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Title: Treatment and Outcomes of Working Aged Adults with Stroke: Results from a National Prospective Registry.
Austin Authors: Lannin, Natasha A;Anderson, Craig S;Kim, Joosup;Kilkenny, Monique;Bernhardt, Julie;Levi, Christopher;Dewey, Helen M;Bladin, Christopher;Hand, Peter;Castley, Helen;Hill, Kelvin;Faux, Steven;Grimley, Rohan;Grabsch, Brenda;Middleton, Sandy;Donnan, Geoffrey;Cadilhac, Dominique A
Affiliation: Royal Melbourne Hospital, Melbourne, Victoria, Australia
Department of Occupational Therapy, Alfred Health, Prahran, Victoria, Australia
The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
The George Institute for Global Health China at Peking University Health Science Center, Beijing, China
Australian Catholic University, Sydney, New South Wales, Australia
School of Allied Health, La Trobe University, Bundoora, Victoria, Australia
Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Heidelberg, Victoria, Australia
University of Newcastle, Newcastle, New South Wales, Australia
Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
Royal Hobart Hospital, Hobart, Tasmania, Australia
National Stroke Foundation, Melbourne, Victoria, Australia
St Vincent's Health Australia, Sydney, New South Wales, Australia
Sunshine Coast Clinical School, The University of Queensland, St Lucia, Queensland, Australia
Issue Date: 2017 2017-11-14
Publication information: Neuroepidemiology 2017; 49(3-4): 113-120
Abstract: BACKGROUND: Given the potential differences in etiology and impact, the treatment and outcome of younger patients (aged 18-64 years) require examination separately to older adults (aged ≥65 years) who experience acute stroke. METHODS: Data from the Australian Stroke Clinical Registry (2010-2015) including demographic and clinical characteristics, provision of evidence-based therapies and health-related quality of life (HRQoL) post-stroke was used. Descriptive statistics and multilevel regression models were used for group comparisons. RESULTS: Compared to older patients (age ≥65 years) among 26,220 registrants, 6,526 (25%) younger patients (age 18-64 years) were more often male (63 vs. 51%; p < 0.001), born in Australia (70 vs. 63%; p < 0.001), more often discharged home from acute care (56 vs. 38%; p < 0.001), and less likely to receive antihypertensive medication (61 vs. 73%; p < 0.001). Younger patients had a 74% greater odds of having lower HRQoL compared to an equivalent aged-matched general population (adjusted OR 1.74, 95% CI 1.56-1.93, p < 0.001). CONCLUSIONS: Younger stroke patients exhibited distinct differences from their older counterparts with respect to demographic and clinical characteristics, prescription of antihypertensive medications and residual health status.
DOI: 10.1159/000484141
ORCID: 0000-0001-6324-3403
PubMed URL: 29136634
Type: Journal Article
Subjects: Registries
Stroke registries
Young adult
Appears in Collections:Journal articles

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