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Treatment and outcomes of working aged adults with stroke : Results from a national prospective registry
Lannin, Natasha A. Anderson, Craig S. Kim, Joosup Kilkenny, Monique Bernhardt, Julie Levi, Christopher Dewey, Helen M. Bladin, Christopher Hand, Peter Castley, Helen
Lannin, Natasha A.
Anderson, Craig S.
Kim, Joosup
Kilkenny, Monique
Bernhardt, Julie
Levi, Christopher
Dewey, Helen M.
Bladin, Christopher
Hand, Peter
Castley, Helen
Abstract
Background: Given the potential differences in etiology and impact, the treatment and outcome of younger patients (aged 18–64 years) require examination separately to older adults (aged ≥65 years) who experience acute stroke. Methods: Data from the Australian Stroke Clinical Registry (2010–2015) including demographic and clinical characteristics, provision of evidence-based therapies and health-related quality of life (HRQoL) post-stroke was used. Descriptive statistics and multilevel regression models were used for group comparisons. Results: Compared to older patients (age ≥65 years) among 26,220 registrants, 6,526 (25%) younger patients (age 18–64 years) were more often male (63 vs. 51%; p < 0.001), born in Australia (70 vs. 63%; p < 0.001), more often discharged home from acute care (56 vs. 38%; p < 0.001), and less likely to receive antihypertensive medication (61 vs. 73%; p < 0.001). Younger patients had a 74% greater odds of having lower HRQoL compared to an equivalent aged-matched general population (adjusted OR 1.74, 95% CI 1.56–1.93, p < 0.001). Conclusions: Younger stroke patients exhibited distinct differences from their older counterparts with respect to demographic and clinical characteristics, prescription of antihypertensive medications and residual health status.
Keywords
stroke, young adult, registries, stroke registries
Date
2017
Type
Journal article
Journal
Neuroepidemiology
Book
Volume
49
Issue
Page Range
113-120
Article Number
ACU Department
Nursing Research Institute
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled