Pilot study of the characteristics of acute stroke events in patients discharged from the Carolina University Hospital, Puerto Rico in 2007
dc.contributor.author | Zevallos, Juan Carlos | |
dc.contributor.author | Gonzalez, Juan | |
dc.contributor.author | Santiago, Fernando | |
dc.contributor.author | Rodriguez, Rafael | |
dc.contributor.author | Rivera, Ada | |
dc.contributor.author | Garcia, Ana Michelle | |
dc.contributor.author | Flecha, Felixa | |
dc.contributor.author | Colon, Marielys | |
dc.contributor.author | Yarzebski, Jorge L. | |
dc.date | 2022-08-11T08:10:43.000 | |
dc.date.accessioned | 2022-08-23T17:17:30Z | |
dc.date.available | 2022-08-23T17:17:30Z | |
dc.date.issued | 2009-09-01 | |
dc.date.submitted | 2010-07-16 | |
dc.identifier.citation | Bol Asoc Med P R. 2009 Jul-Sep;101(3):11-3. <a href="http://www.asociacionmedicapr.org/boletin/boletin_101_3_web.pdf">Link to article on publisher's site</a> | |
dc.identifier.issn | 0004-4849 (Linking) | |
dc.identifier.pmid | 20120979 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/47642 | |
dc.description.abstract | 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. | |
dc.language.iso | en_US | |
dc.relation | <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20120979&dopt=Abstract">Link to Article in PubMed</a> | |
dc.subject | Acute Disease | |
dc.subject | Adult | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Antilipemic Agents | |
dc.subject | Cardiovascular Agents | |
dc.subject | Counseling | |
dc.subject | Emergency Service, Hospital | |
dc.subject | Female | |
dc.subject | Hospital Mortality | |
dc.subject | Hospital Records | |
dc.subject | Hospitals, University | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Patient Discharge | |
dc.subject | Pilot Projects | |
dc.subject | Puerto Rico | |
dc.subject | Stroke | |
dc.subject | Tomography, X-Ray Computed | |
dc.subject | Transportation of Patients | |
dc.subject | Young Adult | |
dc.subject | Biostatistics | |
dc.subject | Epidemiology | |
dc.subject | Health Services Research | |
dc.title | Pilot study of the characteristics of acute stroke events in patients discharged from the Carolina University Hospital, Puerto Rico in 2007 | |
dc.type | Journal Article | |
dc.source.journaltitle | Boletin de la Asociacion Medica de Puerto Rico | |
dc.source.volume | 101 | |
dc.source.issue | 3 | |
dc.identifier.legacyfulltext | https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1769&context=qhs_pp&unstamped=1 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/qhs_pp/769 | |
dc.identifier.contextkey | 1397723 | |
refterms.dateFOA | 2022-08-23T17:17:30Z | |
html.description.abstract | <p>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.</p> <p>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.</p> <p>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).</p> <p>CONCLUSIONS: These findings highlight the potential benefit of evidence-based therapeutics and EMS use among stroke patients.</p> | |
dc.identifier.submissionpath | qhs_pp/769 | |
dc.contributor.department | Meyers Primary Care Institute | |
dc.contributor.department | Department of Quantitative Health Sciences | |
dc.source.pages | 11-3 |