Rationale and Design of a Statewide Cohort to examine efficient resource utilization for patients with Intracerebral hemorrhage (EnRICH)
| Autor: | Jon E. Tyson, Sean I Savitz, Tzu-Ching Wu, Arvind B Bambhroliya, Charles E. Begley, Wamda O Ahmed, Charles C. Miller, Louise D. McCullough, Steven Warach, Gretchel A Gealogo, Ritvij Bowry, Ellie G Meyer, Jennifer R Meeks, Farhaan S Vahidy |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Quality of life Telemedicine medicine.medical_specialty Patient-centered outcomes Cost effectiveness Cost-Benefit Analysis 030204 cardiovascular system & hematology lcsh:RC346-429 Study Protocol 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Readmission rate Resource utilization medicine Humans Prospective Studies Mortality Stroke lcsh:Neurology. Diseases of the nervous system Aged Cerebral Hemorrhage Intracerebral hemorrhage business.industry General Medicine Middle Aged medicine.disease Texas Hospitals 3. Good health Patient Outcome Assessment Cohort Emergency medicine Female Neurology (clinical) business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | BMC Neurology, Vol 18, Iss 1, Pp 1-8 (2018) BMC Neurology |
| ISSN: | 1471-2377 |
| DOI: | 10.1186/s12883-018-1036-1 |
| Popis: | Background Intracerebral hemorrhage is a devastating disease with no specific treatment modalities. A significant proportion of patients with intracerebral hemorrhage are transferred to large stroke treatment centers, such as Comprehensive Stroke Centers, because of perceived need for higher level of care. However, evidence of improvement in patient-centered outcomes for these patients treated at larger stroke treatment centers as compared to community hospitals is lacking. Methods / design “Efficient Resource Utilization for Patients with Intracerebral Hemorrhage (EnRICH)” is a prospective, multisite, state-wide, cohort study designed to assess the impact of level of care on long-term patient-centered outcomes for patients with primary / non-traumatic intracerebral hemorrhage. The study is funded by the Texas state legislature via the Lone Star Stroke Research Consortium. It is being implemented via major hub hospitals in large metropolitan cities across the state of Texas. Each hub has an extensive network of “spoke” hospitals, which are connected to the hub via traditional clinical and administrative arrangements, or by telemedicine technologies. This infrastructure provides a unique opportunity to track outcomes for intracerebral hemorrhage patients managed across a health system at various levels of care. Eligible patients are enrolled during hospitalization and are followed for functional, quality of life, cognitive, resource utilization, and dependency outcomes at 30 and 90 days post discharge. As a secondary aim, an economic analysis of the incremental cost-effectiveness of treating intracerebral hemorrhage patients at higher levels of care will be conducted. Discussion Findings from EnRICH will provide much needed evidence of the effectiveness and efficiency of regionalized care for intracerebral hemorrhage patients. Such evidence is required to inform policy and streamline clinical decision-making. |
| Databáze: | OpenAIRE |
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