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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >The Impact of Transferring Stroke Patients: An Analysis of National Administrative Data
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The Impact of Transferring Stroke Patients: An Analysis of National Administrative Data

机译：转移卒中患者的影响：国家行政数据分析

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Background: Interhospital transfer is an important but resource-intensive pattern of care. The use for stroke patients is highly dependent upon health system structure. We examined the impact of hospital transfers for stroke care in Canada. Methods: We analyzed hospital administrative data within the Canadian Institute for Health Information (CIHI) Database for the 3 fiscal years 2011/12, 2012/13 and 2013/14. Patients with clinical stroke syndrome (ischemic or hemorrhagic) were identified using International Classification of Diseases. Stroke centers were defined by Heart & Stroke Foundation of Canada stroke report. Results: During the 3-year period, 397 patients in Canada (excluding Quebec) were admitted to hospital for clinical stroke syndrome. Median age was 75 (interquartile range [IQR] 64-84) years; 50.6 % were male. Less than 5% (n=4030) of patients were transferred. Patients transferred to stroke centers were younger (p<0.001) and had shorter median length of stay (p<0.001). The highest probability of discharge home was associated with sole care at stroke center (43.8%). Transfer to stroke center from community hospital had the highest probability for discharge to rehabilitation facility (25%) and lowest to either long-term (2.1%) or complex community care (2.0%). Transferred patients had lower mortality at discharge. Conclusion: Younger patients were transferred more frequently to stroke centers; older patients were more likely treated in community hospitals. Sole stroke center care was associated with high discharge rate to home; transfer to a stroke center was associated with high discharge rate to rehabilitation and lower mortality rates.
机译：背景：Interhospital Transfer是一个重要但资源密集的护理模式。用于中风患者的用途高度依赖于卫生系统结构。我们研究了医院转移在加拿大中风护理的影响。方法：我们分析了加拿大健康信息研究所（CIHI）数据库中的医院行政数据2011/12年度2012/13和2013/14财政数据库。利用国际疾病分类确定了临床中风综合征（缺血性或出血）的患者。中风中心是由加拿大中风报告的心脏和中风基金会定义的。结果：在3年期间，加拿大397名患者（不包括魁北克）临床临床中风综合征。中位年龄为75（四分位数[IQR] 64-84）年; 50.6％是男性。转移患者的少于5％（n = 4030）。转移到卒中中心的患者较年轻（P <0.001），保持较短的逗留时间（P <0.001）。放电房屋的最高可能性与中风中心的唯一护理有关（43.8％）。从社区医院转移到中风中心的排放概率最高（25％），最低为长期（2.1％）或复杂的社区护理（2.0％）。转移的患者在出院的死亡率降低。结论：较年轻的患者更频繁地转移到卒中中心;老年患者更有可能在社区医院治疗。鞋底冲程中心护理与家庭高的排放率有关;转移到行程中心与高放电率与康复和降低死亡率有关。

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