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dc.contributor.authorCadilhac, Dominique A-
dc.contributor.authorKilkenny, Monique F-
dc.contributor.authorLannin, Natasha A-
dc.contributor.authorDewey, Helen M-
dc.contributor.authorLevi, Christopher R-
dc.contributor.authorHill, Kelvin-
dc.contributor.authorGrabsch, Brenda-
dc.contributor.authorGrimley, Rohan-
dc.contributor.authorBlacker, David-
dc.contributor.authorThrift, Amanda G-
dc.contributor.authorMiddleton, Sandy-
dc.contributor.authorAnderson, Craig S-
dc.contributor.authorDonnan, Geoffrey A-
dc.identifier.citationJournal of Stroke and Cerebrovascular Diseases 2019; 28(5): 1302-1310-
dc.description.abstractThe quality of care and outcomes for people who experience stroke whilst in hospital for another condition has not been previously studied in Australia. 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. 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. 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). The benefits of SU care may extend to patients experiencing in-hospital stroke. Validation, including accounting for potential residual confounding factors, is required.-
dc.subjectStroke management-
dc.subjectStroke unit-
dc.titleOutcomes for Patients With In-Hospital Stroke: A Multicenter Study From the Australian Stroke Clinical Registry (AuSCR).-
dc.typeJournal Article-
dc.identifier.journaltitleJournal of Stroke and Cerebrovascular Diseases-
dc.identifier.affiliationSunshine Coast Clinical School, The University of Queensland, Birtinya, Australiaen
dc.identifier.affiliationNeurology Department, Royal Prince Alfred Hospital, Sydney, Australiaen
dc.identifier.affiliationGeorge Institute for Global Health, University of Sydney, Sydney, Australiaen
dc.identifier.affiliationNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Sydney, Australiaen
dc.identifier.affiliationSir Charles Gairdner Hospital, Perth, Australiaen
dc.identifier.affiliationStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australiaen
dc.identifier.affiliationSchool of Allied Health (Occupational Therapy), La Trobe University, Heidelberg, Australiaen
dc.identifier.affiliationHunter Medical Research Institute, Newcastle, Australiaen
dc.identifier.affiliationStroke Division, The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationStroke Foundation, Melbourne, Australiaen
dc.identifier.affiliationEastern Health Clinical School, Faculty of Medicine, Nursing and Health Science, Monash University, Box Hill, Australiaen
dc.identifier.affiliationOccupational Therapy Department, Alfred Health, Prahran, Australiaen
dc.type.austinComparative Study-
dc.type.austinJournal Article-
dc.type.austinMulticenter Study-
dc.type.austinObservational Study-, Geoffrey A
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.languageiso639-1en- Florey Institute of Neuroscience and Mental Health-
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