کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5874499 1144802 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Review ArticleNationwide Patterns of Hospitalization after Transient Ischemic Attack
ترجمه فارسی عنوان
مرور مقاله در سرتاسر جهان الگوهای بستری پس از حملات ایسکمیک گذرا
کلمات کلیدی
طب اورژانس، همهگیرشناسی، سیاست بهداشتی، اقامت در بیمارستان، مراقبت از سکته مغزی سازمان یافته، حمله ایسکمی گذرا،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مغز و اعصاب بالینی
چکیده انگلیسی

BackgroundLittle is known about nationwide patterns of hospitalization after transient ischemic attack (TIA).MethodsIn a nationally representative sample of Emergency Department (ED) visits included in the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 1997 through 2008, we estimated rates of hospitalization among patients with a primary ED diagnosis of TIA (International Classification of Diseases, 9th Revision (ICD-9), code 435). We used multiple logistic regression analysis to examine the association between hospitalization and demographic characteristics, geographic region, year of the visit, time of the visit, and markers of stroke risk.ResultsOn the basis of 782 cases of TIA sampled by the NHAMCS, 57% (95% confidence interval [CI], 52%-61%) of patients with TIA nationwide were hospitalized. A higher proportion of patients was hospitalized in 2003 to 2008 (62%; 95% CI, 56%-68%) than in 1997 to 2002 (52%; 95% CI, 46%-58%; P = .02). Compared with the US Northeast, patients were less likely to be hospitalized in the Midwest (odds ratio [OR], 0.5; 95% CI, .3-.9), the South (OR, 0.3; 95% CI, .2-.5), or the West (OR, 0.2; 95% CI, .1-.4). Compared with white patients, hospitalization was more likely among patients who were black (OR, 2.4; 95% CI, 1.3-4.5), Hispanic (OR, 3.8; 95% CI, 1.4-10.2), or of other races (OR, 3.5; 95% CI, 1.3-9.6). Patients with Medicaid were admitted less often than those with private insurance (OR, 0.3; 95% CI, .2-.8).ConclusionsNationwide patterns of hospitalization after TIA show significant regional and demographic variation. These results may provide a useful roadmap for efforts to improve systems of care for TIA across the country.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Stroke and Cerebrovascular Diseases - Volume 22, Issue 7, October 2013, Pages e142-e145
نویسندگان
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