Navigation Links
Integrated stroke care system results in fewer deaths, discharges to long-term care facilities
Date:5/27/2013

An integrated system of stroke care delivery in Ontario, Canada, has resulted in fewer deaths from stroke and fewer discharges to long-term care facilities because of better access to optimal stroke care, according to a study published in CMAJ (Canadian Medical Association Journal).

Stroke is a major cause of death and disability worldwide. Stroke care requires specialized resources such as neuroimaging, treatments to dissolve blood clots and other therapies delivered by skilled health care professionals. Organizations such as the Canadian Stroke Network and the American Stroke Association have recommended implementation of stroke care systems to address regional disparities and provide access to specialized care.

Ontario, Canada's largest province with a population of more than 12.1 million people at the midpoint of the study and 140 acute care institutions, was the first large jurisdiction in North America to implement a regional system to provide access to optimal, evidence-based stroke care. The province began phasing in the Ontario Stroke System in 2000 with full implementation in 2005. Under the system, there are 11 designated regions in the province, each with a stroke centre and a director who coordinates stroke care within the region.

Researchers looked at care before and after implementation of the Ontario Stroke System (2001 to 2005 and 2005 to 2010). During the 10-year study period, there were 243 287 emergency department visits and 163 198 hospital admissions for acute stroke and "mini-strokes" (transient ischemic attacks). After implementation, 46.5% of patients received stroke care at a regional or district centre compared with 40% in the pre-2005 period. The proportion of people being discharged to long-term care facilities decreased from 16.9% to 14.8% and 30-day rates of death decreased from 38.3% to 34.4% for hemorrhagic stroke and 16.3% to 15.7% for ischemic stroke. Length of stay also decreased, from 7 to 6 days.

"We found that implementation of a provincial system of stroke care was associated with increased rates of care at specialized stroke centres, improved processes of acute stroke care delivery and decreased rates of admission to a long-term care facility and decreased rates of death after stroke, beyond what would be expected based on underlying temporal trends," writes Dr. Moira Kapral, Institute for Clinical Evaluative Sciences (ICES) and the Department of Medicine, University of Toronto, with coauthors.

"Our findings provide strong support for the ongoing development and implementation of regional systems of organized stroke care delivery. Future research should focus on identifying the specific components of such systems that are most likely to account for improvements in outcomes," the researchers conclude.


'/>"/>

Contact: Kim Barnhardt
kim.barnhardt@cmaj.ca
613-520-7116 x2224
Canadian Medical Association Journal
Source:Eurekalert

Related medicine news :

1. Qi-Integrated Health Adds Allergy Acupuncture to Its Vancouver Acupuncture Program
2. Integrated Printing Solutions and Aurora Financial Systems, Inc. Create Partnership for Healthcare Incentive Card
3. Altec Joins Sage Customer Symposiums in the North East to Present the Benefits of Integrated Document Management
4. Paramount Direct Marketing Announces They Will Be Attending the Integrated Marketing Week Conference.
5. INTEGRATED Healthcare Strategies Launches “Clearly Understandable” Employee Engagement Video Series
6. Google Glass to be Integrated by Medical Device Maker EPGL Med and EP Global Communications, Inc.
7. Altec Joins Sage Customer Symposiums in the Mid-West to Present the Benefits of Integrated Document Management
8. Delray Recovery Center Kickstarts Treatment with Integrated Recovery Program by CrossFit
9. Instrument handle with integrated electronics facilitates surgical procedures
10. Integrated neglected tropical disease control and elimination programs: A global health best buy
11. Beta Testing Opportunity for URAC Clinically Integrated Network Accreditation Program
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... W.S. ... products, has been honored with a 2016 When Work Works Award for its use ... part of the national When Work Works project administered by the Families and Work ...
(Date:5/26/2016)... ... , ... On Memorial Day, Hope For Heroes and USA Medical ... for the country. The nonprofit Hope For Heroes partnered with the leading provider ... for disabled military veterans, as well as police, firemen, and EMS professionals across the ...
(Date:5/26/2016)... ... May 26, 2016 , ... Catalent ... for drugs, biologics, consumer health and global clinical supply services, today announced two ... support the company’s continued investment and strategic growth plans in the Asia Pacific ...
(Date:5/26/2016)... Indianapolis, Indiana (PRWEB) , ... May 26, 2016 ... ... national provider of healthcare supply chain solutions, today announced the organization has earned ... management meets international standards and is compliant with all rules and policies associated ...
(Date:5/26/2016)... NY (PRWEB) , ... May 26, 2016 , ... ... founder of Mehling Orthopedics and chief medical officer of Blue Horizon International (BHI), ... and Regeneration. The conference was held during May 5-6, 2016 in Chicago, IL, ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... May 25, 2016 Inivata, ... precision of circulating tumour DNA (ctDNA) analysis to ... appointment of Professor Clive Morris as ... across the clinical development programme, scientific collaborations, and ... deliver significant improvements in clinical outcomes for patients. ...
(Date:5/24/2016)...   , Study met ... and superiority in , Excellent plus ... of the ascending colon   , ... B.V. today announced new positive data from the phase III MORA ... standard 2 litre PEG with ascorbate. The study met both primary ...
(Date:5/24/2016)... VMS BioMarketing as senior vice president of sales, announced Andrea Heslin Smiley , ... the company,s business development and sales team, exploring new opportunities for VMS to empower ... ... ... ...
Breaking Medicine Technology: