Hospital-based stroke care in Ireland: results from one regional register.
Affiliation
Department of Medicine for Elderly, St. Columcille's Hospital, Dublin.Issue Date
2000-01Keywords
STROKE AND TIAHOSPITAL
MeSH
AgedFemale
Humans
Ireland
Length of Stay
Male
Middle Aged
Prospective Studies
Registries
Stroke
Tomography, X-Ray Computed
Treatment Outcome
Metadata
Show full item recordCitation
Fan CW et al. Hospital-based stroke care in Ireland: results from one regional register. Ir J Med Sci. 2000;169 (1):30-3Journal
Irish journal of medical sciencePubMed ID
10846854Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/10846854Abstract
Most patients with acute stroke are admitted to hospital. If stroke services in this country are to be improved, we need accurate and reliable information about the types of stroke patients being admitted, their present management and outcome.To examine the demography, severity, level of investigation, length of stay, mortality and discharge location of prospectively identified consecutive stroke admissions to three general hospitals in South East Dublin.
Three hundred and twenty nine consecutive stroke admissions to three general hospitals in South East Dublin were registered using the European Stroke Database over 50 weeks. The mean age was 73.3 years, whilst 20.1% patients were under 65 years. Prior to admission, 90% of patients were community dwelling with 14.9% of patients being dependent in activities of daily living. 22.4% of patients had some depression in level of consciousness on admission. The overall mortality rate was 26.1% whilst 136 (41.3%) were discharged home, 50 (15.2%) went to institutional care and 45 (13.7%) went to non general hospitals secondary rehabilitation units. The mean length of stay was 31.3 days. The combined poor outcome measure (mortality plus percentage of patients discharged to institutional care), was lower in one hospital compared to the other two hospitals (29.3% versus 44.65%, p > or = 0.05) probably reflecting case mix. Stroke accounted for 4.2% of all bed days in the major general hospital in this area. The overall CT scan rate was 84.5%, with 18.2% of CT scans showing a haemorrhagic component and two patients (0.8%) having brain tumours. Carotid doppler examinations were carried out in 37% of patients.
The results demonstrate the high mortality and prolonged hospital stay for stroke patients in this area and emphasise the need for co-ordinated stroke care and regular audit to ensure most effective use of hospital resources.
Item Type
ArticleLanguage
enISSN
0021-1265Collections
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