University of Hertfordshire

A comparison of acute and long-term management of stroke patients in Barbados and South London

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A comparison of acute and long-term management of stroke patients in Barbados and South London. / Smeeton, N.C.; Heuschmann, P.U.; Wolfe, C.D.A.; Corbin, D.O.C.; Hennis, A.J.; Fraser, H.S.; Hambleton, I.R.

In: Cerebrovascular Diseases, Vol. 27, No. 4, 04.2009, p. 328-335.

Research output: Contribution to journalArticlepeer-review

Harvard

Smeeton, NC, Heuschmann, PU, Wolfe, CDA, Corbin, DOC, Hennis, AJ, Fraser, HS & Hambleton, IR 2009, 'A comparison of acute and long-term management of stroke patients in Barbados and South London', Cerebrovascular Diseases, vol. 27, no. 4, pp. 328-335. https://doi.org/10.1159/000202009

APA

Smeeton, N. C., Heuschmann, P. U., Wolfe, C. D. A., Corbin, D. O. C., Hennis, A. J., Fraser, H. S., & Hambleton, I. R. (2009). A comparison of acute and long-term management of stroke patients in Barbados and South London. Cerebrovascular Diseases, 27(4), 328-335. https://doi.org/10.1159/000202009

Vancouver

Author

Smeeton, N.C. ; Heuschmann, P.U. ; Wolfe, C.D.A. ; Corbin, D.O.C. ; Hennis, A.J. ; Fraser, H.S. ; Hambleton, I.R. / A comparison of acute and long-term management of stroke patients in Barbados and South London. In: Cerebrovascular Diseases. 2009 ; Vol. 27, No. 4. pp. 328-335.

Bibtex

@article{c21d107a33564b2b91a329eb540b9faf,
title = "A comparison of acute and long-term management of stroke patients in Barbados and South London",
abstract = "Background: To compare health care utilisation between stroke patients living in a middle-income country with similar patients in a high-income country in terms of the type and amount of health care received following a stroke. Methods: Data were collected from the population-based South London Stroke Register (SLSR) and the Barbados Register of Strokes (BROS) from January 2001 to December 2004. Differences in management and diagnostic procedures used in the acute phase were adjusted for age, sex, ethnic group, living conditions pre-stroke and socio-economic status by multivariable logistic regression. Comparison of subsequent management was made for 3 months and 1 year post-stroke. Results: Patients in BROS were less likely to be admitted to a hospital ward (OR 0.22; 95% CI 0.13-0.37), but the difference for the lower use of brain scans in BROS was smaller (OR 0.62; 95% CI 0.25-1.52). Additional adjustment for stroke severity (Glasgow Coma Score) showed that BROS patients were more likely to have a swallow test on admission (OR 2.95; 95% CI 1.17-7.45). BROS patients were less likely to be in nursing care at 3 months (OR 0.37; 95% CI 0.17-0.81), and less likely to be receiving speech and language therapy at 3 months (OR 0.10; 95% CI 0.03-0.33) and 1 year (OR 0.05; 95% CI 0.00-0.55). Conclusions: The lower use of hospital admission and nursing care at 3 months suggests that in Barbados, family and friends take greater responsibility for patient care around the time of the stroke and in the medium term thereafter.",
author = "N.C. Smeeton and P.U. Heuschmann and C.D.A. Wolfe and D.O.C. Corbin and A.J. Hennis and H.S. Fraser and I.R. Hambleton",
year = "2009",
month = apr,
doi = "10.1159/000202009",
language = "English",
volume = "27",
pages = "328--335",
journal = "Cerebrovascular Diseases",
issn = "1015-9770",
publisher = "S. Karger AG",
number = "4",

}

RIS

TY - JOUR

T1 - A comparison of acute and long-term management of stroke patients in Barbados and South London

AU - Smeeton, N.C.

AU - Heuschmann, P.U.

AU - Wolfe, C.D.A.

AU - Corbin, D.O.C.

AU - Hennis, A.J.

AU - Fraser, H.S.

AU - Hambleton, I.R.

PY - 2009/4

Y1 - 2009/4

N2 - Background: To compare health care utilisation between stroke patients living in a middle-income country with similar patients in a high-income country in terms of the type and amount of health care received following a stroke. Methods: Data were collected from the population-based South London Stroke Register (SLSR) and the Barbados Register of Strokes (BROS) from January 2001 to December 2004. Differences in management and diagnostic procedures used in the acute phase were adjusted for age, sex, ethnic group, living conditions pre-stroke and socio-economic status by multivariable logistic regression. Comparison of subsequent management was made for 3 months and 1 year post-stroke. Results: Patients in BROS were less likely to be admitted to a hospital ward (OR 0.22; 95% CI 0.13-0.37), but the difference for the lower use of brain scans in BROS was smaller (OR 0.62; 95% CI 0.25-1.52). Additional adjustment for stroke severity (Glasgow Coma Score) showed that BROS patients were more likely to have a swallow test on admission (OR 2.95; 95% CI 1.17-7.45). BROS patients were less likely to be in nursing care at 3 months (OR 0.37; 95% CI 0.17-0.81), and less likely to be receiving speech and language therapy at 3 months (OR 0.10; 95% CI 0.03-0.33) and 1 year (OR 0.05; 95% CI 0.00-0.55). Conclusions: The lower use of hospital admission and nursing care at 3 months suggests that in Barbados, family and friends take greater responsibility for patient care around the time of the stroke and in the medium term thereafter.

AB - Background: To compare health care utilisation between stroke patients living in a middle-income country with similar patients in a high-income country in terms of the type and amount of health care received following a stroke. Methods: Data were collected from the population-based South London Stroke Register (SLSR) and the Barbados Register of Strokes (BROS) from January 2001 to December 2004. Differences in management and diagnostic procedures used in the acute phase were adjusted for age, sex, ethnic group, living conditions pre-stroke and socio-economic status by multivariable logistic regression. Comparison of subsequent management was made for 3 months and 1 year post-stroke. Results: Patients in BROS were less likely to be admitted to a hospital ward (OR 0.22; 95% CI 0.13-0.37), but the difference for the lower use of brain scans in BROS was smaller (OR 0.62; 95% CI 0.25-1.52). Additional adjustment for stroke severity (Glasgow Coma Score) showed that BROS patients were more likely to have a swallow test on admission (OR 2.95; 95% CI 1.17-7.45). BROS patients were less likely to be in nursing care at 3 months (OR 0.37; 95% CI 0.17-0.81), and less likely to be receiving speech and language therapy at 3 months (OR 0.10; 95% CI 0.03-0.33) and 1 year (OR 0.05; 95% CI 0.00-0.55). Conclusions: The lower use of hospital admission and nursing care at 3 months suggests that in Barbados, family and friends take greater responsibility for patient care around the time of the stroke and in the medium term thereafter.

U2 - 10.1159/000202009

DO - 10.1159/000202009

M3 - Article

AN - SCOPUS:59849109221

VL - 27

SP - 328

EP - 335

JO - Cerebrovascular Diseases

JF - Cerebrovascular Diseases

SN - 1015-9770

IS - 4

ER -