ABSTRACT NUMBER: ESOC2026A450 IDENTIFYING HEALTH PROBLEMS AFTER STROKE IN MUNICIPAL PRIMARY HEALTHCARE USING A PERSON-CENTRED, TEAM-BASED FOLLOW-UP – AN ONGOING STUDY

Abstract Background Health problems after stroke are common and, if left undetected or untreated, impose a substantial burden on the individual as well as on society. People with extensive healthcare needs may require long-term community care, with stroke related needs becoming secondary over time. Aim To identify health problems among individuals with stroke receiving municipal primary healthcare using a novel person-centred, team-based structured follow-up based on the Post-Stroke Checklist. Methods This ongoing explorative study aiming to include 70 participants with stroke (onset >3 months), who receive municipal primary healthcare services in the western part of Sweden. End of recruitment is planned to March 2026. A person-centred, team-based structured follow-up using the dialogue tool Post-Stroke Checklist, was conducted by trained test leaders to identify health problems. Participants functional status was assessed. Results To date, 37 participants (57% men, median age 80 years, range 54-96) have been included. Of these, 46% resided in nursing homes. A median of six, health problems (range 0–10) were identified per participant, with mobility problems being the most common (81%). Functional assessments indicated substantial care needs, reflected by low independence on the Barthel Index (median 45, range 5–90) and high dependency on the modified Rankin Scale (median 4, range 1–5). Conclusions Preliminary findings indicates that people with stroke in the municipal primary healthcare experience a wide range of stroke-related health problems. This structured team-based follow-up may serve as a first step to identify the patients’ needs and guide appropriate, timely interventions. Conflict of interest Johan Lundind: nothing to disclose; Hanna Persson: nothing to disclose; Emma Kjörk: nothing to disclose