지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Background and Purpose Organized inpatient stroke care is one of the most effective therapies for improving patient outcomes. Many stroke centers have been established to meet this need, however, there are limited data on the effectiveness of these organized comprehensive stroke center (CSC) in the real-world setting. Our aim is to determine whether inpatient care following the establishment of CSC lowers mortality of patients with acute ischemic stroke (AIS).
Methods Based on a prospective stroke registry, we identified AIS patients hospitalized before and after the establishment of a CSC. We observed all-cause mortality within 30 days from time of admission. Logistic regression was used to determine whether the establishment of the CSC affects independently the 30-day all-cause mortality.
Results A total of 3,117 consecutive patients with AIS were admitted within seven days after the onset of the symptoms. Unadjusted 30-day mortality was lower for patients admitted to our hospital after the establishment of the CSC than before (5.9% vs 8.2%, P=0.012).
Advanced age, female gender, previous coronary artery disease, non-smoking, stroke subtype, admission on a holiday, referral from other hospitals, high NIHSS on admission, and admission before the establishment of CSC were associated with increased 30-day stroke case fatality. After adjustment for these factors, stroke inpatient care subsequent to the establishment of the CSC was independently associated with lower 30-day mortality (OR,0.57; 95% CI, 0.412-0.795).
Conclusions Patients treated after the establishment of a CSC had lower 30-mortality rates than ever before, even adjusting for the differences in the baseline characteristics. The present study reveals that organized stroke care in a CSC might improve the outcome after AIS.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
/ 1997 / Stroke unit trialists’ collaboration. Collaborative systematic review of the randomised trials of organised in
/ 2007 / Stroke unit trialists’ collaboration. Organised inpatient (stroke unit) care for stroke / Cochrane Database Syst Rev 1 : 000197 ~
/ 2008 / Korea National Statistical Office. Annual Report on the Cause of Death Statistics 2008
Adams H / 1993 / Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. Toast. Trial of org 10172 in acute stroke treatment
Alberts MJ / 2000 / Recommendations for the establishment of primary stroke centers. Brain attack coalition / JAMA 283 : 3102 ~ 3109
/ 2007 / Stroke unit trialists’ collaboration. Organised inpatient (stroke unit) care for stroke / Cochrane Database Syst Rev 1 : 000197 ~
/ 2008 / Korea National Statistical Office. Annual Report on the Cause of Death Statistics 2008
Adams H / 1993 / Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. Toast. Trial of org 10172 in acute stroke treatment
Alberts MJ / 2000 / Recommendations for the establishment of primary stroke centers. Brain attack coalition / JAMA 283 : 3102 ~ 3109
이 논문의 저자 정보
최근 본 자료
댓글(0)
0