Key Performance Indicators

KPI 11

A binding, personalised, and documented rehabilitation and sector transition plan provided at the time of discharge to at least 60% of patients.

Current status

17 countries – 4 of those based on registry data – provide a rehabilitation plan at discharge to at least 60% of patients. Especially in the light of inadequate access to early stroke unit rehabilitation and early supported discharge, it is positive that provision of a rehabilitation plan on discharge is on the rise: in 2022, 17 countries – compared to 14 in 2021 – provided a rehabilitation to at least 60% of patients.

Not providing a rehabilitation plan to a stroke patient with need for rehabilitation means a delays in initiation or continuation of rehabilitation outside of the stroke unit. Lack of a plan also precludes access to life after stroke support, which inevitably causes uncertainty for the patient and carers about the immediate future after discharge.

National stroke plans are needed to define continuity of care and the level of care to be provided.

The target is access to a binding personalised rehabilitation plan in 60% of patients; benchmark is set based on the size of the population with need for rehabilitation.

2022

Transition plan provided (registry data) Transition plan provided (no registry) No No data provided

Albania

Armenia

  • Prof. Nune Yeghiazaryan
  • Head of Neurology Department, Erebouni Medical Center
  • ynune@yahoo.com

Austria

  • Dr. Sigrid Schwarz
  • Dr. Stefan Kiechl

Azerbaijan

  • Dr. Nara Hesen

Belarus

Bulgaria

  • Dr. Dimitar Taskov
  • Dorina Dobreva
  • President of the Association for Stroke and Aphasia Bulgaria
  • dobreva@stroke.bg
  • Prof. Dimitar Maslarov
  • Chairman Neurology Clinic, Medical University Sofia
  • maslarovdb@abv.bg

Belgium

  • Dr. Laetitia Yperzeele
  • Dr. François Delvoye

Bosnia and Herzegovina

Catalonia

Croatia

Cyprus

Czech Republic

Denmark

England

  • Sarah Belson

Estonia

  • Prof. Janika Kõrv
  • Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Professor in Clinical Neurology, Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Neurologist at the Dept. of Neurology and Neurosurgery, Tartu University Hospital
  • janika.korv@kliinikum.ee
  • Dr. Riina Vibo
  • Reaseacher at the Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Neurologist at the Dept. of Neurology and Neurosurgery, Tartu University Hospital
  • Riina.Vibo@kliinikum.ee

Finland

  • Dr. Susanna Roine
  • Dr. Pauli Ylikotila
  • Dr. Daniel Strbian
  • Neurologist, Chief Doctor, Helsinki University Central Hospital
  • Daniel.Strbian@hus.fi

France

  • Prof. Sonia Alamowitch
  • Prof. Charlotte Cordonnier

Georgia

Germany

  • Prof. Tobias Neumann-Haefelin
  • Prof. Jürgen Faiss
  • Geschäftsführer der Deutschen Schlaganfall-Gesellschaft
  • faiss@dsg-berlin.org

Greece

  • Dr. Hariklia Proios
  • Associate Professor of Neurocognitive Disorders and Rehabilitation, Department of Educational & Social Policy, University of Macedonia, Thessaloniki
  • hproios@gmail.com
  • Prof. Georgios Tsivgoulis
  • Professor & Chairman, Second Department of Neurology, National & Kapodistrian University of Athens, Athens
  • tsivgoulisgiorg@yahoo.gr
  • Prof. Haralampos Milionis
  • Professor & Chairman, Second Department of Internal Medicine, University of Ioannina, Ioannina
  • hmilioni@uoi.gr

Hungary

  • Dr. Folyovich András PhD (András Folyovich MD PhD)
  • President of National Stroke Prevention and Rehabilitation League, Hungary
  • andras.folyovich@janoskorhaz.hu

Iceland

  • Marianne Elisabeth Klinke
  • RN, PhD, Landspitali University Hospital Reykjavik and the University of Iceland
  • marianne@hi.is

Israel

  • Dr. Rani Barnea

Italy

Kazakhstan

  • Dr. Zauresh Akhmetzhanova
  • Chief specialist of "Republican coordination centre for stroke problems
  • zauresa@yandex.ru

Kosovo

Kyrgyzstan

  • Dr. Djamal Turgumbaev
  • Chief of Neurology 3 Department of National Hospital under Ministry of Health
  • t.jamal@mail.ru
  • Dr. Elmira Mamytova
  • Head of Neurology and Medical genetic Department, Kyrgyz State Medical Academy
  • elmiramamytova@yahoo.com
  • Dr. Kunduz Karbozova
  • Assistant on Neurology and Medical genetic Department, Kyrgyz State Medical Academy
  • Karbozova89@mail.ru

Latvia

Lithuania

  • Prof. Dalius Jatuzis
  • President of Lithuanian Stroke Association Professor in Neurology at Vilnius University Faculty of Medicine
  • dalius.jatuzis@santa.lt
  • Dr. Aleksandras Vilionskis
  • Member of the Board of Lithuanian Stroke Association Associate Professor in Neurology at Vilnius University Faculty of Medicine
  • aleksandras.vilionskis@rvul.lt

Luxembourg

Malta

Montenegro

North Macedonia

  • Gordana Dimeska
  • Katina Aleksovska
  • Neurology resident, University Clinic of Neurology, Skopje, North Macedonia, Board member of the Macedonian Stroke Association
  • katinaaleksovska@gmail.com
  • Dr. Elena Lichkova
  • Neurologist, Clinical hospital, Neurology department, Shtip, North Macedonia, Board member of the Macedonian Stroke Association
  • eedrovska@yahoo.com
  • Dr. Maja Bozinovska Smicheska
  • Neurologist, Special hospital "St. Erasmo", Ohrid, North Macedonia, President of the Macedonian organization for a fight against stroke (SSO) and Board member of the Macedonian Stroke Association (President)
  • majabozoh35@gmail.com
  • Prof. Anita Arsovska
  • Neurologist, University Clinic of Neurology, University "Ss. Cyril and Methodius"-Faculty of Medicine, Skopje, North Macedonia, President of the Macedonian Stroke Association
  • anita70mk@yahoo.com

Northern Ireland

  • Sarah Belson

Norway

Poland

  • Dr. Adam Kobayashi
  • Prof. Anna Czlonkowska
  • President of the Section for Cerebrovascular Diseases and Board of Directors of the Polish Neurological Society
  • czlonkow@ipin.edu.pl

Portugal

  • Dr. Gustavo Santo
  • Sociedade Portuguesa do AVC - National Stroke Association
  • Dr. Elsa Azevedo
  • Programa Nacional para as Doenças Cérebro-Cardiovasculares - Cerebro and Cardiovascular Diseases National Program
  • elsaazevedo@dgs.min-saude.pt

Ireland

  • Frances Horgan
  • Molly Manning

Moldova

Romania

  • Dr. Cristina Tiu
  • Head of Stroke Unit in the University Hospital Bucharest Romanian Society of Neurology
  • cristinatiu@yahoo.com

Russia

  • Prof. Alla Guekht
  • Moscow Research and Clinical Center for Neuropsychiatry
  • guekht@gmail.com

Scotland

  • Sarah Belson

Serbia

  • Dr. Željko Živanović
  • Faculty of Medicine University in Novi Sad Head of the Clinic of Neurology, Clinical Centre of Vojvodina
  • drzzivanovic79@gmail.com

Slovakia

  • Prof. Zuzana Gdovinova
  • Head of Department, Department of Neurology, Faculty of Medicine, P.J. Safarik University Košice
  • z.gdovin@gmail.com

Slovenia

  • Dr. Zvan Bojana
  • President of the National Stroke Society at the Slovenian Medical Association
  • bojana.zvan@kclj.si

Spain

Sweden

Switzerland

Netherlands

  • Dr. Vincent Kwa
  • Dutch Association of Neurology, Working Group Neurovascular diseases
  • I.H.Kwa@olvg.nl

Turkey

  • Prof. Mehmet Topcuoglu
  • Professor at Hacettepe University, Ankara President, Turkish Cerebrovascular Diseases Society
  • matopcuoglu@yahoo.com

Ukraine

  • Dr. Dmytro Lebedynets
  • Feofaniya Clinical Hospital
  • Prof. Maryna Guliaieva
  • Prof. Yuriy Flomin
  • Universal Clinic ‘Oberig’, Head of the Stroke and Neurorehabilitation Unit
  • flomin.yuriy@gmail.com

Wales

  • Sarah Belson

Spain

Sorry, no Coordinators are available in this Country at the moment...

2021

Yes No Data not available No data provided

Albania

Armenia

  • Prof. Nune Yeghiazaryan
  • Head of Neurology Department, Erebouni Medical Center
  • ynune@yahoo.com

Austria

  • Dr. Sigrid Schwarz
  • Dr. Stefan Kiechl

Azerbaijan

  • Dr. Nara Hesen

Belarus

Bulgaria

  • Dr. Dimitar Taskov
  • Dorina Dobreva
  • President of the Association for Stroke and Aphasia Bulgaria
  • dobreva@stroke.bg
  • Prof. Dimitar Maslarov
  • Chairman Neurology Clinic, Medical University Sofia
  • maslarovdb@abv.bg

Belgium

  • Dr. Laetitia Yperzeele
  • Dr. François Delvoye

Bosnia and Herzegovina

Catalonia

Croatia

Cyprus

Czech Republic

Denmark

England

  • Sarah Belson

Estonia

  • Prof. Janika Kõrv
  • Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Professor in Clinical Neurology, Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Neurologist at the Dept. of Neurology and Neurosurgery, Tartu University Hospital
  • janika.korv@kliinikum.ee
  • Dr. Riina Vibo
  • Reaseacher at the Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Neurologist at the Dept. of Neurology and Neurosurgery, Tartu University Hospital
  • Riina.Vibo@kliinikum.ee

Finland

  • Dr. Susanna Roine
  • Dr. Pauli Ylikotila
  • Dr. Daniel Strbian
  • Neurologist, Chief Doctor, Helsinki University Central Hospital
  • Daniel.Strbian@hus.fi

France

  • Prof. Sonia Alamowitch
  • Prof. Charlotte Cordonnier

Georgia

Germany

  • Prof. Tobias Neumann-Haefelin
  • Prof. Jürgen Faiss
  • Geschäftsführer der Deutschen Schlaganfall-Gesellschaft
  • faiss@dsg-berlin.org

Greece

  • Dr. Hariklia Proios
  • Associate Professor of Neurocognitive Disorders and Rehabilitation, Department of Educational & Social Policy, University of Macedonia, Thessaloniki
  • hproios@gmail.com
  • Prof. Georgios Tsivgoulis
  • Professor & Chairman, Second Department of Neurology, National & Kapodistrian University of Athens, Athens
  • tsivgoulisgiorg@yahoo.gr
  • Prof. Haralampos Milionis
  • Professor & Chairman, Second Department of Internal Medicine, University of Ioannina, Ioannina
  • hmilioni@uoi.gr

Hungary

  • Dr. Folyovich András PhD (András Folyovich MD PhD)
  • President of National Stroke Prevention and Rehabilitation League, Hungary
  • andras.folyovich@janoskorhaz.hu

Iceland

  • Marianne Elisabeth Klinke
  • RN, PhD, Landspitali University Hospital Reykjavik and the University of Iceland
  • marianne@hi.is

Israel

  • Dr. Rani Barnea

Italy

Kazakhstan

  • Dr. Zauresh Akhmetzhanova
  • Chief specialist of "Republican coordination centre for stroke problems
  • zauresa@yandex.ru

Kosovo

Kyrgyzstan

  • Dr. Djamal Turgumbaev
  • Chief of Neurology 3 Department of National Hospital under Ministry of Health
  • t.jamal@mail.ru
  • Dr. Elmira Mamytova
  • Head of Neurology and Medical genetic Department, Kyrgyz State Medical Academy
  • elmiramamytova@yahoo.com
  • Dr. Kunduz Karbozova
  • Assistant on Neurology and Medical genetic Department, Kyrgyz State Medical Academy
  • Karbozova89@mail.ru

Latvia

Lithuania

  • Prof. Dalius Jatuzis
  • President of Lithuanian Stroke Association Professor in Neurology at Vilnius University Faculty of Medicine
  • dalius.jatuzis@santa.lt
  • Dr. Aleksandras Vilionskis
  • Member of the Board of Lithuanian Stroke Association Associate Professor in Neurology at Vilnius University Faculty of Medicine
  • aleksandras.vilionskis@rvul.lt

Luxembourg

Malta

Montenegro

North Macedonia

  • Gordana Dimeska
  • Katina Aleksovska
  • Neurology resident, University Clinic of Neurology, Skopje, North Macedonia, Board member of the Macedonian Stroke Association
  • katinaaleksovska@gmail.com
  • Dr. Elena Lichkova
  • Neurologist, Clinical hospital, Neurology department, Shtip, North Macedonia, Board member of the Macedonian Stroke Association
  • eedrovska@yahoo.com
  • Dr. Maja Bozinovska Smicheska
  • Neurologist, Special hospital "St. Erasmo", Ohrid, North Macedonia, President of the Macedonian organization for a fight against stroke (SSO) and Board member of the Macedonian Stroke Association (President)
  • majabozoh35@gmail.com
  • Prof. Anita Arsovska
  • Neurologist, University Clinic of Neurology, University "Ss. Cyril and Methodius"-Faculty of Medicine, Skopje, North Macedonia, President of the Macedonian Stroke Association
  • anita70mk@yahoo.com

Northern Ireland

  • Sarah Belson

Norway

Poland

  • Dr. Adam Kobayashi
  • Prof. Anna Czlonkowska
  • President of the Section for Cerebrovascular Diseases and Board of Directors of the Polish Neurological Society
  • czlonkow@ipin.edu.pl

Portugal

  • Dr. Gustavo Santo
  • Sociedade Portuguesa do AVC - National Stroke Association
  • Dr. Elsa Azevedo
  • Programa Nacional para as Doenças Cérebro-Cardiovasculares - Cerebro and Cardiovascular Diseases National Program
  • elsaazevedo@dgs.min-saude.pt

Ireland

  • Frances Horgan
  • Molly Manning

Moldova

Romania

  • Dr. Cristina Tiu
  • Head of Stroke Unit in the University Hospital Bucharest Romanian Society of Neurology
  • cristinatiu@yahoo.com

Russia

  • Prof. Alla Guekht
  • Moscow Research and Clinical Center for Neuropsychiatry
  • guekht@gmail.com

Scotland

  • Sarah Belson

Serbia

  • Dr. Željko Živanović
  • Faculty of Medicine University in Novi Sad Head of the Clinic of Neurology, Clinical Centre of Vojvodina
  • drzzivanovic79@gmail.com

Slovakia

  • Prof. Zuzana Gdovinova
  • Head of Department, Department of Neurology, Faculty of Medicine, P.J. Safarik University Košice
  • z.gdovin@gmail.com

Slovenia

  • Dr. Zvan Bojana
  • President of the National Stroke Society at the Slovenian Medical Association
  • bojana.zvan@kclj.si

Spain

Sweden

Switzerland

Netherlands

  • Dr. Vincent Kwa
  • Dutch Association of Neurology, Working Group Neurovascular diseases
  • I.H.Kwa@olvg.nl

Turkey

  • Prof. Mehmet Topcuoglu
  • Professor at Hacettepe University, Ankara President, Turkish Cerebrovascular Diseases Society
  • matopcuoglu@yahoo.com

Ukraine

  • Dr. Dmytro Lebedynets
  • Feofaniya Clinical Hospital
  • Prof. Maryna Guliaieva
  • Prof. Yuriy Flomin
  • Universal Clinic ‘Oberig’, Head of the Stroke and Neurorehabilitation Unit
  • flomin.yuriy@gmail.com

Wales

  • Sarah Belson

Spain

Sorry, no Coordinators are available in this Country at the moment...

2020

Yes No Data not available No data provided

Albania

Armenia

  • Prof. Nune Yeghiazaryan
  • Head of Neurology Department, Erebouni Medical Center
  • ynune@yahoo.com

Austria

  • Dr. Sigrid Schwarz
  • Dr. Stefan Kiechl

Azerbaijan

  • Dr. Nara Hesen

Belarus

Bulgaria

  • Dr. Dimitar Taskov
  • Dorina Dobreva
  • President of the Association for Stroke and Aphasia Bulgaria
  • dobreva@stroke.bg
  • Prof. Dimitar Maslarov
  • Chairman Neurology Clinic, Medical University Sofia
  • maslarovdb@abv.bg

Belgium

  • Dr. Laetitia Yperzeele
  • Dr. François Delvoye

Bosnia and Herzegovina

Catalonia

Croatia

Cyprus

Czech Republic

Denmark

England

  • Sarah Belson

Estonia

  • Prof. Janika Kõrv
  • Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Professor in Clinical Neurology, Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Neurologist at the Dept. of Neurology and Neurosurgery, Tartu University Hospital
  • janika.korv@kliinikum.ee
  • Dr. Riina Vibo
  • Reaseacher at the Dept. of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu Neurologist at the Dept. of Neurology and Neurosurgery, Tartu University Hospital
  • Riina.Vibo@kliinikum.ee

Finland

  • Dr. Susanna Roine
  • Dr. Pauli Ylikotila
  • Dr. Daniel Strbian
  • Neurologist, Chief Doctor, Helsinki University Central Hospital
  • Daniel.Strbian@hus.fi

France

  • Prof. Sonia Alamowitch
  • Prof. Charlotte Cordonnier

Georgia

Germany

  • Prof. Tobias Neumann-Haefelin
  • Prof. Jürgen Faiss
  • Geschäftsführer der Deutschen Schlaganfall-Gesellschaft
  • faiss@dsg-berlin.org

Greece

  • Dr. Hariklia Proios
  • Associate Professor of Neurocognitive Disorders and Rehabilitation, Department of Educational & Social Policy, University of Macedonia, Thessaloniki
  • hproios@gmail.com
  • Prof. Georgios Tsivgoulis
  • Professor & Chairman, Second Department of Neurology, National & Kapodistrian University of Athens, Athens
  • tsivgoulisgiorg@yahoo.gr
  • Prof. Haralampos Milionis
  • Professor & Chairman, Second Department of Internal Medicine, University of Ioannina, Ioannina
  • hmilioni@uoi.gr

Hungary

  • Dr. Folyovich András PhD (András Folyovich MD PhD)
  • President of National Stroke Prevention and Rehabilitation League, Hungary
  • andras.folyovich@janoskorhaz.hu

Iceland

  • Marianne Elisabeth Klinke
  • RN, PhD, Landspitali University Hospital Reykjavik and the University of Iceland
  • marianne@hi.is

Israel

  • Dr. Rani Barnea

Italy

Kazakhstan

  • Dr. Zauresh Akhmetzhanova
  • Chief specialist of "Republican coordination centre for stroke problems
  • zauresa@yandex.ru

Kosovo

Kyrgyzstan

  • Dr. Djamal Turgumbaev
  • Chief of Neurology 3 Department of National Hospital under Ministry of Health
  • t.jamal@mail.ru
  • Dr. Elmira Mamytova
  • Head of Neurology and Medical genetic Department, Kyrgyz State Medical Academy
  • elmiramamytova@yahoo.com
  • Dr. Kunduz Karbozova
  • Assistant on Neurology and Medical genetic Department, Kyrgyz State Medical Academy
  • Karbozova89@mail.ru

Latvia

Lithuania

  • Prof. Dalius Jatuzis
  • President of Lithuanian Stroke Association Professor in Neurology at Vilnius University Faculty of Medicine
  • dalius.jatuzis@santa.lt
  • Dr. Aleksandras Vilionskis
  • Member of the Board of Lithuanian Stroke Association Associate Professor in Neurology at Vilnius University Faculty of Medicine
  • aleksandras.vilionskis@rvul.lt

Luxembourg

Malta

Montenegro

  • Dr. Sandra Vujovic
  • President of the Montenegrin Stroke Association
  • sandrin