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Does medical speciality in stroke units influence quality of care and patient outcome?:A national population-based follow-up study

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  • Medicine

Abstract

Forfatter(e): Abstract til 15. møde i Dansk Forum for Sundhedstjenesteforskning 11. november 2009 Forfatter(e) – oplægsholder understreges: Marie Louise Svendsen, MHSc, Department of Clinical Epidemiology, Aarhus University Hospital, & Department of Health Technology Assessment and Health Service Research, the Central Denmark Region (oplægsholder) Lars Holger Ehlers, PhD, Department of Health Technology Assessment and Health Service Research, the Central Denmark Region, & Department of Business Studies, Aalborg University Morten Frydenberg, PhD, Department of Biostatistics, Aarhus University Søren Paaske Johnsen, PhD, Department of Clinical Epidemiology, Aarhus University Hospital Titel: Does Medical Specialty in Stroke Units Influence Quality of Care and Patient Outcome? A National Population-based Follow-up Study Formål Stroke unit care improves patient outcome, but the importance of medical specialty in stroke units remains uncertain, including possible interaction with comorbid disease. Therefore, we aimed to assess whether medical specialty in stroke units (neurologic versus non-neurologic) is associated with quality of care and outcome among stroke patients, and whether these associations depend on patient comorbid disease. Metode In a national population-based follow-up study, we identified 45521 stroke unit patients in the Stroke-Database of the Danish National Indicator Project. Primary outcomes were quality of care (fulfillment of evidence-based process criteria covering the acute phase of stroke), mortality, length of stay (LOS), and readmission. Charlson Comorbidity Index was used to measure comorbidity, and the analyses were adjusted for a wide range of patient and service characteristics and clustered by stroke units. Resultat Stroke unit patients in neurologic settings were more likely to receive early antiplatelet therapy (OR 1.77, 95% CI 1.19-2.63), and less likely to receive early physiotherapy (OR 0.67, 95 % C

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