Navigation Links
Health Risks Rise for Medicare Patients in Year After Stroke
Date:12/16/2010

By Steven Reinberg
HealthDay Reporter

THURSDAY, Dec. 16 (HealthDay News) -- Within a year of having a stroke, almost two-thirds of Medicare patients die or wind up back in the hospital, a new study reports.

The findings highlight the need for better quality care for stroke patients, in the hospital and after they are sent home, experts noted.

"Patients with acute ischemic stroke are at very high risk for recurrent hospitalization and post-discharge mortality," said Dr. Gregg C. Fonarow, chief of cardiology at UCLA's David Geffen School of Medicine and the study's lead researcher.

"These findings underscore the need to better understand the patterns and causes of deaths and readmission after ischemic stroke and to develop strategies aimed at avoiding those that are preventable," he said.

"Between the acute presentation with an ischemic stroke and a readmission to the hospital or post-discharge death, a window of opportunity exists for interventions to reduce the burden of post-ischemic stroke morbidity and mortality," Fonarow added.

The report was published online Dec. 16 in Stroke.

For the study, Fonarow's team collected data on 91,134 Medicare patients, who averaged 79 years old and had been treated for a stroke at 625 hospitals. All hospitals took part in the American Heart Association's Get with the Guidelines program, which helps facilities improve care for people with heart disease or who've had a stroke.

The researchers found that 14.1 percent of stroke patients died within 30 days of their stroke and 31.1 percent died within a year. In addition, 61.9 percent of stroke patients were readmitted to the hospital or died in the year after their stroke.

"However, these outcomes after stroke greatly vary by which hospital the patient received care at," Fonarow said.

When the researchers compared the data among hospitals, they found that 9.8 percent of the stroke patients at the top-performing hospitals died within 30 days, compared with 17.8 percent of stroke patients treated at the worst-performing hospitals.

Moreover, there has been no improvement in death or rehospitalization rates after stroke among Medicare patients between 2003 and 2006, the study found.

"Increased efforts to prevent strokes are critical," Fonarow said. "For patients presenting with acute stroke, this is an important need to better implement hospital, transition-of-care and outpatient strategies aimed at avoiding those deaths and rehospitalizations that are preventable."

Commenting on the study, Dr. Ralph L. Sacco, chairman of neurology at the University of Miami Miller School of Medicine and president of the American Heart Association, said that though the death and rehospitalization rates seem high, the patients in the study were older and many had other medical problems, such as heart disease, diabetes or heart failure.

"That's probably in keeping with a Medicare population," he said. "We recognize that stroke patients have other comorbidities that can lead to rehospitalization."

According to the study, people were rehospitalized for conditions that included atrial fibrillation, a prior stroke or heart attack, heart disease and diabetes. "This is not a healthy group," Sacco said.

He noted that guidelines have concentrated on in-hospital care, but new guidelines are being developed to improving outpatient care after a stroke. The goal of these guidelines is to reduce deaths and rehospitalizations, he said.

"Better adherence, compliance and medical management are needed post-discharge," Sacco said.

And, he added, people such as those in the study may not have a long life expectancy, but they deserve a good quality of life in the time they have remaining. "Anything we can do to avoid rehospitalization and improve quality of life after stroke would be helpful," he said.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more on stroke.

SOURCES: Gregg C. Fonarow, M.D., chief, division of cardiology, David Geffen School of Medicine, University of California, Los Angeles; Ralph L. Sacco, M.D., professor and chairman, neurology, University of Miami Miller School of Medicine, Miami; Dec. 16, 2010, Stroke, online


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Court Fight Over Health-Care Reform Shifts to Florida
2. Brochures explaining new health care law to patients available free in English and Spanish
3. Bacterial life on and in humans orchestrates health and disease
4. ASTRO patient website earns Web Health Award
5. New research finds delaying surgical procedures increases infection risk and health care costs
6. Health-Care Reform Faces Long Legal Fight
7. Report Finds Baby Boomers to Gain Most From Health Care Reform
8. Federal Judge Strikes Down Health Reform Law
9. Oxycontin, Other Opioid Painkillers Tied to Higher Health Risks
10. Mexican immigrants health declines as they assimilate to America
11. R-E-S-P-E-C-T: The health of health care depends on it
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Health Risks Rise for Medicare Patients in Year After Stroke
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Apple ... care services, staged a mock evacuation of the facility as part of a disaster ... Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... 2017 , ... Asante, a nationally recognized health system in ... existing home health joint venture through an agreement, effective October 1, 2017, to ... home health company with Asante, delivering clinically integrated care, for the past eight ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/4/2017)... 4, 2017  South Korean-based healthcare product Development Company ... "cprCUBE" on Kickstarter. The device will educate the user ... with better efficiency compared to the dated and pricey ... on efficacy of the compression for a more informed ... goal to raise $5,000. ...
(Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
Breaking Medicine Technology: