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    Hospital-based stroke care in Ireland: results from one regional register.

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    Authors
    Fan, C W
    McDonnell, R
    Johnson, Z
    O'Keeffe, S
    Crowe, M J
    Affiliation
    Department of Medicine for Elderly, St. Columcille's Hospital, Dublin.
    Issue Date
    2000-01
    Keywords
    STROKE AND TIA
    HOSPITAL
    MeSH
    Aged
    Female
    Humans
    Ireland
    Length of Stay
    Male
    Middle Aged
    Prospective Studies
    Registries
    Stroke
    Tomography, X-Ray Computed
    Treatment Outcome
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    Citation
    Fan CW et al. Hospital-based stroke care in Ireland: results from one regional register. Ir J Med Sci. 2000;169 (1):30-3
    Journal
    Irish journal of medical science
    URI
    http://hdl.handle.net/10147/323796
    PubMed ID
    10846854
    Additional Links
    http://www.ncbi.nlm.nih.gov/pubmed/10846854
    Abstract
    Most patients with acute stroke are admitted to hospital. If stroke services in this country are to be improved, we need accurate and reliable information about the types of stroke patients being admitted, their present management and outcome.
    To examine the demography, severity, level of investigation, length of stay, mortality and discharge location of prospectively identified consecutive stroke admissions to three general hospitals in South East Dublin.
    Three hundred and twenty nine consecutive stroke admissions to three general hospitals in South East Dublin were registered using the European Stroke Database over 50 weeks. The mean age was 73.3 years, whilst 20.1% patients were under 65 years. Prior to admission, 90% of patients were community dwelling with 14.9% of patients being dependent in activities of daily living. 22.4% of patients had some depression in level of consciousness on admission. The overall mortality rate was 26.1% whilst 136 (41.3%) were discharged home, 50 (15.2%) went to institutional care and 45 (13.7%) went to non general hospitals secondary rehabilitation units. The mean length of stay was 31.3 days. The combined poor outcome measure (mortality plus percentage of patients discharged to institutional care), was lower in one hospital compared to the other two hospitals (29.3% versus 44.65%, p > or = 0.05) probably reflecting case mix. Stroke accounted for 4.2% of all bed days in the major general hospital in this area. The overall CT scan rate was 84.5%, with 18.2% of CT scans showing a haemorrhagic component and two patients (0.8%) having brain tumours. Carotid doppler examinations were carried out in 37% of patients.
    The results demonstrate the high mortality and prolonged hospital stay for stroke patients in this area and emphasise the need for co-ordinated stroke care and regular audit to ensure most effective use of hospital resources.
    Item Type
    Article
    Language
    en
    ISSN
    0021-1265
    Collections
    Journal articles & published research

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