Integrated systems of stroke care and reduction in 30-day mortality: A retrospective analysis.

ABSTRACT:

Objective

To evaluate the association between the presence of integrated systems of stroke care and stroke case-fatality across Canada.

Methods

We used the Canadian Institute of Health Information's Discharge Abstract Database to retrospectively identify a cohort of stroke/TIA patients admitted to all acute care hospitals, excluding the province of Quebec, in 11 fiscal years from 2003/2004 to 2013/2014. We used a modified Poisson regression model to compute the adjusted incidence rate ratio (aIRR) of 30-day in-hospital mortality across time for provinces with stroke systems compared to those without, controlling for age, sex, stroke type, comorbidities, and discharge year. We conducted surveys of stroke care resources in Canadian hospitals in 2009 and 2013, and compared reso

SUBMITTER: Ganesh A 

PROVIDER: S-EPMC4782112 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature