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Stroke is, unfortunately, an all too frequently experienced event and one that leaves the lives of patients and their families profoundly changed in a matter of minutes. Survival post stroke has markedly improved over the last 15 years with increasing rates in the use of IV alteplase and, more recently, the ability to perform successful endovascular reperfusion for large vessel strokes; however, the outcomes that matter to clinicians are often not the outcomes that matter most to survivors of stroke.1 Previous research has shown that, among patients with a normal modified Rankin Scale (mRS) score, there is a wide distribution of outcomes for physical function, fatigue, and other domains of cognition and social function.2,3 Providing treatment plans and ongoing care for stroke survivors requires understanding the outcomes that are most meaningful to patients because of the variety of poststroke affected domains. Identifying, documenting, and addressing meaningful patient-centric outcomes for each patient is essential for her or his optimal rehabilitation and recovery.4
Footnotes
Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.
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- © 2018 American Academy of Neurology
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