Abstract W MP99: Seven-Day Mortality After Ischemic Stroke: International Comparison Among Industrialized Nations

Autor: Jin-Moo Lee, Thomas Hemmen, JiaJing Chen, Richard Lumor, Christopher J Deline, Steve Middleton, Alex Bottle, Caroline Fenwick, Marc Randall, Michael Pelly, Vincent Thijs, Natalia Rost, Louise Shaw, Emma Vaux, Mark J Alberts, Nina Janda, Rachel Alsop, Keith Schlagbauer, Mary Spencer, Kenneth Schechtman, Clay Dunnigan, Gabriel Rinkel
Rok vydání: 2014
Předmět:
Zdroj: Stroke. 45
ISSN: 1524-4628
0039-2499
DOI: 10.1161/str.45.suppl_1.wmp99
Popis: Introduction: Stroke is the 2 nd leading cause of death worldwide, yet best practices for acute stroke care are lacking even among premier hospitals in industrialized countries. We compared 7-day mortality after ischemic stroke between academic medical centers in the Netherlands (NL), United Kingdom (UK), and United States (US). Methods: This was an observational study using in-hospital administrative data from select academic medical centers in the NL (n=8), UK (n=10), and US (n=11) from 2005-12. Chi-square was used to compare 7-day in-hospital mortality between countries and across years, and to explore the effect of weekend admission. Multiple logistic regression was conducted to further examine factors associated with mortality, including sex, age, weekend admission, year, and country. Results: From 2005-12, 51,409 patients were discharged with ischemic stroke from hospitals in the NL (n=6331), UK (n=25574), and US (n=19204). Mortality was significantly higher in the UK (8.1%) compared to the NL (6.4%) and US (4.8%) (p Conclusions: A comparison of 7-day mortality among academic medical centers in industrialized counties reveals stark variability. Although 2006 stroke mortality in UK hospitals was almost double that of US hospitals, dramatic reductions were subsequently seen. Further analysis of national policy or practice changes that have driven these improvements promise to be revealing.
Databáze: OpenAIRE
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