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dc.contributor.authorOlaiya, Muideen T
dc.contributor.authorCadilhac, Dominique A
dc.contributor.authorKim, Joosup
dc.contributor.authorThrift, Amanda G
dc.contributor.authorCourten, Barbora de
dc.contributor.authorAndrew, Nadine E
dc.contributor.authorGrimley, Rohan
dc.contributor.authorAnderson, Craig S
dc.contributor.authorSundararajan, Vijaya
dc.contributor.authorLannin, Natasha A
dc.contributor.authorLevi, Christopher
dc.contributor.authorDewey, Helen M
dc.contributor.authorKilkenny, Monique F
dc.date.accessioned2021-10-13T01:55:11Z
dc.date.available2021-10-13T01:55:11Z
dc.date.issued2021
dc.identifier.issn1052-3057
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2021.106083
dc.identifier.urihttp://hdl.handle.net/10072/408950
dc.description.abstractOBJECTIVES: To evaluate key quality indicators for acute care and one-year outcomes following acute ischaemic stroke (IS), intracerebral haemorrhage (ICH), or transient ischaemic attack (TIA) by diabetes status. MATERIALS AND METHODS: Observational cohort study (2009-2013) using linked data from the Australian Stroke Clinical Registry and hospital records. Diabetes was ascertained through review of hospital records. Multilevel regression models were used to evaluate the association between diabetes and outcomes, including discharge destination, and mortality and hospital readmissions within one-year of stroke/TIA. RESULTS: Among 14,132 patients (median age 76 years, 46% female), 22% had diabetes. Compared to patients without diabetes, those with diabetes were equally likely to receive stroke unit care, but were more often discharged on antihypertensive agents (79% vs. 68%) or with a care plan (50% vs. 47%). In patients with TIA, although 86% returned directly home after acute care, those with diabetes more often had a different discharge destination than those without diabetes. Diabetes was associated with greater all-cause mortality (hazard ratio 1.13, 95% CI 1.04-1.23) in patients with IS/ICH; and with both greater all-cause (1.81, CI 1.35-2.43) and CVD mortality (1.75, CI 1.06-2.91) in patients with TIA. Similarly, diabetes was associated with greater rates of all-cause readmission in both patients with IS/ICH and TIA. CONCLUSIONS: Despite good adherence to best care standards for acute stroke/TIA, patients with comorbid diabetes had worse outcomes at one-year than those without comorbid diabetes. Associations of diabetes with poorer outcomes were more pronounced in patients with TIA than those with IS/ICH.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherElsevier BV
dc.relation.ispartofpagefrom106083
dc.relation.ispartofissue11
dc.relation.ispartofjournalJournal of Stroke and Cerebrovascular Diseases
dc.relation.ispartofvolume30
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchEndocrinology
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode320208
dc.subject.keywordsDiabetes
dc.subject.keywordsMortality/Survival
dc.subject.keywordsOutcomes
dc.subject.keywordsQuality
dc.subject.keywordsStroke
dc.titleQuality of Care and One-Year Outcomes in Patients with Diabetes Hospitalised for Stroke or TIA: A Linked Registry Study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationOlaiya, MT; Cadilhac, DA; Kim, J; Thrift, AG; Courten, BD; Andrew, NE; Grimley, R; Anderson, CS; Sundararajan, V; Lannin, NA; Levi, C; Dewey, HM; Kilkenny, MF, Quality of Care and One-Year Outcomes in Patients with Diabetes Hospitalised for Stroke or TIA: A Linked Registry Study, Journal of Stroke and Cerebrovascular Diseases, 2021, 30 (11), pp. 106083
dcterms.dateAccepted2021-08-24
dc.date.updated2021-10-08T05:31:33Z
gro.hasfulltextNo Full Text
gro.griffith.authorGrimley, Rohan


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