Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study
9 p.
- Autores:
-
Langhorne, Peter
O'Donnell, Martin J.
Lim Chin, Siu
Zhang, Hongye
Xavier, Denis
Avezum, Alvaro
Mathur, Nandini
Turner, Melanie
MacLeod, Mary Joan
Lopez-Jaramillo, Patricio
Damasceno, Albertino
Hankey, Graeme J.
Dans, Antonio
ElSayed, Ahmed
Mondo, Charles
Wasay, Mohammad
Czlonkowska, Anna
Weimar, Christian
Hussein Yusufali, Afzal
AlHussain, Fawaz
Lisheng, Liu
Diener, Hans Christoph
Ryglewicz, Danuta
Pogosova, Nana
Iqbal, Romaina
Diaz, Rafael
Yusoff, Khalid
Oguz, Aytekin
Wang, Xingyu
Penaherrera, Ernesto
Lanas, Fernando
Ogah, Okechukwu S.
Ogunniyi, Adesola
Iversen, Helle K.
Malaga, German
Rumboldt, Zvonko
Magazi, Daliwonga
Nilanont, Yongchai
Rosengren, Annika
Oveisgharan, Shahram
Yusuf, Salim
On behalf of the INTERSTROKE collaborators
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2018
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/3405
- Acceso en línea:
- https://repositorio.udes.edu.co/handle/001/3405
- Palabra clave:
- Stroke
Interstroke
- Rights
- openAccess
- License
- Derechos Reservados - The Lancet, 2018
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Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| title |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| spellingShingle |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study Stroke Interstroke |
| title_short |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| title_full |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| title_fullStr |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| title_full_unstemmed |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| title_sort |
Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational study |
| dc.creator.fl_str_mv |
Langhorne, Peter O'Donnell, Martin J. Lim Chin, Siu Zhang, Hongye Xavier, Denis Avezum, Alvaro Mathur, Nandini Turner, Melanie MacLeod, Mary Joan Lopez-Jaramillo, Patricio Damasceno, Albertino Hankey, Graeme J. Dans, Antonio ElSayed, Ahmed Mondo, Charles Wasay, Mohammad Czlonkowska, Anna Weimar, Christian Hussein Yusufali, Afzal AlHussain, Fawaz Lisheng, Liu Diener, Hans Christoph Ryglewicz, Danuta Pogosova, Nana Iqbal, Romaina Diaz, Rafael Yusoff, Khalid Oguz, Aytekin Wang, Xingyu Penaherrera, Ernesto Lanas, Fernando Ogah, Okechukwu S. Ogunniyi, Adesola Iversen, Helle K. Malaga, German Rumboldt, Zvonko Magazi, Daliwonga Nilanont, Yongchai Rosengren, Annika Oveisgharan, Shahram Yusuf, Salim On behalf of the INTERSTROKE collaborators |
| dc.contributor.author.spa.fl_str_mv |
Langhorne, Peter O'Donnell, Martin J. Lim Chin, Siu Zhang, Hongye Xavier, Denis Avezum, Alvaro Mathur, Nandini Turner, Melanie MacLeod, Mary Joan Lopez-Jaramillo, Patricio Damasceno, Albertino Hankey, Graeme J. Dans, Antonio ElSayed, Ahmed Mondo, Charles Wasay, Mohammad Czlonkowska, Anna Weimar, Christian Hussein Yusufali, Afzal AlHussain, Fawaz Lisheng, Liu Diener, Hans Christoph Ryglewicz, Danuta Pogosova, Nana Iqbal, Romaina Diaz, Rafael Yusoff, Khalid Oguz, Aytekin Wang, Xingyu Penaherrera, Ernesto Lanas, Fernando Ogah, Okechukwu S. Ogunniyi, Adesola Iversen, Helle K. Malaga, German Rumboldt, Zvonko Magazi, Daliwonga Nilanont, Yongchai Rosengren, Annika Oveisgharan, Shahram Yusuf, Salim On behalf of the INTERSTROKE collaborators |
| dc.subject.proposal.eng.fl_str_mv |
Stroke Interstroke |
| topic |
Stroke Interstroke |
| description |
9 p. |
| publishDate |
2018 |
| dc.date.issued.spa.fl_str_mv |
2018-05 |
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2019-07-16T16:59:32Z |
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2019-07-16T16:59:32Z |
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Artículo de revista |
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10.1016/S0140-6736(18)30802-X |
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0140-6736 |
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https://repositorio.udes.edu.co/handle/001/3405 |
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eng |
| language |
eng |
| dc.relation.ispartof.eng.fl_str_mv |
The Lancet |
| dc.rights.spa.fl_str_mv |
Derechos Reservados - The Lancet, 2018 |
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Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) |
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openAccess |
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application/pdf |
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Universidad de Santander |
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Although improvements in stroke care and outcomes have been reported in high-income countries, little is known about practice and outcomes in low and middle-income countries. We aimed to compare patterns of care available and their association with patient outcomes across countries at different economic levels. Methods: We studied the patterns and effect of practice variations (ie, treatments used and access to services) among participants in the INTERSTROKE study, an international observational study that enrolled 13 447 stroke patients from 142 clinical sites in 32 countries between Jan 11, 2007, and Aug 8, 2015. We supplemented patient data with a questionnaire about health-care and stroke service facilities at all participating hospitals. Using univariate and multivariate regression analyses to account for patient casemix and service clustering, we estimated the association between services available, treatments given, and patient outcomes (death or dependency) at 1 month. Findings: We obtained full information for 12 342 (92%) of 13 447 INTERSTROKE patients, from 108 hospitals in 28 countries; 2576 from 38 hospitals in ten high-income countries and 9766 from 70 hospitals in 18 low and middle-income countries. Patients in low-income and middle-income countries more often had severe strokes, intracerebral haemorrhage, poorer access to services, and used fewer investigations and treatments (p<0·0001) than those in high-income countries, although only differences in patient characteristics explained the poorer clinical outcomes in low and middle-income countries. However across all countries, irrespective of economic level, access to a stroke unit was associated with improved use of investigations and treatments, access to other rehabilitation services, and improved survival without severe dependency (odds ratio [OR] 1·29; 95% CI 1·14–1·44; all p<0·0001), which was independent of patient casemix characteristics and other measures of care. Use of acute antiplatelet treatment was associated with improved survival (1·39; 1·12–1·72) irrespective of other patient and service characteristics. Interpretation: Evidence-based treatments, diagnostics, and stroke units were less commonly available or used in low and middle-income countries. Access to stroke units and appropriate use of antiplatelet treatment were associated with improved recovery. Improved care and facilities in low-income and middle-income countries are essential to improve outcomes. Funding: Chest, Heart and Stroke Scotland.application/pdf10.1016/S0140-6736(18)30802-X0140-6736https://repositorio.udes.edu.co/handle/001/3405engThe LancetDerechos Reservados - The Lancet, 2018info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://www.sciencedirect.com/science/article/pii/S014067361830802X?via%3DihubStrokeInterstrokePractice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): An international observational studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationTEXTPractice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE). 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