Community Hospital-Based Stroke Programs: North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures

F. M. Yatsu, C. Becker, K. R. McLeroy, Bruce M Coull, J. Feibel, G. Howard, J. F. Toole, M. D. Walker

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

In order to assess the impact of variations in stroke care on outcomes, and to make geographic comparisons, the three Community Hospital-Based Stroke Programs in North Carolina, Oregon, and New York, aggregated their data on 4,132 hospitalized stroke patients. Complete demographic data or 'Major Profile' were obtained on 2,390 (57.8%) of the 4,132 stroke patients. This includes those patients on whom informed patient and physician consents were obtained during the hospitalization. Of the major profile patients, 1,490 (62.3%) were followed for periods up to one year, 502 (21.0%) were lost to followup and 398 (16.6%) died within the one year followup period. Incomplete demographic data or 'Minor Profile' were observed on 1,742 (42.1%) of the 4,132 patients. Minor profile includes those who died before comprehensive interviews were completed or those for whom informed consent for an interview could not be obtained. Of the minor profile group, 813 (46.7%) died in hospital, and 929 (53.3%) were alive when discharged from the hospital. This paper, which describes the programs, data collection procedures, and study cases, also highlights specific issues on stroke diagnosis, risk factors associated with stroke, and the influence of interventions on stroke outcomes. We conclude that: 1) the merging of data on hospitalized stroke cases from rural and urban hospitals in geographically distinct regions can be used in the study of stroke diagnosis, the use of diagnostic tests, and the effect of interventions on stroke outcomes; and 2) these data are consistent with the hypothesis that part of the national decline in mortality from stroke is due to a decline in stroke severity.

Original languageEnglish (US)
Pages (from-to)276-284
Number of pages9
JournalStroke
Volume17
Issue number2
StatePublished - 1986
Externally publishedYes

Fingerprint

Community Hospital
Stroke
Demography
Interviews
Rural Hospitals
Urban Hospitals
Informed Consent
Routine Diagnostic Tests
Hospitalization
Physicians

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

Yatsu, F. M., Becker, C., McLeroy, K. R., Coull, B. M., Feibel, J., Howard, G., ... Walker, M. D. (1986). Community Hospital-Based Stroke Programs: North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures. Stroke, 17(2), 276-284.

Community Hospital-Based Stroke Programs : North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures. / Yatsu, F. M.; Becker, C.; McLeroy, K. R.; Coull, Bruce M; Feibel, J.; Howard, G.; Toole, J. F.; Walker, M. D.

In: Stroke, Vol. 17, No. 2, 1986, p. 276-284.

Research output: Contribution to journalArticle

Yatsu, FM, Becker, C, McLeroy, KR, Coull, BM, Feibel, J, Howard, G, Toole, JF & Walker, MD 1986, 'Community Hospital-Based Stroke Programs: North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures', Stroke, vol. 17, no. 2, pp. 276-284.
Yatsu, F. M. ; Becker, C. ; McLeroy, K. R. ; Coull, Bruce M ; Feibel, J. ; Howard, G. ; Toole, J. F. ; Walker, M. D. / Community Hospital-Based Stroke Programs : North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures. In: Stroke. 1986 ; Vol. 17, No. 2. pp. 276-284.
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