Certain patients with reduced consciousness undergo an operation to remove a portion of the skull to relieve intracranial pressure. This study compared the outcomes of such patients with those of similar patients who later underwent an additional operation to repair the skull. The second operation, which restores cosmesis and has other advantages, did not decrease consciousness recovery or survival and did not increase the risk of complications; therefore, we concluded that it can be offered to these patients.

This study explores the housing and support needs of individuals with Multiple Sclerosis (MS) to enhance their independence at home, aiming to guide the development of community living options. It was found that participants commonly required home modifications, assistive technology, and substantial daily support. The findings underscore the importance of proactive funding, tailored housing design, and responsive support services, advocating for a co-designed intervention involving individuals with MS and stakeholders to enhance policy and improve living outcomes.

This article belongs to the Collection Clinical Implementation to Optimise Outcomes.

Young stroke survivors tend to be discharged from acute hospital care without rehabilitation, but it is unclear why. Younger patients presented with more unusual and less severe stroke aetiologies than their older counterparts, and therefore were often discharged without rehabilitation. However, young survivors presented with medical and cognitive needs that were not consistently met by post-acute care pathways. The findings highlight the need for increased attention to, and tailored post-care pathways, addressing cognitive and psychosocial needs of young survivors.

This study investigates the impact of lockdown measures on loneliness among stroke survivors during the COVID-19 pandemic. Through interviews with 17 participants, we identified three main themes: hidden struggles, isolated lives; diverse experiences and adaptations; and rebuilding after lockdown. Our findings highlight the importance of addressing poststroke challenges to reduce stigma and promote empathy, while also advocating for hybrid support solutions to better prepare for future pandemics.