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Determinants of Length of Stay Following Total Anterior Circulatory Stroke

Identification of factors that determine length of stay (LOS) in total anterior circulatory stroke (TACS) has potential for targeted intervention to reduce the associated health care burden. This study aimed to determine which factors predict LOS following either ischaemic or haemorrhagic TACS. The...

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Autores principales: Curtain, James P., Yu, Man, Clark, Allan B., Gollop, Nicholas D., Bettencourt-Silva, Joao H., Metcalf, Anthony Kneale, Bowles, Kristian M., Flather, Marcus D., Potter, John F., Myint, Phyo Kyaw
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371159/
https://www.ncbi.nlm.nih.gov/pubmed/31011036
http://dx.doi.org/10.3390/geriatrics2030026
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author Curtain, James P.
Yu, Man
Clark, Allan B.
Gollop, Nicholas D.
Bettencourt-Silva, Joao H.
Metcalf, Anthony Kneale
Bowles, Kristian M.
Flather, Marcus D.
Potter, John F.
Myint, Phyo Kyaw
author_facet Curtain, James P.
Yu, Man
Clark, Allan B.
Gollop, Nicholas D.
Bettencourt-Silva, Joao H.
Metcalf, Anthony Kneale
Bowles, Kristian M.
Flather, Marcus D.
Potter, John F.
Myint, Phyo Kyaw
author_sort Curtain, James P.
collection PubMed
description Identification of factors that determine length of stay (LOS) in total anterior circulatory stroke (TACS) has potential for targeted intervention to reduce the associated health care burden. This study aimed to determine which factors predict LOS following either ischaemic or haemorrhagic TACS. The study sample population was drawn from the Norfolk and Norwich Stroke and Transient Ischemic Attack (TIA) Register (1996–2012), a prospective registry. 2965 patients admitted with TACS verified by a stroke specialist team were included. Primary analysis identified predictors of length of stay (LOS) in either haemorrhagic or ischaemic TACS. Secondary analyses identified predictors of LOS in patients who were discharged alive or who died during admission separately. Moderate (p = 0.014) to severe disability (p = 0.015) and history of congestive heart failure (p = 0.027) in the primary analysis and pre-stroke residence in a care facility among patients who survived to discharge (p = 0.013) were associated with a shorter length of stay. Factors associated with increased length of stay included presence of neurological lateralisation in the primary analysis (p = 0.004) and amongst patients who died (p = 0.003 and p = 0.014 for ischaemic and haemorrhagic stroke, respectively). Patients with advanced age (≥85 years) with haemorrhagic stroke had longer LOS regardless of mortality outcome. Patients with low pre-morbid disability (modified Rankin score ≤2 who died following haemorrhagic TACS also had longer LOS. Our study found predictors of LOS following TACS include neurological lateralisation, pre-stroke disability status, congestive heart failure, pre-morbid residence and age. The identification of such factors would assist in resource allocation and discharge planning.
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spelling pubmed-63711592019-03-07 Determinants of Length of Stay Following Total Anterior Circulatory Stroke Curtain, James P. Yu, Man Clark, Allan B. Gollop, Nicholas D. Bettencourt-Silva, Joao H. Metcalf, Anthony Kneale Bowles, Kristian M. Flather, Marcus D. Potter, John F. Myint, Phyo Kyaw Geriatrics (Basel) Article Identification of factors that determine length of stay (LOS) in total anterior circulatory stroke (TACS) has potential for targeted intervention to reduce the associated health care burden. This study aimed to determine which factors predict LOS following either ischaemic or haemorrhagic TACS. The study sample population was drawn from the Norfolk and Norwich Stroke and Transient Ischemic Attack (TIA) Register (1996–2012), a prospective registry. 2965 patients admitted with TACS verified by a stroke specialist team were included. Primary analysis identified predictors of length of stay (LOS) in either haemorrhagic or ischaemic TACS. Secondary analyses identified predictors of LOS in patients who were discharged alive or who died during admission separately. Moderate (p = 0.014) to severe disability (p = 0.015) and history of congestive heart failure (p = 0.027) in the primary analysis and pre-stroke residence in a care facility among patients who survived to discharge (p = 0.013) were associated with a shorter length of stay. Factors associated with increased length of stay included presence of neurological lateralisation in the primary analysis (p = 0.004) and amongst patients who died (p = 0.003 and p = 0.014 for ischaemic and haemorrhagic stroke, respectively). Patients with advanced age (≥85 years) with haemorrhagic stroke had longer LOS regardless of mortality outcome. Patients with low pre-morbid disability (modified Rankin score ≤2 who died following haemorrhagic TACS also had longer LOS. Our study found predictors of LOS following TACS include neurological lateralisation, pre-stroke disability status, congestive heart failure, pre-morbid residence and age. The identification of such factors would assist in resource allocation and discharge planning. MDPI 2017-08-04 /pmc/articles/PMC6371159/ /pubmed/31011036 http://dx.doi.org/10.3390/geriatrics2030026 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Curtain, James P.
Yu, Man
Clark, Allan B.
Gollop, Nicholas D.
Bettencourt-Silva, Joao H.
Metcalf, Anthony Kneale
Bowles, Kristian M.
Flather, Marcus D.
Potter, John F.
Myint, Phyo Kyaw
Determinants of Length of Stay Following Total Anterior Circulatory Stroke
title Determinants of Length of Stay Following Total Anterior Circulatory Stroke
title_full Determinants of Length of Stay Following Total Anterior Circulatory Stroke
title_fullStr Determinants of Length of Stay Following Total Anterior Circulatory Stroke
title_full_unstemmed Determinants of Length of Stay Following Total Anterior Circulatory Stroke
title_short Determinants of Length of Stay Following Total Anterior Circulatory Stroke
title_sort determinants of length of stay following total anterior circulatory stroke
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371159/
https://www.ncbi.nlm.nih.gov/pubmed/31011036
http://dx.doi.org/10.3390/geriatrics2030026
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