Community-based stroke system of care improves patient outcomes in Chinese rural areas

Publication Date:
2018-06-13
Publisher:
BMJ Publishing Group
Print ISSN:
0143-005X
Electronic ISSN:
1470-2738
Topics:
Medicine
Published by:
http://www.bmj.com/
_version_ 1836398968870797313
autor He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
beschreibung 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.
citation_standardnr 6281943
datenlieferant ipn_articles
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feed_publisher BMJ Publishing Group
feed_publisher_url http://www.bmj.com/
insertion_date 2018-06-13
journaleissn 1470-2738
journalissn 0143-005X
publikationsjahr_anzeige 2018
publikationsjahr_facette 2018
publikationsjahr_intervall 7984:2015-2019
publikationsjahr_sort 2018
publisher BMJ Publishing Group
quelle Journal of Epidemiology and Community Health
relation http://jech.bmj.com/cgi/content/short/72/7/630?rss=1
search_space articles
shingle_author_1 He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
shingle_author_2 He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
shingle_author_3 He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
shingle_author_4 He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
shingle_catch_all_1 Community-based stroke system of care improves patient outcomes in Chinese rural areas
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.
He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
BMJ Publishing Group
0143-005X
0143005X
1470-2738
14702738
shingle_catch_all_2 Community-based stroke system of care improves patient outcomes in Chinese rural areas
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.
He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
BMJ Publishing Group
0143-005X
0143005X
1470-2738
14702738
shingle_catch_all_3 Community-based stroke system of care improves patient outcomes in Chinese rural areas
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.
He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
BMJ Publishing Group
0143-005X
0143005X
1470-2738
14702738
shingle_catch_all_4 Community-based stroke system of care improves patient outcomes in Chinese rural areas
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.
He, M., Wang, J., Dong, Q., Ji, N., Meng, P., Liu, N., Geng, S., Qin, S., Xu, W., Zhang, C., Li, D., Zhang, H., Zhu, J., Qin, H., Hui, R., Wang, Y.
BMJ Publishing Group
0143-005X
0143005X
1470-2738
14702738
shingle_title_1 Community-based stroke system of care improves patient outcomes in Chinese rural areas
shingle_title_2 Community-based stroke system of care improves patient outcomes in Chinese rural areas
shingle_title_3 Community-based stroke system of care improves patient outcomes in Chinese rural areas
shingle_title_4 Community-based stroke system of care improves patient outcomes in Chinese rural areas
timestamp 2025-06-30T23:35:31.208Z
titel Community-based stroke system of care improves patient outcomes in Chinese rural areas
titel_suche Community-based stroke system of care improves patient outcomes in Chinese rural areas
topic WW-YZ
uid ipn_articles_6281943