Dataset Information

Regional differences in the care and outcomes of acute stroke patients in Australia: an observational study using evidence from the Australian Stroke Clinical Registry (AuSCR).

ABSTRACT:

Objective

To compare the processes and outcomes of care in patients who had a stroke treated in urban versus rural hospitals in Australia.

Design

Observational study using data from a multicentre national registry.

Setting

Data from 50 acute care hospitals in Australia (25 urban, 25 rural) which participated in the Australian Stroke Clinical Registry during the period 2010-2015.

Participants

Patients were divided into two groups (urban, rural) according to the Australian Standard Geographical Classification Remoteness Area classification. Data pertaining to 28 115 patients who had a stroke were analysed, of whom 8159 (29%) were admitted to hospitals located within rural areas.

Primary and secondary outcome measures

Regional differences in processes of care (admission to a stroke unit, thrombolysis for ischaemic stroke, discharge on antihypertensive medication and provision of a care plan), and survival analyses up to 180 days and health-related quality of life at 90-180 days.

Results

Compared with those admitted to urban hospitals, patients in rural hospitals less often received thrombolysis (urban 12.7% vs rural 7.5%, p<0.001) or received treatment in stroke units (urban 82.2% vs rural 76.5%, p<0.001), and fewer were discharged with a care plan (urban 61.3% vs rural 44.7%, p<0.001). No significant differences were found in terms of survival or overall self-reported quality of life.

Conclusions

Rural access to recommended components of acute stroke care was comparatively poorer; however, this did not appear to impact health outcomes at approximately 6 months.

SUBMITTER: Dwyer M

PROVIDER: S-EPMC8021749 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Publications

Regional differences in the care and outcomes of acute stroke patients in Australia: an observational study using evidence from the Australian Stroke Clinical Registry (AuSCR).

Dwyer Mitchell M Francis Karen K Peterson Gregory M GM Ford Karen K Gall Seana S Phan Hoang H Castley Helen H Wong Lillian L White Richard R Ryan Fiona F Arthurson Lauren L Kim Joosup J Cadilhac Dominique A DA Lannin Natasha A NA

BMJ open 20210401 4

<h4>Objective</h4>To compare the processes and outcomes of care in patients who had a stroke treated in urban versus rural hospitals in Australia.<h4>Design</h4>Observational study using data from a multicentre national registry.<h4>Setting</h4>Data from 50 acute care hospitals in Australia (25 urban, 25 rural) which participated in the Australian Stroke Clinical Registry during the period 2010-2015.<h4>Participants</h4>Patients were divided into two groups (urban, rural) according to the Austra ...[more]

PMID: 33795291

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Dataset Information

Regional differences in the care and outcomes of acute stroke patients in Australia: an observational study using evidence from the Australian Stroke Clinical Registry (AuSCR).

Objective

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusions

Publications

Regional differences in the care and outcomes of acute stroke patients in Australia: an observational study using evidence from the Australian Stroke Clinical Registry (AuSCR).

Similar Datasets

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