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Centre for Policy on Ageing | |
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Utilisation of diagnostic computerised tomography imaging and immediate clinical outcomes in older people with stroke before and after introduction of the National Service Framework for Older People
— a comparative study of hospital-based stroke registry data (1997-2003): Norfolk experience | | Author(s) | Phyo K Myint, Sarah L Vowler, Oliver Redmayne |
| Journal title | Age and Ageing, vol 35, no 4, July 2006 |
| Pages | pp 399-402 |
| Source | http://www.ageing.oxfordjournals.org |
| Keywords | Stroke ; Screening ; Computers ; National Health Service ; Medical care ; Comparison ; Longitudinal surveys ; Norfolk. |
| Annotation | How the National Service Framework for Older People (NSF) in England might be associated with changes in clinically relevant stroke outcome has not been investigated. The researchers looked at changes in computerised tomography (CT) scan rate, in-patient case-fatality rate (CFR), length of acute hospital stay and discharge destination for older people with stroke, compared to their younger counterparts before and after introduction of the NSF. Two periods, 4 years before and 2 years after publication of the NSF, were selected to compare outcomes between three age categories: under 65, 65-84, and 85+. Data for 5219 patients from the Norfolk and Norwich University Hospital Stroke Register were analysed retrospectively. Findings from this study suggest that the NSF appeared to be associated with an increase in CT imaging in acute stroke, particularly in older patients, and in turn, there were reductions in case fatality and an increase in those going home. Although there was no change in the mortality from stroke in any age group during the study, changing patterns of clinical practice and outcomes can be monitored by continuing to monitor local stroke register data. This may help to assess whether the results found are sustained in the longer term. (RH). |
| Accession Number | CPA-060825205 A |
| Classmark | CQA: 3V: 3O: L4: LK: 48: 3J: 8N |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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