1. STROKE interesting facts and figures
Dr Bruce Davis

2. Some Numbers Each GP will have 4 new strokes a year to deal with.
Each GP will have about 15 patients with old strokes on their list.
A quarter of severely disabled people in the community are stroke patients.
Bruce Davies

3. PHCT Tasks Information. Support. Secondary prevention.
Help with post stroke physical problems.
Treating depression.
Bruce Davies

4. Patient Questions
Patients and their carers need information after a stroke.
80% survive a stroke.
50% 10 year survival.
Bruce Davies

5. Disability Figures 25% entirely dependant on a carer.
Another 30% need help with ADL.
<50% are fully independent.
25% become depressed.
At 6 months 70% can walk independently but only 20% at pre stroke speed.
Bruce Davies

6. Recurrence 13% chance in the year after a stroke.
5% per year thereafter.
40% will eventually have a fatal MI.
Bruce Davies

7. Common Physical Problems
Depression.
Emotional lability.
Convulsions.
Muscular pains – especially shoulder pain.
Thalamic syndrome.
Insomnia.
Bruce Davies

8. Common Physical Problems
Incontinence.
Leg swelling.
Contractures.
Falls.
All of these problems are amenable to treatment.
Bruce Davies

9. Carers Need help. 12-25% of carers are depressed.
Financial help.
Actual help.
Psychological help.
12-25% of carers are depressed.
14% give up work to care.
Bruce Davies

10. Conclusion
A general practioners real job starts after they leave hospital and goes on for years.
An area for planned on-going care.
Bruce Davies

11. References http://www.stroke.org.uk http://www.rcplondon.ac.uk
Bruce Davies