Outcomes for Patients With In-Hospital Stroke: A Multicenter Study From the Australian Stroke Clinical Registry (AuSCR)

No Thumbnail Available
File version
Author(s)
Cadilhac, DA
Kilkenny, MF
Lannin, NA
Dewey, HM
Levi, CR
Hill, K
Grabsch, B
Grimley, R
Blacker, D
Thrift, AG
Middleton, S
Anderson, CS
Donnan, GA
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2019
Size
File type(s)
Location
License
Abstract

Background: The quality of care and outcomes for people who experience stroke whilst in hospital for another condition has not been previously studied in Australia. Aims: To explore differences in long-term outcomes among patients with in-hospital events treated in stroke units (SUs) compared to those managed in other hospital wards. Methods: Forty-five hospitals participating in the Australian Stroke Clinical Registry between January 2010 and December 2014 contributed data. Survival of all patients with in-hospital stroke to 180 days after stroke and health-related quality of life, using EQ-5D-3L among 73% eligible, were compared using multilevel, multivariable regression models. Models were adjusted for age, sex, index of relative socioeconomic disadvantage, ability to walk, stroke type, transfer from another hospital, and history of stroke. Results: Among 20,786 stroke events, 1182 (5.1%) occurred in-hospital (median age 77 years, 49% male). Patients with in-hospital stroke treated in SUs died less often within 30 days (Hazard Ratio 0.56; 95% CI 0.39-0.81) than those not admitted to SUs. Survivors reported similar health-related quality of life between 90 and 180 days compared to those treated in other wards (coefficient = 0.01, 95% CI –0.06-0.09, P = .78). Patients managed in SUs more often received recommended management (e.g. swallowing screening). Conclusion: The benefits of SU care may extend to patients experiencing in-hospital stroke. Validation, including accounting for potential residual confounding factors, is required.

Journal Title

Journal of Stroke and Cerebrovascular Diseases

Conference Title
Book Title
Edition
Volume

28

Issue

5

Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Item Access Status
Note
Access the data
Related item(s)
Subject

Clinical sciences

Neurosciences

Stroke

hospitals

outcome

stroke management

stroke unit

Persistent link to this record
Citation

Cadilhac, DA; Kilkenny, MF; Lannin, NA; Dewey, HM; Levi, CR; Hill, K; Grabsch, B; Grimley, R; Blacker, D; Thrift, AG; Middleton, S; Anderson, CS; Donnan, GA, Outcomes for Patients With In-Hospital Stroke: A Multicenter Study From the Australian Stroke Clinical Registry (AuSCR), Journal of Stroke and Cerebrovascular Diseases, 2019, 28 (5), pp. 1302-1310

Collections