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dc.contributor.authorDalli, LL
dc.contributor.authorKim, J
dc.contributor.authorThrift, AG
dc.contributor.authorAndrew, NE
dc.contributor.authorLannin, NA
dc.contributor.authorAnderson, CS
dc.contributor.authorGrimley, R
dc.contributor.authorKatzenellenbogen, JM
dc.contributor.authorBoyd, J
dc.contributor.authorLindley, RI
dc.contributor.authorPollack, M
dc.contributor.authorJude, M
dc.contributor.authorDurairaj, R
dc.contributor.authorShah, D
dc.contributor.authorCadilhac, DA
dc.contributor.authorKilkenny, MF
dc.date.accessioned2020-06-15T00:14:01Z
dc.date.available2020-06-15T00:14:01Z
dc.date.issued2019
dc.identifier.issn0039-2499
dc.identifier.doi10.1161/STROKEAHA.119.026823
dc.identifier.urihttp://hdl.handle.net/10072/394611
dc.description.abstractBackground and Purpose: Despite evidence to support the prescription of antihypertensive medications before hospital discharge to promote medication adherence and prevent recurrent events, many patients with stroke miss out on these medications at discharge. We aimed to examine patient, clinical, and system-level differences in the prescription of antihypertensive medications at hospital discharge after stroke. Methods: Adults with acute ischemic stroke or intracerebral hemorrhage alive at discharge were included (years 2009–2013) from 39 hospitals participating in the Australian Stroke Clinical Registry. Patient comorbidities were identified using the International Statistical Classification of Diseases and Related Health Problems (Tenth Edition, Australian Modification) codes from the hospital admissions and emergency presentation data. The outcome variable and other system factors were derived from the Australian Stroke Clinical Registry dataset. Multivariable, multilevel logistic regression was used to examine factors associated with the prescription of antihypertensive medications at hospital discharge. Results: Of the 10 315 patients included, 79.0% (intracerebral hemorrhage, 74.1%; acute ischemic stroke, 79.8%) were prescribed antihypertensive medications at discharge. Prescription varied between hospital sites, with 6 sites >2 SDs below the national average for provision of antihypertensives at discharge. Prescription was also independently associated with patient and clinical factors including history of hypertension, diabetes mellitus, management in an acute stroke unit, and discharge to rehabilitation. In patients with acute ischemic stroke, females (odds ratio, 0.85; 95% CI, 0.76–0.94), those who had greater stroke severity (odds ratio, 0.81; 95% CI 0.72–0.92), or dementia (odds ratio, 0.65; 95% CI, 0.52–0.81) were less likely to be prescribed. Conclusions: Prescription of antihypertensive medications poststroke varies between hospitals and according to patient factors including age, sex, stroke severity, and comorbidity profile. Implementation of ta
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.relation.ispartofpagefrom3592
dc.relation.ispartofpageto3599
dc.relation.ispartofissue12
dc.relation.ispartofjournalStroke
dc.relation.ispartofvolume50
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchcode3201
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3209
dc.subject.keywordsblood pressure
dc.subject.keywordscomorbidity
dc.subject.keywordshypertension
dc.subject.keywordsmedication adherence
dc.subject.keywordsrisk factor
dc.titleDisparities in antihypertensive prescribing after stroke: linked data from the australian stroke clinical registry
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationDalli, LL; Kim, J; Thrift, AG; Andrew, NE; Lannin, NA; Anderson, CS; Grimley, R; Katzenellenbogen, JM; Boyd, J; Lindley, RI; Pollack, M; Jude, M; Durairaj, R; Shah, D; Cadilhac, DA; Kilkenny, MF, Disparities in antihypertensive prescribing after stroke linked data from the australian stroke clinical registry, Stroke, 2019, 50 (12), pp. 3592-3599
dc.date.updated2020-06-15T00:12:02Z
gro.hasfulltextNo Full Text
gro.griffith.authorGrimley, Rohan


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