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Centre for Policy on Ageing | |
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Access to stroke care in England, Wales and Northern Ireland
— the effect of age, gender and weekend admission | | Author(s) | A G Rudd, A Hoffman, C Down |
| Journal title | Age and Ageing, vol 36, no 3, May 2007 |
| Pages | pp 247-255 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Stroke ; Medical care ; Accessibility ; Ageism ; Older men ; Older women ; Admission [hospitals] ; England ; Wales ; Northern Ireland. |
| Annotation | 246 hospitals in England, Wales and Northern Ireland took part in the 2004 National Sentinel Stroke Audit. These sites audited the care of 8,718 patients. Overall standards of care for cases of stroke were found to be low. Older patients are less likely to be treated in a stroke unit than younger patients (risk ratio comparing 85+ years with those aged <65 0.82). 72% of patients under 65 were scanned within 24 hours compared to 51% aged 85+. Older patients were also less likely than younger ones to receive secondary prevention and some aspects of rehabilitation, especially around higher functioning. Standards were consistently better for patients of all ages managed in stroke units compared to general wards. At weekends, patients were less likely to be admitted directly to a stroke unit (risk ratio 0.77), and brain imaging was performed less often for patients aged 85+ (weekday 56%, weekends 40%). There was little evidence of differences in standards of care between males and females. There is clear evidence of an age effect to the delivery of stroke care in England, Wales and Northern Ireland, with older patients being less likely to receive care in line with current clinical guidelines. Quality of acute care is also less good for patients admitted at weekends. No systematic evidence for sexism was identified. (RH). |
| Accession Number | CPA-070521210 A |
| Classmark | CQA: LK: 5CA: B:TOB: BC: BD: LD:QKH: 82: 9: 9Y |
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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