Abstract
Objectives: to identify the factors associated with hospital admission and the differences in management and outcome of stroke patients between hospital and home. Design: a prospective community stroke register (1995-8) with multiple notification sources. Setting: an inner city multi-ethnic population of 234 533 in South London, UK. Participants: 975 subjects with first in a lifetime strokes, whether or not they were admitted to hospital. Patients dying suddenly and those already hospitalized at the time of stroke were excluded. Main outcome Measures: factors associated with hospital admission; differences in management in the acute phase of stroke; mortality and dependency assessed by the Barthel index 3 months post-stroke. Results: 812 patients were admitted to hospital for stroke; 163 were managed in the community. Factors independently associated with hospital admission included stroke severity, pre-stroke independence, atrial fibrillation, having an intracranial haemorrhage and having a non-lacunar infarction. Computed tomography scan rates were higher in admitted (78%) than non-admitted patients (63%; P=0.001). By 3 months, 285 (35%) of the admitted patients had died compared with 13 (8%) of non-admitted patients (P18 compared with 106 (72%) of those who were not admitted (P
| Original language | English |
|---|---|
| Pages (from-to) | 197 - 203 |
| Number of pages | 7 |
| Journal | Age and Ageing |
| Volume | 30 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2001 |
