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Comparison of Provision of Stroke Care in Younger and Older Patients: Findings from the South London Stroke Register.
- Source :
- Stroke Research & Treatment; 2012, p1-9, 9p, 5 Charts
- Publication Year :
- 2012
-
Abstract
- Background. Evidence-based stroke care should be available to all patients. However, evidence exists of inequalities according to age. This study compared access to care for younger adults to that for over 65s. Methods. Using population-based data from 4229 patients with first-ever stroke between 1995 and 2010, associations between age and 21 care indicators were investigated using multivariable logistic regression. Results. Age was not associated with stroke unit admission for ischaemic stroke (P = 0.666). Younger PICH patients were least likely to be admitted to stroke units (P = 0.001), instead treated on neurosurgical or ICU wards. Younger age was also associated with admission to neurosurgery or ICU after SAH (P = 0.006), increased occupational or physiotherapy at 1 year (P = 0.043), and contact with a GP 3 months after stroke (P < 0.001). Conclusion. Younger patients have equal or greater access to evidence-based care. However, there is a need to ensure that services meet the needs of this group. [ABSTRACT FROM AUTHOR]
- Subjects :
- STROKE risk factors
STROKE treatment
AGE distribution
CHI-squared test
CLINICAL medicine
COMPARATIVE studies
CRITICAL care medicine
REPORTING of diseases
EPIDEMIOLOGY
FAMILY medicine
FISHER exact test
HEALTH services accessibility
PATIENT aftercare
MEDICAL care
PATIENTS
PROBABILITY theory
RESEARCH funding
SCALES (Weighing instruments)
STATISTICAL hypothesis testing
COMORBIDITY
DATA analysis
MULTIPLE regression analysis
SOCIOECONOMIC factors
KEY performance indicators (Management)
RETROSPECTIVE studies
DATA analysis software
GLASGOW Coma Scale
Subjects
Details
- Language :
- English
- ISSN :
- 20908105
- Database :
- Complementary Index
- Journal :
- Stroke Research & Treatment
- Publication Type :
- Academic Journal
- Accession number :
- 86870580
- Full Text :
- https://doi.org/10.1155/2012/319581