Austin Health

Title
Treatment and Outcomes of Working Aged Adults with Stroke: Results from a National Prospective Registry.
Publication Date
2017
Author(s)
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
Subject
Registries
Stroke
Stroke registries
Young adult
Type of document
Journal Article
OrcId
0000-0001-6324-3403
0000-0001-8162-682X
DOI
10.1159/000484141
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.
Link
Citation
Neuroepidemiology 2017; 49(3-4): 113-120
Jornal Title
Neuroepidemiology

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