

40.6

35.0–46.1

 Advising at least once on falls prevention (N = 363)

205

56.5

51.4–61.6

 Advising on the use of walking aids to prevent falls (N = 363)

101

27.8

23.1–32.4

Services to Modify Lifestyle

 Inquiring about smoking habits at least once (N = 363)

211

58.1

53.0–63.2

 Advising on prevention of smoking at least once for those who were inquired on smoking habits (N = 211)

178

84.4

79.5–89.3

 Inquiring about alcohol consumption habits at least once (N = 363)

208

57.3

50.6–64.0

 Advising on prevention of alcohol use at least once for those who were inquired on alcohol consumption habits (N = 208)

177

85.1

79.9–90.3

 Advising on healthy diet at least once (N = 363)

170

46.8

39.3–54.3

 Providing written instructions on healthy diet at least once for those who were provided with advises on healthy diet (N = 170)

28

16.5

2.8–30.2

 Referral to nutrition clinic at least once (N = 363)

20

5.5

0–15.5

Services related to Supportive Services

 Providing information on services by other institutions at least once (N = 363)

13

3.6

1.7–5.5

 Receiving any benefits from other institutions (N = 363)

13

3.6

1.7–5.5

 Training on employment, for the previously employed study sample (N = 184)

4

2.2

0.1–4.3

 Training for the care givers (N = 363)

15

4.1

2.1–6.1