099 Do clinical nurse specialist led stroke follow-up clinics reduce post-stroke hospital readmissions and recurrent vascular events?

医学 冲程(发动机) 急诊医学 门诊部 限制 物理疗法 内科学 机械工程 工程类
作者
Alex Kao,Jeremy Lanford,Lai-Kin Wong,Anna Ranta
出处
期刊:Journal of Neurology, Neurosurgery, and Psychiatry [BMJ]
卷期号:90 (e7): A32.2-A32
标识
DOI:10.1136/jnnp-2019-anzan.87
摘要

Introduction Post-discharge stroke follow-up clinics have been associated with improved outpatient care and reduced readmission. Pre-2014 there was no consistent follow-up care offered at Wellington Hospital. Our aim was to determine whether the establishment of a clinical nurse specialist (CNS) follow-up clinic reduced the readmission 12-monthrate. Methods This is a sequential comparison of patient admitted with stroke one year prior and one year after the clinic was established in 2013. The primary outcome was hospital 12-month hospital readmission rate; main secondary outcome was recurrent vascular event. Patients were identified from the hospital discharge records and underwent detailed electronic chart review. Results were adjusted for differences in baseline characteristics. Results We identified 874 patients; 439 pre- and 435 post-nurse clinic implementation. There was no significant difference between the one-year readmission rate after the establishment of the stroke follow up clinic (adjusted OR=1.06; 95% CI, 0.85–1.64; p=0.804) and no difference in recurrent composite vascular events at one-year (adjusted OR=1.20; 95% CI, 0.68–2.11; p=0.528). The median (IQR) time to follow-up to clinic after discharge was 85 (63–98.5) days. There was a trend towards a reduction in vascular events when limiting the analysis to patients who actually attended clinic, but this trend disappeared when adjusting for baseline inter-group differences. Conclusions There was no reduction in the one-year hospital readmission or vascular event recurrence rate for patients with stroke following the establishment of a nurse specialist led stroke follow up clinic. Earlier timed follow-up and the psychosocial value offered by these clinics requires further evaluation.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
共享精神应助焓晓芈采纳,获得10
1秒前
电催化CYY完成签到,获得积分10
1秒前
独特的易形完成签到,获得积分10
1秒前
清脆晓曼完成签到,获得积分10
2秒前
好好好完成签到 ,获得积分10
2秒前
咩咩完成签到,获得积分10
2秒前
一人完成签到,获得积分10
2秒前
清脆的飞丹完成签到,获得积分10
3秒前
曙光完成签到,获得积分10
3秒前
jxcandice完成签到,获得积分10
3秒前
范月月完成签到 ,获得积分10
3秒前
小飞棍完成签到,获得积分10
4秒前
心想事陈完成签到,获得积分10
4秒前
liu完成签到,获得积分10
4秒前
花已烬完成签到,获得积分10
4秒前
miracle完成签到 ,获得积分10
5秒前
Iris完成签到 ,获得积分10
5秒前
易寒完成签到,获得积分10
6秒前
小石头完成签到,获得积分10
6秒前
小范要努力完成签到,获得积分10
6秒前
fx完成签到,获得积分10
8秒前
kaka完成签到,获得积分10
8秒前
喜悦的向日葵完成签到,获得积分10
9秒前
Ted完成签到,获得积分10
9秒前
dtcao完成签到,获得积分10
10秒前
Crystal完成签到 ,获得积分10
10秒前
吉祥高趙完成签到 ,获得积分10
11秒前
阳光绿柏完成签到,获得积分10
11秒前
zy3637完成签到 ,获得积分10
12秒前
王先生完成签到,获得积分10
12秒前
FB完成签到,获得积分10
13秒前
SYLH应助dtcao采纳,获得10
14秒前
smile完成签到,获得积分10
15秒前
无奈醉柳完成签到,获得积分10
15秒前
王京华完成签到,获得积分10
16秒前
16秒前
Ning完成签到,获得积分10
17秒前
小魏完成签到,获得积分10
19秒前
zbclzf完成签到,获得积分10
19秒前
佳言2009完成签到,获得积分10
19秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968603
求助须知:如何正确求助?哪些是违规求助? 3513420
关于积分的说明 11168029
捐赠科研通 3248900
什么是DOI,文献DOI怎么找? 1794540
邀请新用户注册赠送积分活动 875187
科研通“疑难数据库(出版商)”最低求助积分说明 804676