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Clinical: Journals Watch - Stroke centres, opiates and BMI.(body mass index )(Statistical data)
Not had time to read the journals? Let Dr Bryan Palmer bring you up to date on the latest research.
Stroke centre hospitalisation and mortality
JAMA 2011; 305(4): 373-80
Although stroke centres are widely supported, little is known about their effect on patient outcomes. This study was designed to examine the association between admission to stroke centres for acute ischaemic stroke and mortality.
Using data from New York, researchers compared mortality for patients admitted with acute ischaemic stroke (n= 30,947) between 2005 and 2006 to designated stroke centres and non-designated hospitals. Patients were followed up one year after the index hospitalisation.
Results showed lower 30-day all-cause mortality for patients admitted to stroke centres (10.1 per cent versus 12.5 per cent) and greater use of thrombolytic therapy (4.8 per cent versus 1.7 per cent). Differences in mortality also were observed at one-day, seven-day and one-year follow-up.
The study concluded that among patients with acute ischaemic stroke, admission to a designated …
