Utilisation of diagnostic computerised tomography imaging and immediate clinical outcomes in older people with stroke before and after introduction of the National Service Framework for older people. A comparative study of hospital-based stroke registry data (1997–2003): Norfolk experience

Introduction: how the National Service Framework (NSF) for older people in England might be associated with changes in clinically relevant stroke outcome has not been investigated. We looked for changes in computerised tomography (CT) scan rate, inpatient case-fatality rate (CFR), length of acute ho...

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Bibliographic Details
Published in:Age and ageing 2006-07, Vol.35 (4), p.399-403
Main Authors: Myint, Phyo K., Vowler, Sarah L., Redmayne, Oliver, Fulcher, Robert A.
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged patients
Aged, 80 and over
Clinical outcomes
Comparative studies
Computerized
Diagnosis
elderly
Elderly patients
Elderly people
England
Female
Health aspects
Health care
Humans
Inpatient care
Length of Stay
Male
Middle Aged
Mortality
Multivariate Analysis
National service
NSF
Older people
Prejudice
Recovery of Function
Registries
Retrospective Studies
State Medicine - standards
State Medicine - trends
Stroke
Stroke (Disease)
Stroke - complications
Stroke - diagnosis
Stroke - mortality
Strokes
Tomography
Tomography, X-Ray Computed - utilization
Treatment Outcome
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Summary:Introduction: how the National Service Framework (NSF) for older people in England might be associated with changes in clinically relevant stroke outcome has not been investigated. We looked for changes in computerised tomography (CT) scan rate, inpatient case-fatality rate (CFR), length of acute hospital stay and discharge destination for older people with stroke, compared with their younger counterparts, for a period before, and after, the introduction of the NSF. Methods: two periods, 4 years before and 2 years after the publication of the NSF, were selected to compare the above outcomes between three age categories: 65-year olds, suggesting better clinical outcome in those who survived. Conclusions: in this single-centre analysis, the post-NSF period appeared to be associated with improvement in outcome in older people with stroke. Continual monitoring using stroke registry data may help to assess whether these effects are sustained in the longer term.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/afl030