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Community-based stroke system of care improves patient outcomes in Chinese rural areas.
He, Mingli; Wang, Jin'e; Dong, Qing; Ji, Niu; Meng, Pin; Liu, Na; Geng, Shan; Qin, Sizhou; Xu, Wenyan; Zhang, Chuantong; Li, Dabo; Zhang, Huamin; Zhu, Jinping; Qin, Hua; Hui, Rutai; Wang, Yibo.
Afiliación
  • He M; The First People's Hospital of Lianyungang City, Lianyungang, China.
  • Wang J; College of Medical Science, China Three Gorges University, Yichang, China.
  • Dong Q; Lianyungang City Commission of Health and Family Planning, Lianyungang, China.
  • Ji N; The First People's Hospital of Lianyungang City, Lianyungang, China.
  • Meng P; The First People's Hospital of Lianyungang City, Lianyungang, China.
  • Liu N; The First People's Hospital of Lianyungang City, Lianyungang, China.
  • Geng S; The First People's Hospital of Lianyungang City, Lianyungang, China.
  • Qin S; Ganyu County Commission of Health and Family Planning, Ganyu, China.
  • Xu W; Ganyu County Commission of Health and Family Planning, Ganyu, China.
  • Zhang C; Ganyu County Commission of Health and Family Planning, Ganyu, China.
  • Li D; The People's Hospital of Ganyu County, Ganyu, China.
  • Zhang H; The People's Hospital of Ganyu County, Ganyu, China.
  • Zhu J; The People's Hospital of Ganyu County, Ganyu, China.
  • Qin H; The People's Hospital of Ganyu County, Ganyu, China.
  • Hui R; State Key Laboratory of Cardiovascular Disease, Sino-German Laboratory for Molecular Medicine, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
  • Wang Y; State Key Laboratory of Cardiovascular Disease, Sino-German Laboratory for Molecular Medicine, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Epidemiol Community Health ; 72(7): 630-635, 2018 07.
Article en En | MEDLINE | ID: mdl-29514926
BACKGROUND: Building effective and efficient stroke care systems is a key step in improving prevention, treatment and rehabilitation of stroke. The aim of this study was to evaluate the effectiveness of this stroke system of care on stroke management during a 2-year follow-up. METHODS: A stroke system of care was developed from November 2009 to November 2010 in three townships in Ganyu County. Additional three matched townships were invited as controls. We first investigated the stroke incidence of these populations. Subsequently, this stroke system of care and an educational campaign in the three intervention townships were implemented and the effectiveness of the system was evaluated in the next 2 years. RESULTS: At postintervention, more patients in the intervention communities obtained stroke knowledge and then the proportion of patients with stroke who were admitted within 3 hours of onset markedly increased in 2012 (12.0% vs 8.1%, p=0.044) and in 2013 (15.2% vs 9.7%, p=0.008) compared with those in the control communities. In the intervention communities, this proportion of patients with acute ischaemic stroke who received thrombolytic treatment was markedly raised from 2.1% in 2012 to 3.0% in 2013. More importantly, the fatality rate substantially decreased in 2013 in the intervention communities compared with that in the control communities (6.1% vs 9.7%, p=0.032). Similarly, the disability rate significantly decreased in 2013 (45.3% vs 51.5%, p=0.045). CONCLUSIONS: The community-based stroke system of care was effective and practical for optimising stroke treatments and improving patient outcomes. TRIAL REGISTRATION NUMBER: ChiCTR-RCH-13003408, Post-results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Comunitaria / Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Evaluation_studies / Incidence_studies / Prognostic_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Epidemiol Community Health Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Comunitaria / Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Evaluation_studies / Incidence_studies / Prognostic_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Epidemiol Community Health Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido