About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Integrated Stroke Care System Results in Fewer Deaths

by Bidita Debnath on May 29, 2013 at 7:24 PM
Font : A-A+

 Integrated Stroke Care System Results in Fewer Deaths

In Ontario, Canada, an integrated system of stroke care delivery has resulted in fewer deaths from stroke and fewer discharges to long-term care facilities because of better access to optimal stroke care.

This is according to a study published in CMAJ (Canadian Medical Association Journal).

Advertisement

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.
Advertisement

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.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Breast Cancer Awareness Month 2021 - It's time to RISE
First-Ever Successful Pig-To-Human Kidney Transplantation
World Osteoporosis Day 2021 -
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Bell´s Palsy Diet Lifestyle and Heart Disease Mitral Valve Stenosis And Mitral Valve Replacement Congenital Heart Disease Stress and the Gender Divide Stroke Facts Stroke Hyperventilation Aphasia How to Deal with a Stroke 

Recommended Reading
Heat Stroke
Heat stroke is caused when body temperature or hyperthermia exceeds 40.6°C or 105.1°F. Heat stroke ...
How to Deal with a Stroke
Stroke is a brain attack, which occurs when the blood supply to the brain is interrupted. It ......
Stroke
Stroke can cause permanent disability and it is important to recognize its early warning signs to .....
Tame your Salt Intake Smartly
Salt is essential for the proper functioning of body but most of us generally exceed the intake of ....
Aphasia
Aphasia is a condition where the patient has a language disorder. The patient has problems with comp...
Congenital Heart Disease
Heart diseases that are present at birth are called “ Congenital heart diseases”....
Hyperventilation
Hyperventilation occurs when a person breathes in excess to the body’s requirement....
Mitral Valve Stenosis And Mitral Valve Replacement
Mitral valve replacement is a surgical heart procedure to correct either the narrowing (stenosis) or...
Stress and the Gender Divide
Stress has become entwined in the current lifestyle of a young working couple and has resulted in th...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use