dc.contributor.author |
Barber, P.A. |
en |
dc.contributor.author |
Charleston, A. |
en |
dc.contributor.author |
Anderson, N. |
en |
dc.contributor.author |
Spriggs, D. |
en |
dc.contributor.author |
Bennett, D. |
en |
dc.contributor.author |
Bennett, P. |
en |
dc.contributor.author |
Thomas, K. |
en |
dc.contributor.author |
Baker, Y. |
en |
dc.date.accessioned |
2009-08-19T04:28:47Z |
en |
dc.date.available |
2009-08-19T04:28:47Z |
en |
dc.date.issued |
2004 |
en |
dc.identifier.citation |
New Zealand Medical Journal 117 (1190), 2004 |
en |
dc.identifier.issn |
1175-8716 |
en |
dc.identifier.other |
eid=2-s2.0-2642582446 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/4709 |
en |
dc.description |
An open access copy of this article is available and complies with the copyright holder/publisher conditions. |
en |
dc.description.abstract |
Aims: In 1996, we performed a descriptive audit of stroke care in Auckland Hospital. Since then, a mobile stroke team has been established. We have repeated the 1996 audit to assess changes in stroke management. Methods: From 1 June to 30 September 2001, information was prospectively recorded for all patients with stroke. Results: There were 177 strokes in 175 patients (92 men, mean age 70.9, standard deviation [SD] 14.9 years). Ninety-seven percent of patients had cerebral imaging (median 4.5 hours; interquartile range [IQR] 2.7-11.6). Acute aspirin was given to 78% of patients in 2001 and 40% in 1996 (p <0.001). Twenty-four percent of patients were kept 'nil by mouth' for at least 24 hours (46% in 1996, p <0.001). At discharge, 73% of patients were taking antiplatelet or anticoagulant therapy (61% in 1996, p <0.001). Only 50% of the patients with elevated discharge blood pressures were taking antihypertensives. There had been a reduction in the mean length of hospital stay to 16 days (21 days in 1996) but no significant change in mortality (14% compared with 17% in 1996). Conclusion: A stroke service may increase the attention to the 'processes' of stroke care and use of therapies, which are shown to be of benefit in randomised controlled trials. |
en |
dc.publisher |
NZMA |
en |
dc.relation.ispartofseries |
New Zealand Medical Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.source.uri |
http://www.nzma.org.nz/journal/117-1190/797/ |
en |
dc.title |
Changes in stroke care at Auckland hospital between 1996 and 2001 |
en |
dc.type |
Journal Article |
en |
dc.subject.marsden |
Fields of Research::320000 Medical and Health Sciences |
en |
pubs.issue |
1190 |
en |
pubs.volume |
117 |
en |
dc.description.version |
VoR - Version of Record |
en |
dc.rights.holder |
Copyright: New Zealand Medical Association (NZMA) |
en |
dc.identifier.pmid |
15107900 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |