Why Admit Stroke Patients to Hospital?

Brocklehurst, J. C.; Andrews, Keith; Morris, P.; Richards, Ben; Laycock, P. L.

doi:10.1093/ageing/7.2.100

Cited by 37 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…'4 Brocklehurst et al attempted to find out general practitioners' reasons for admitting patients with stroke to hospital (though not for keeping them in the community) but were able to obtain a response in only 53% of cases. 3 In our study 87% of patients were initially assessed by their general practitioner, and the response to the questionnaire was 99-4%, which reflects the close cooperation of the participating general practitioners in all aspects of the Oxfordshire Community Stroke Project. Not surprisingly, the provision of nursing and general, non-medical care was identified by the general practitioners as a reason for admission in 87% of cases; more interestingly, in 42% of cases it was considered to be the only reason for admission despite only 56% of these patients having had a severe stroke.…”

Section: Discussionmentioning

confidence: 85%

Why are patients with acute stroke admitted to hospital?

Bamford¹,

Sandercock²,

Warlow³

et al. 1986

BMJ

108

View full text Add to dashboard Cite

Data on 515 consecutive patients registered with the Oxfordshire Community Stroke Project were used to compare the characteristics of those patients who were admitted to hospital within one month after their first stroke with those who remained in the community during that time. Twenty eight patients had their stroke while in hospital for other conditions, and ofthe remaining 487, 266 were admitted. Though patients with a severe neurological deficit were significantly more likely to be admitted, 47 out of 202 such patients were managed in the community.In a substudy of 162 consecutive patients the general practitioners' reasons for either arranging admission to hospital or continuing with community care in the first week after the stroke were ascertained. Sixty patients were admitted. The only reason for admission was diagnostic uncertainty in five cases (though this was a contributing factor in 25) and to provide nursing or general, non-medical care in 25. Patients who lived alone were more likely to be admitted. All 12 patients who presented directly to the casualty department were admitted, though only five had had a severe stroke.A stroke service that provides a facility for rapid outpatient and domiciliary diagnosis as well as a rapidly acting domiciliary nursing team might reduce the number of patients with stroke admitted to hospital without adversely affecting the quality of patient care: this should be properly evaluated.

show abstract

Section: Discussionmentioning

confidence: 85%

Why are patients with acute stroke admitted to hospital?

Bamford¹,

Sandercock²,

Warlow³

et al. 1986

BMJ

108

View full text Add to dashboard Cite

show abstract

“…Whether people should be admitted to hospital or cared for at home in the immediate aftermath of stroke has been debated for almost two decades 1 2 3 4 5 6. At first the prevailing belief was that unless it was absolutely necessary, people should be admitted to hospital on medical grounds only, while domiciliary care should be improved so that more patients could remain at home.…”

Section: Introductionmentioning

confidence: 99%

Stroke patients' views on their admission to hospital

Pound

Bury

Gompertz

et al. 1995

BMJ

View full text Add to dashboard Cite

show abstract

“…10,13 Most of these studies assessed only patients admitted to a hospital, 1,6,9,12,14 thus introducing a potential bias because the presence of aphasic symptoms may increase the probability of admission. 7,15 Furthermore, aphasia studies meeting current standards for epidemiological studies 16 are lacking to the best of our knowledge.…”

mentioning

confidence: 99%

Epidemiology of Aphasia Attributable to First Ischemic Stroke

Engelter

Gostynski

Papa

et al. 2006

Stroke

562

205

View full text Add to dashboard Cite

Background and Purpose-In a geographically defined population, we assessed incidence and determinants of aphasia attributable to first-ever ischemic stroke (FEIS). MethodsA 1-year prospective, population-based study among the permanent residents of the canton Basle City, Switzerland, was performed using multiple overlapping sources of information. Results-Among 188 015 inhabitants, 269 patients had FEIS, of whom 80 (30%; 95% CI, 24 to 36) had aphasia. The overall incidence rate of aphasia attributable to FEIS amounted to 43 per 100 000 inhabitants (95% CI, 33 to 52). Aphasic stroke patients were older than nonaphasic patients. The risk of aphasia attributable to FEIS increased by 4% (95% CI, 1% to 7%), and after controlling for atrial fibrillation, by 3% (95% CI, 1% to 7%) with each year of patients' age. Gender had no effect on incidence, severity, or fluency of aphasia. Cardioembolism was more frequent in aphasic stroke patients than in nonaphasic ones (odds ratio [OR], 1.85; 95% CI, 1.07 to 3.20). Aphasic patients sought medical help earlier than nonaphasic stroke patients. Still, after controlling for stroke onset-assessment interval, aphasic stroke patients were more likely to receive thrombolysis than nonaphasics (OR, 3.5; 95% CI, 1.12 to 10.96). Conclusion-Annually, 43 of 100 000 inhabitants had aphasia resulting from first ischemic stroke. Advancing age and cardioembolism were associated with an increased risk for aphasia. Severity and fluency of aphasia were not affected by demographic variables.

show abstract

Why Admit Stroke Patients to Hospital?

Cited by 37 publications

References 0 publications

Why are patients with acute stroke admitted to hospital?

Why are patients with acute stroke admitted to hospital?

Stroke patients' views on their admission to hospital

Epidemiology of Aphasia Attributable to First Ischemic Stroke

Contact Info

Product

Resources

About