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dc.contributor.authorZevallos, Juan Carlos
dc.contributor.authorGonzalez, Juan
dc.contributor.authorSantiago, Fernando
dc.contributor.authorRodriguez, Rafael
dc.contributor.authorRivera, Ada
dc.contributor.authorGarcia, Ana Michelle
dc.contributor.authorFlecha, Felixa
dc.contributor.authorColon, Marielys
dc.contributor.authorYarzebski, Jorge L.
dc.date2022-08-11T08:10:43.000
dc.date.accessioned2022-08-23T17:17:30Z
dc.date.available2022-08-23T17:17:30Z
dc.date.issued2009-09-01
dc.date.submitted2010-07-16
dc.identifier.citationBol 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.issn0004-4849 (Linking)
dc.identifier.pmid20120979
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47642
dc.description.abstractBACKGROUND: 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.isoen_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.subjectAcute Disease
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectAntilipemic Agents
dc.subjectCardiovascular Agents
dc.subjectCounseling
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectHospital Mortality
dc.subjectHospital Records
dc.subjectHospitals, University
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPatient Discharge
dc.subjectPilot Projects
dc.subjectPuerto Rico
dc.subjectStroke
dc.subjectTomography, X-Ray Computed
dc.subjectTransportation of Patients
dc.subjectYoung Adult
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titlePilot study of the characteristics of acute stroke events in patients discharged from the Carolina University Hospital, Puerto Rico in 2007
dc.typeJournal Article
dc.source.journaltitleBoletin de la Asociacion Medica de Puerto Rico
dc.source.volume101
dc.source.issue3
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1769&amp;context=qhs_pp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/769
dc.identifier.contextkey1397723
refterms.dateFOA2022-08-23T17:17:30Z
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.submissionpathqhs_pp/769
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages11-3


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