Start of stroke recovery in Bermuda

Tuesday 25 October 2022: Surviving a stroke is an achievement in itself, but how well a survivor recovers can vary enormously. What are the rehabilitation options for stroke survivors in Bermuda and how can they go about getting the best medical care and support available?

by Dr Elwood I L Fox, DO

According to the Centres for Disease Control, in 2020, stroke was the fifth leading cause of death in the US. Worldwide, World Health Organisation data from 2019 showed stroke as the second leading cause of death behind ischemic heart disease.

Based on my involvement as consultant physiatrist at BHB for over ten years, there is anecdotal evidence of five to 10 stroke patients per week treated through BHB. Not all are being admitted for acute care. Some receive outpatient services through the Rehab Day Hospital.

Furthermore, it is estimated that there are 250 to 300 strokes per year on island with about five percent never receiving medical or rehabilitation treatment during the acute phase. Data collection is required for recording of stroke deaths annually, and would probably reveal greater than 1,000 stroke survivors on island at present.

Some of the main impairments caused by stroke involve cognition, speech and communication, ability to swallow, movement, activities of daily living (ADLs), bowel and bladder dysfunction, and mood and behaviour.

To read the full RG Magazines article, click here.