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Regional differences in access to acute ischaemic stroke care and patient outcomes

Internal Medicine Journal Oct 03, 2019

Dwyer M, Peterson G, Gall S, et al. - Specialists explained the regional variations in acute ischemic stroke care and outcomes within the Australian state of Tasmania. In order to evaluate the care and outcomes of 395 patients with acute ischemic stroke who were admitted to Tasmania’s four major public hospitals, they performed a retrospective case note audit. Sixteen care processes were registered covering time-critical treatment, allied health interventions, and secondary prevention. None of the patients in rural hospitals were administered thrombolysis, and acute stroke units were not present in these hospitals. With infrequent exceptions, individuals’ access to the residual care indicators was similar among regions. Following adjusting for confounders, no important variances between regions in terms of 30-day mortality or discharge destination were noted. Thus, acute ischemic stroke care within Tasmania’s urban and rural hospitals was broadly comparable with the exclusion of acute stroke unit care and thrombolysis. In terms of patient outcomes, no notable variations were detected across regions. The researchers noted that prospective studies are warranted to engage larger datasets that captivate a broader range of urban and rural sites and register patient outcomes at lengthened intervals.

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