Quality of care and patient outcome in stroke units: Is medical specialty of importance?

Medical Care

Volumn 49, Issue 8, 2011, Pages 693-700

  Svendsen, Marie Louise ^a,b   Ehlers, Lars Holger ^b,c   Frydenberg, Morten ^d   Ingeman, Annette ^a   Johnsen, Søren Paaske ^a  

^a AARHUS UNIVERSITY HOSPITAL   (Denmark)

^b Health Service Research   (Denmark)

^c AALBORG UNIVERSITY   (Denmark)

^d AARHUS UNIVERSITY   (Denmark)

Author keywords

comorbidity; medical specialty; patient outcome; quality of care; stroke unit

Indexed keywords

ANTICOAGULANT AGENT; ANTITHROMBOCYTIC AGENT; TISSUE PLASMINOGEN ACTIVATOR;

ADULT; AGED; ANTICOAGULANT THERAPY; ARTICLE; COMORBIDITY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DENMARK; DISEASE SEVERITY; EVIDENCE BASED PRACTICE; FEMALE; FOLLOW UP; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MORTALITY; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; POPULATION RESEARCH; PRIORITY JOURNAL; STROKE; STROKE UNIT;

AGED; COMORBIDITY; DENMARK; EVIDENCE-BASED MEDICINE; FEMALE; FOLLOW-UP STUDIES; HEALTH SERVICES RESEARCH; HOSPITAL MORTALITY; HOSPITAL UNITS; HUMANS; LENGTH OF STAY; MAGNETIC RESONANCE IMAGING; MALE; MEDICINE; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT READMISSION; PLATELET AGGREGATION INHIBITORS; QUALITY OF HEALTH CARE; REGRESSION ANALYSIS; SEVERITY OF ILLNESS INDEX; STROKE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 79961080791     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e318213c024     Document Type: Article

References (42)

1. Smetana GW, Landon BE, Bindman AB, et al. A comparison of outcomes resulting from generalist versus specialist care for a single discrete medical condition: a systematic review and methodologic critique. Arch Intern Med. 2007;167:10-20.
2. Smith MA, Liou JI, Frytak JR, et al. 30-day survival and rehospitalization for stroke patients according to physician specialty. Cerebrovasc Dis. 2006;22:21-26. (Pubitemid 43875156)
3. Horner RD, Matchar DB, Divine GW, et al. Relationship between physician specialty and the selection and outcome of ischemic stroke patients. Health Serv Res. 1995;30:275-287.
4. Goldstein LB, Matchar DB, Hoff-Lindquist J, et al. VA stroke study: neurologist care is associated with increased testing but improved outcomes. Neurology. 2003;61:792-796. (Pubitemid 37174474)
5. Mitchell JB, Ballard DJ, Whisnant JP, et al. What role do neurologists play in determining the costs and outcomes of stroke patients? Stroke. 1996;27:1937-1943. (Pubitemid 26372560)
6. Kaste M, Palomaki H, Sarna S. Where and how should elderly stroke patients be treated? A randomized trial. Stroke. 1995;26:249-253.
7. Candelise L, Gattinoni M, Bersano A, et al. Stroke-unit care for acute stroke patients: an observational follow-up study. Lancet. 2007;369:299-305. (Pubitemid 46136490)
8. Smith MA, Shahar E, McGovern PG, et al. HMO membership and patient age and the use of specialty care for hospitalized patients with acute stroke: the Minnesota stroke survey. Med Care. 1999;37:1186-2298.
9. Tung YC, Chang GM, Chen YH. Associations of physician volume and weekend admissions with ischemic stroke outcome in Taiwan: a nationwide population-based study. Med Care. 2009;47:1018-1025.
10. Gillum LA, Johnston SC. Influence of physician specialty on outcomes after acute ischemic stroke. J Hosp Med. 2008;3:184-192.
11. Hwang CW, Anderson GF, Ener-West M, et al. Comorbidity and outcomes of coronary artery bypass graft surgery at cardiac specialty hospitals versus general hospitals. Med Care. 2007;45:720-828.
12. Petty GW, Brown RD Jr, Whisnant JP, et al. Ischemic stroke: outcomes, patient mix, and practice variation for neurologists and generalists in a community. Neurology. 1998;50:1669-1678. (Pubitemid 28283233)
13. Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews. 2007;4. Art. No.: CD000197. DOI: 10.1002/14651858. CD000197.pub2.
14. European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis. 2008;25:457-507.
15. Adams HP Jr, Adams RJ, Brott T, et al. Guidelines for the early management of patients with ischemic stroke: a scientific statement from the Stroke Council of the American Stroke Association. Stroke. 2003;34:1056-1083. (Pubitemid 36402991)
16. Kjellstrom T, Norrving B, Shatchkute A. Helsingborg Declaration 2006 on European stroke strategies. Cerebrovasc Dis. 2007;23:231-241.
17. Scottish Intercollegiate Guidelines Network (SIGN). Management of Patients with Stroke. I: Assessment, Investigation, Immediate Management and Secondary Prevention. Edinburgh: Scottish Intercollegiate Guidelines Network (SIGN); 1997.
18. Stroke Unit Trialists' Collaboration. Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. BMJ. 1997;314:1151-1159.
19. Langhorne P, Pollock A. What are the components of effective stroke unit care? Age Ageing. 2002;31:365-371. (Pubitemid 35174525)
20. Pedersen CB, Gotzsche H, Moller JO, et al. The Danish civil registration system: a cohort of eight million persons. Dan Med Bull. 2006;53:441-449. (Pubitemid 44816920)
21. Andersen TF, Madsen M, Jorgensen J, et al. The Danish National Hospital Register: a valuable source of data for modern health sciences. Dan Med Bull. 1999;46:263-268. (Pubitemid 29299976)
22. Mainz J, Krog BR, Bjornshave B, et al. Nationwide continuous quality improvement using clinical indicators: the Danish National Indicator Project. Int J Qual Health Care. 2004;16(suppl 1):i45-i50. (Pubitemid 38489486)
23. Stroke F 1989. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke. 1989;20:1407-1431.
24. The Classification of Hospitals and Departments, Denmark [Database online]. Copenhagen, Denmark: The Danish National Board of Health; 2010. Updated September 25, 2010.
25. Scottish Intercollegiate Guidelines Network (SIGN). A Guideline Developer's Handbook. Edinburgh: Scottish Intercollegiate Guidelines Network (SIGN); 2008.
26. Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003;22:415-421. (Pubitemid 37063304)
27. Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373-383. (Pubitemid 17055592)
28. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-619.
29. Goldstein LB, Samsa GP, Matchar DB, et al. Charlson Index comorbidity adjustment for ischemic stroke outcome studies. Stroke. 2004;35:1941-1945. (Pubitemid 38971880)
30. Govan L, Langhorne P, Weir CJ. Categorizing stroke prognosis using different stroke scales. Stroke. 2009;40:3396-3399.
31. Scandinavian Stroke Study Group. Multicenter trial of hemodilution in ischemic strokeFbackground and study protocol. Stroke. 1985;16:885-890.
32. Barber M, Fail M, Shields M, et al. Validity and reliability of estimating the Scandinavian stroke scale score from medical records. Cerebrovasc Dis. 2004;17:224-227. (Pubitemid 38529202)
33. Kirkwood BR, Sterne JAC. Transformations. In: Kirkwood BR, Sterne JAC, eds. Essential Medical Statistics. Massachusetts: Blackwell Science Ltd; 2003:118-128.
34. Greenland S. Dose-response and trend analysis in epidemiology: alternatives to categorical analysis. Epidemiology. 1995;6:356-365.
35. Kirkwood BR, Sterne JAC. Analysis of clustered data. In: Kirkwood BR, Sterne JAC, eds. Essential Medical Statistics. Massachusetts: Blackwell Science Ltd; 2003:353-370.
36. Royston P. Multiple imputation of missing values. The Stata Journal. 2004;4:227-241.
37. Sterne JA, White IR, Carlin JB, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.
38. Lees KR. Stroke is best managed by a neurologist: battle of the titans. Stroke. 2003;34:2764-2765. (Pubitemid 37392781)
39. Palnum KD, Petersen P, Sorensen HT, et al. Older patients with acute stroke in Denmark: quality of care and short-term mortality. nationwide follow-up study. Age Ageing. 2008;37:90-95. (Pubitemid 351146982)
40. Luengo-Fernandez R, Gray AM, Rothwell PM. Population-based study of determinants of initial secondary care costs of acute stroke in the United Kingdom. Stroke. 2006;37:2579-2587. (Pubitemid 44454682)
41. Saposnik G, Hill MD, O'Donnell M, et al. Variables associated with 7-day, 30-day, and 1-year fatality after ischemic stroke. Stroke. 2008;39:2318-2324.
42. Xu G, Liu X, Wu W, et al. Recurrence after ischemic stroke in chinese patients: impact of uncontrolled modifiable risk factors. Cerebrovasc Dis. 2007;23:117-120. (Pubitemid 46239150)