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Variations in care and outcome in the first year after stroke: a Western and Central European perspective
- Source :
- University of Bristol-PURE
- Publication Year :
- 2004
-
Abstract
- Background: There are significant variations in the short term patterns of care and outcome after a first stroke in Europe. Objective: To estimate the variation in stroke care and outcome up to 1 year after a stroke in selected European centres. Methods: Hospital based stroke registers were established in 11 hospitals in seven western and central European countries to collect demographic, clinical, and resource use data at the time of first ever stroke during 1993–4. At 3 and 12 months, details of survival, activities of daily living score, and use of services were recorded. Univariate comparisons between centres were made using the χ2 test and stepwise regression was used to identify associations between centre, case mix, therapy provision, and outcomes. Results: Of the 4048 patients registered, 23% were lost to follow up and 38% had died at 1 year. The proportions of survivors who felt they needed assistance at 12 months ranged from 35% in Italy to 77% in UK2. There were comparatively high amounts of therapy provided up to 1 year in UK3, France and Germany 1, mainly at home. At 1 year, social services were still providing support in UK1, UK5 and France, with some support in Germany 1 and family support was provided in France. In multivariate analysis, after adjustment for case mix and receipt of rehabilitation, non-UK centres had improved activities of daily living (p
- Subjects :
- Male
Gerontology
Paper
medicine.medical_specialty
Activities of daily living
Multivariate analysis
medicine.medical_treatment
Family support
Population
Psychological intervention
MEDLINE
Unit (housing)
Editorial Commentaries
Case mix index
Nursing
Activities of Daily Living
Health care
Outcome Assessment, Health Care
medicine
Humans
cardiovascular diseases
Lost to follow-up
education
Stroke
Diagnosis-Related Groups
Aged
Quality of Health Care
education.field_of_study
Medical Audit
Rehabilitation
business.industry
Incidence (epidemiology)
Stroke Rehabilitation
Middle Aged
medicine.disease
Survival Analysis
Surgery
Europe
Psychiatry and Mental health
Treatment Outcome
Multivariate Analysis
Female
Neurology (clinical)
business
Demography
Subjects
Details
- ISSN :
- 00223050
- Volume :
- 75
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of neurology, neurosurgery, and psychiatry
- Accession number :
- edsair.doi.dedup.....450335cc69073787f0b6c746bee1ee7a