Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data.

ABSTRACT:

Objectives

To investigate whether further centralisation of acute stroke services in Greater Manchester in 2015 was associated with changes in outcomes and whether the effects of centralisation of acute stroke services in London in 2010 were sustained.

Design

Retrospective analyses of patient level data from the Hospital Episode Statistics (HES) database linked to mortality data from the Office for National Statistics, and the Sentinel Stroke National Audit Programme (SSNAP).

Setting

Acute stroke services in Greater Manchester and London, England.

Participants

509 182 stroke patients in HES living in urban areas admitted between January 2008 and March 2016; 218 120 stroke patients in SSNAP between April 2013 and March 2016.

Interventions

Hub and spoke mo

SUBMITTER: Morris S 

PROVIDER: S-EPMC6334718 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature