Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/25065
Title: A prospective analysis of stroke recognition, stroke risk factors, thrombolysis rates and outcomes in Indigenous Australians from a large rural referral hospital.
Austin Authors: Dos Santos, Angela;Mohr, Katherine;Jude, Martin;Simon, Neil G;Parsons, Mark;Eades, Sandra;Burchill, Luke;Davis, Stephen;Donnan, Geoffrey A ;Churilov, Leonid ;Delcourt, Candice
Affiliation: Melbourne Brain Centre at Royal Melbourne Hospital, Melbourne, Victoria, Australia. The Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
Melbourne Brain Centre at Royal Melbourne Hospital, Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia
The George Institute for Global Health, The University of New South Wales, Sydney, Australia. Royal Prince Alfred Hospital, The University of Sydney, Sydney, Australia
The Wagga Wagga Rural Referral Hospital. The University of New South Wales, Rural Clinical School, Wagga Wagga, Australia
Northern Clinical School, The University of Sydney, Australia
The Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
The Wagga Wagga Rural Referral Hospital
Department of Medicine, Royal Melbourne Hospital, University of Melbourne
Medicine (University of Melbourne)
Issue Date: 4-Oct-2020
metadata.dc.date: 2020-10-04
Publication information: Internal Medicine Journal 2020; online first: 4 October
Abstract: Cardiovascular disease is the most common cause of death and disability in Indigenous communities but limited prospective data exists about stroke. To estimate the difference in stroke recognition, risk factors, treatment rates and outcomes between Indigenous and non-Indigenous peoples admitted to the Wagga Wagga Rural Referral Hospital (WWRRH) over a 5-year period with a suspected acute stroke. All suspected strokes presenting to the 33 peripheral hospitals within the Murrumbidgee local health district (MLHD) were transferred to the WWRRH and prospectively assessed over a 5-year period from 01/01/2012 to 31/12/2017. Actions at stroke onset, risks factors, stroke type, treatment and outcomes were analysed. 1843 patients were included. Of these, 45 patients (2.5%) were Indigenous. Only 26.6% of Indigenous and 34% of non-Indigenous patients knew of the fast acronym. Indigenous patients were younger (mean age 62.0 years versus 74.4 years) and more likely to have diabetes (RD 22.3% [95% CI: 3%,41.7%]), dyslipidaemia (RD 19.4% [95% CI: 21.%, 36.7%]), and be ever smokers (RD 24.9% [95% CI: 9.5%,40.3%]). Stroke types were similar except lacunar infarcts were more common (19.2% versus 8.4%). Treatment rates and outcomes were similar between the two groups. Indigenous Australians with stroke are a decade younger and have a higher prevalence of important, modifiable stroke risk factors. Delayed presentation to hospital is more common, due in part to stroke symptoms being under recognized. When admitted to a specialized stroke unit, treatment rates and outcomes are comparable. This article is protected by copyright. All rights reserved.
URI: https://ahro.austin.org.au/austinjspui/handle/1/25065
DOI: 10.1111/imj.15080
ORCID: 0000-0003-4301-9396
PubMed URL: 33012066
Type: Journal Article
Appears in Collections:Journal articles

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