Department of Quantitative Health Sciences; Meyers Primary Care Institute
Medical Subject Headings
Acute Disease; Adult; Aged; Aged, 80 and over; Antilipemic Agents; Cardiovascular Agents; Counseling; Emergency Service, Hospital; Female; Hospital Mortality; Hospital Records; Hospitals, University; Humans; Male; Middle Aged; Patient Discharge; Pilot Projects; Puerto Rico; Stroke; Tomography, X-Ray Computed; Transportation of Patients; Young Adult
Biostatistics | Epidemiology | Health Services Research
BACKGROUND: Stroke is the third leading cause of death in Puerto Rico. We examined the pre-hospital phase, management and case-fatality-rates (CFR) of patients discharged with acute stroke from the Carolina University of Puerto Rico Hospital during 2007.
METHODS: Trained personnel collected information on demographics, delay-time, mode-of-transportation, management, and mortality from all medical records. STATAa was utilized to conduct univariate comparison of demographics, mode-of-transportation, therapeutics and diagnostic characteristics. Logistic regression analysis assessed cohort effect and controlled for confounders.
RESULTS: The average age was 69.1 years, and 53% were males. The average delay between onset of symptoms suggestive of stroke and arrival at the emergency department was 4.5 hours. Only 62% of patients utilized Emergency Medical Services (EMS). Intravenous thrombolysis was not administered. Stroke mortality increased with age. Ischemic vs. hemorrhagic CFR was significantly higher (63.9% vs. 36.10%; p = 0.034).
CONCLUSIONS: These findings highlight the potential benefit of evidence-based therapeutics and EMS use among stroke patients.
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Citation: Bol Asoc Med P R. 2009 Jul-Sep;101(3):11-3. Link to article on publisher's site
Zevallos, Juan Carlos; Gonzalez, Juan; Santiago, Fernando; Rodriguez, Rafael; Rivera, Ada; Garcia, Ana Michelle; Flecha, Felixa; Colon, Marielys; and Yarzebski, Jorge L., "Pilot study of the characteristics of acute stroke events in patients discharged from the Carolina University Hospital, Puerto Rico in 2007" (2009). Quantitative Health Sciences Publications and Presentations. Paper 769.