Evidence map›Paper›PMID 41906596›Full record

ArticleJournal of rehabilitation medicine2026

Quality of rehabilitation care in Portuguese stroke units: findings from 2017-2018 and 2023 national cross‑sectional surveys.

Joana Teles Sarmento, Ana Alves, Paulo Castro-Chaves, Bárbara M Cruz, Cristina Jácome

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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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Joana Teles SarmentoDepartment of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Physical and Rehabilitation Medicine, Unidade Local de Saúde do Médio Ave, Vila Nova de Famalicão, Portugal. teles.joana@gmail.com.
Ana AlvesPhysical and Rehabilitation Clinic of S. Nicolau, Porto, Portugal.
Paulo Castro-ChavesRISE-Health, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Internal Medicine, Unidade Local de Saúde de São João, Porto, Portugal.
Bárbara M CruzDepartment of Physical and Rehabilitation Medicine, Centro Hospitalar Universitário Santo António, Porto, Portugal.
Cristina JácomeRISE-Health, Faculty of Medicine, University of Porto, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate adherence to stroke rehabilitation guidelines in Portuguese stroke units from the physicians' perspective and examine changes over 6 years.

designA national cross-sectional survey across 2 time periods (2017-2018 and 2023).

methodsStroke units recognized by the Portuguese Stroke Society were invited to participate: 27 in 2017-2018 and 35 in 2023. A structured questionnaire, aligned with national and international guidelines, assessed 5 domains: team composition, care coordination, early assessment and planning, dysfunction assessments, and post-discharge planning.

resultsResponse rates were 93% (n = 25) and 80% (n = 28). Most units (> 75%) had a physiatrist, physiotherapist, speech therapist, rehabilitation nurse, and social worker; only 20% had the full recommended team. Weekly stroke unit meetings were stable (88-89%), while rehabilitation team meetings increased markedly between the 2 periods (20% vs 72%). Rehabilitation started earlier on weekdays (89% vs 79%) than at weekends (68% vs 57%). Dysphagia screening was common (96% vs 89%), but neurogenic bladder assessment was rare (< 8%). The Modified Rankin Scale and Barthel Index were consistently used. Post-discharge planning remained high (92% vs 89%), with improved coordination between teams (48% vs 89%).

conclusionPortuguese Stroke Units demonstrated moderate-to-high adherence to rehabilitation guidelines, with progress in teamwork communication and care coordination, although important gaps remain.

Indexed as

Guideline AdherenceQuality of Health CareRehabilitation CentersStroke RehabilitationCross-Sectional StudiesHumansPatient Care TeamPortugalStrokeSurveys and Questionnaires

Identifiers

PMID41906596
PMCPMC13044904

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.