Cost Avoidance Associated With Optimal Stroke Care in Canada

Krueger, Hans; Lindsay, Patrice; Côté, Robert; Kapral, Moira K.; Kaczorowski, Janusz; Hill, Michael D.

doi:10.1161/strokeaha.111.646091

Cited by 42 publications

(38 citation statements)

References 38 publications

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“…Of the reviewed studies, about 32% address it in their objectives, assuming it as a focus or measurement of analysis and treatment (S 3 , 10 , 16 , 17 , 18 , 19 ), but more than half of these studies (10 out of 19) use this dimension to measure results or make comparisons, integrating and analyzing it a result and/or conclusion (refer to the tables presented above).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient with stroke: hospital discharge planning, functionality and quality of life

Nunes

Queirós

2017

Rev. Bras. Enferm.

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Stroke still causes high levels of human inability and suffering, and it is one of the main causes of death in developed countries, including Portugal. Objective: analyze the strategies of hospital discharge planning for these patients, increasing the knowledge related to hospitalhome transition, discharge planning processes and the main impact on the quality of life and functionality. Method: integrative literature review using the PICOD criteria, with database research. Results: 19 articles were obtained, using several approaches and contexts. For quality of life, the factors related to the patient satisfaction with care and the psychoemotional aspects linked with functionality are the most signifi cant. Conclusion: during the hospitalization period, a careful hospital discharge planning and comprehensive care to patients and caregivers -in particular the functional and psychoemotional aspects -tend to have an impact on the quality of life of patients. Descriptors: Stroke; Quality of Life; Patient Discharge; Rehabilitation; Nursing.RESUMO O acidente vascular cerebral ainda origina elevados níveis de incapacidade e sofrimento humano, sendo das primeiras causas de morte nos países desenvolvidos, incluindo em Portugal. Objetivo: analisar as estratégias adotadas no planeamento da alta destes doentes, aprofundando o conhecimento inerente à transição hospital-domicílio, aos processos de preparação de alta assim como às principais repercussões na qualidade de vida e funcionalidade. Método: revisão integrativa de literatura, pelos critérios orientadores PICOD, com pesquisa em base de dados. Resultados: obtidos 19 artigos, com diversas abordagens e contextos. Para a qualidade de vida importa a satisfação com os cuidados recebidos e a consideração dos aspetos psico-emocionais, ligados à funcionalidade. Conclusão: no tempo de internamento, o planeamento cuidado da alta, o cuidado abrangente a doentes e cuidadores -nomeadamente aspectos funcionais e psico-emocionais -tendem a ter impacto na qualidade de vida dos doentes. Descritores: Acidente Vascular Cerebral; Qualidade de Vida; Alta do Paciente; Reabilitação; Enfermagem. RESUMENEl accidente cerebrovascular todavía lleva a elevados niveles de incapacidad y sufrimiento humano, y es una de las primeras causas de muerte en los países desarrollados, incluido Portugal. Objetivo: analizar las estrategias adoptadas en la planifi cación del alta de estos pacientes profundizando en el conocimiento inherente a la transición del hospital al domicilio, a los procesos de preparación del alta, así como a las principales repercusiones en la calidad de vida y la funcionalidad. Método: revisión integradora de la literatura por los criterios orientadores PICOD con una búsqueda en bases de datos. Resultados: se obtuvieron 19 artículos con diversos enfoques y contextos. Para la calidad de vida importa la satisfacción con los cuidados recibidos y la consideración de los aspectos psicoemocionales ligados a la funcionalidad. Conclusión: en el tiempo de internamiento, la planifi cación...

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Section: Discussionmentioning

confidence: 99%

“…S 13 (19) An analysis was conducted (a literature review) of 4 central aspects in care provision to patients with stroke (fast evaluation and treatment start; thrombolytic therapy; organized stroke units; early controlled discharge, with community supporting services). The authors state it would be possible to have substantially better results.…”

Section: Nºmentioning

confidence: 99%

Patient with stroke: hospital discharge planning, functionality and quality of life

Nunes

Queirós

2017

Rev. Bras. Enferm.

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“…12 We assumed a mortality rate of 9% after ischemic stroke and 25% after hemorrhagic stroke, and that 62% of ischemic and 32% of hemorrhagic strokes result in disability, based on combined data from multiple studies. 13 Finally, the male to female predominance in pediatric stroke is ≈1.5:1.…”

Section: Stroke Prevalence In Childrenmentioning

confidence: 99%

“…A previous Canadian study suggested that 54.2% of those who received stroke care in Canada had scored 0, 1, or 2 on the Rankin Scale, 20.5% scored 3, and 25.3% scored 4 or 5. 12 Finally, we were unable to find age and sex-specific prevalence rates of stroke in residents of homes for the aged and used instead a single estimate of 21.9% in our estimates and projections. Using age-and sex-specific rates, as we did for the noninstitutionalized population, would lead to greater precision in our projections.…”

Section: Limitationsmentioning

confidence: 99%

Prevalence of Individuals Experiencing the Effects of Stroke in Canada

Krueger

Koot

Hall

et al. 2015

Stroke

Self Cite

162

126

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Background and Purpose-Previous estimates of the number and prevalence of individuals experiencing the effects of stroke in Canada are out of date and exclude critical population groups. It is essential to have complete data that report on stroke disability for monitoring and planning purposes. The objective was to provide an updated estimate of the number of individuals experiencing the effects of stroke in Canada (and its regions), trending since 2000 and forecasted prevalence to 2038. Methods-The prevalence, trends, and projected number of individuals experiencing the effects of stroke were estimated using region-specific survey data and adjusted to account for children aged <12 years and individuals living in homes for the aged. Results-In 2013, we estimate that there were 405 000 individuals experiencing the effects of stroke in Canada, yielding a prevalence of 1.15%. This value is expected to increase to between 654 000 and 726 000 by 2038. Trends in stroke data between 2000 and 2012 suggest a nonsignificant decrease in stroke prevalence, but a substantial and rising increase in the number of individuals experiencing the effects of stroke. Stroke prevalence varied considerably between regions. Conclusions-Previous estimates of stroke prevalence have underestimated the true number of individuals experiencing the effects of stroke in Canada. Furthermore, the projected increases that will result from population growth and demographic changes highlight the importance of maintaining up-to-date estimates.

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“…6,7 The estimated annual cost avoidance in Canada from the rapid assessment and treatment of TIA is $313.8 million (of which $269.2 million are indirect costs). 8 To be most effective, the diagnosis and treatment of all TIAs and minor strokes must recognize the natural biology of the condition and should ideally occur on the same day as the event. Currently, this is not consistently achieved in Canada.…”

Section: Strokementioning

confidence: 99%