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  • Treatment and Outcomes of Working Aged Adults with Stroke: Results from a National Prospective Registry

    Author(s)
    Lannin, NA
    Anderson, CS
    Kim, J
    Kilkenny, M
    Bernhardt, J
    Levi, C
    Dewey, HM
    Bladin, C
    Hand, P
    Castley, H
    Hill, K
    Faux, S
    Grimley, R
    Grabsch, B
    et al.
    Griffith University Author(s)
    Grimley, Rohan
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    Background: Given the potential differences in etiology and impact, the treatment and outcome of younger patients (aged 18-64 years) require examination separately to older adults (aged ≥65 years) who experience acute stroke. Methods: Data from the Australian Stroke Clinical Registry (2010-2015) including demographic and clinical characteristics, provision of evidence-based therapies and health-related quality of life (HRQoL) post-stroke was used. Descriptive statistics and multilevel regression models were used for group comparisons. Results: Compared to older patients (age ≥65 years) among 26,220 registrants, 6,526 (25%) ...
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    Background: Given the potential differences in etiology and impact, the treatment and outcome of younger patients (aged 18-64 years) require examination separately to older adults (aged ≥65 years) who experience acute stroke. Methods: Data from the Australian Stroke Clinical Registry (2010-2015) including demographic and clinical characteristics, provision of evidence-based therapies and health-related quality of life (HRQoL) post-stroke was used. Descriptive statistics and multilevel regression models were used for group comparisons. Results: Compared to older patients (age ≥65 years) among 26,220 registrants, 6,526 (25%) younger patients (age 18-64 years) were more often male (63 vs. 51%; p < 0.001), born in Australia (70 vs. 63%; p < 0.001), more often discharged home from acute care (56 vs. 38%; p < 0.001), and less likely to receive antihypertensive medication (61 vs. 73%; p < 0.001). Younger patients had a 74% greater odds of having lower HRQoL compared to an equivalent aged-matched general population (adjusted OR 1.74, 95% CI 1.56-1.93, p < 0.001). Conclusions: Younger stroke patients exhibited distinct differences from their older counterparts with respect to demographic and clinical characteristics, prescription of antihypertensive medications and residual health status.
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    Journal Title
    Neuroepidemiology
    Volume
    49
    Issue
    3-4
    DOI
    https://doi.org/10.1159/000484141
    Subject
    Neurosciences
    Health services and systems
    Public health
    Registries
    Stroke
    Stroke registries
    Young adult
    Publication URI
    http://hdl.handle.net/10072/392432
    Collection
    • Journal articles

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