Show simple item record

dc.contributor.authorCadilhac, DA
dc.contributor.authorKilkenny, MF
dc.contributor.authorAndrew, NE
dc.contributor.authorRitchie, E
dc.contributor.authorHill, K
dc.contributor.authorLalor, E
dc.date.accessioned2020-12-22T05:44:39Z
dc.date.available2020-12-22T05:44:39Z
dc.date.issued2017-03-16
dc.identifierpii: 10.1186/s12913-017-2150-2
dc.identifier.citationCadilhac, D. A., Kilkenny, M. F., Andrew, N. E., Ritchie, E., Hill, K. & Lalor, E. (2017). Hospitals admitting at least 100 patients with stroke a year should have a stroke unit: a case study from Australia. BMC HEALTH SERVICES RESEARCH, 17 (1), https://doi.org/10.1186/s12913-017-2150-2.
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/11343/258349
dc.description.abstractBACKGROUND: Establishing a stroke unit (SU) in every hospital may be infeasible because of limited resources. In Australia, it is recommended that hospitals that admit ≥100 strokes per year should have a SU. We aimed to describe differences in processes of care and outcomes among hospitals with and without SUs admitting at least 100 patients/year. METHODS: National stroke audit data of 40 consecutive patients per hospital admitted between 1/7/2010-31/12/2010 and organizational survey for annual admissions were used. Descriptive analyses and multilevel regression were used to compare patient outcomes. Sensitivity analysis including only hospitals meeting all of the Australian SU criteria (e.g., co-location of beds; inter-professional team; weekly meetings; regular training) was performed. RESULTS: Two thousand eight hundred ninety-eight patients from 72/108 eligible hospitals completing the audit (SU = 60; patients: 2,481 [mean age 76 years; 55% male] and non-SU patients: 417 [mean age 77; 53% male]). Hospitals with SUs had greater adherence to recommended care processes than non-SU hospitals. Patients treated in a SU hospital had fewer new strokes while in hospital (OR: 0.20; 95% CI 0.06, 0.61) and there was a borderline reduction in the odds of dying in hospital compared to patients in non-SU hospitals (OR 0.57 95%CI 0.33, 1.00). Among SU hospitals meeting all SU criteria (n = 59; 91%) the adjusted odds of having a poor outcome was further reduced compared with patients attending non-SU hospitals. CONCLUSION: Hospitals annually admitting ≥100 patients with acute stroke should be prioritized for establishment of a SU that meet all recommended criteria to ensure better outcomes.
dc.languageEnglish
dc.publisherBMC
dc.titleHospitals admitting at least 100 patients with stroke a year should have a stroke unit: a case study from Australia
dc.typeJournal Article
dc.identifier.doi10.1186/s12913-017-2150-2
melbourne.affiliation.departmentMedicine and Radiology
melbourne.affiliation.departmentFlorey Department of Neuroscience and Mental Health
melbourne.source.titleBMC Health Services Research
melbourne.source.volume17
melbourne.source.issue1
dc.rights.licenseCC BY
melbourne.elementsid1192891
melbourne.contributor.authorCadilhac, Dominique
melbourne.contributor.authorKilkenny, Monique
melbourne.contributor.authorHill, Kelvin
dc.identifier.eissn1472-6963
melbourne.accessrightsOpen Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record