Featured Research

from universities, journals, and other organizations

Unhealthiest stroke patients less likely to get optimal care

Date:
November 19, 2013
Source:
Duke Medicine
Summary:
Among thousands of hospital patients treated for a “mini stroke,” those who were at highest risk for suffering a full-blown ischemic attack were less likely to received optimal care, according to a study.

Among thousands of hospital patients treated for a “mini stroke,” those who were at highest risk for suffering a full-blown ischemic attack were less likely to received optimal care, according to a study led by researchers at Duke Medicine.

The researchers said the treatment mismatch could be reduced by evaluating which patients are most likely to suffer a subsequent stroke, and by providing optimal care in all cases for transient ischemic attacks, often called TIAs or mini strokes.

The findings were presented Nov. 19, 2013, at the American Heart Association’s Scientific Sessions meeting in Dallas.

“Studies have shown that there are effective strategies for treating TIAS, and patients who receive the optimal care have fewer readmissions for a subsequent ischemic stroke,” said lead author Emily C. O’Brien, Ph.D., an instructor in the Duke University School of Medicine. “But that optimal care was often not provided for the patients who needed it most.”

Using a large database of stroke patients from more than 1,600 hospitals in the United States, O’Brien and colleagues studied the profiles and treatment approaches for nearly 59,000 people on Medicare who suffered a TIA between 2003 and 2008.

They then divided the patients into five risk categories based on the number of additional health problems they had, whether they smoked, and other demographic factors.

The healthiest patients – those with the lowest risk of suffering a subsequent stroke – more often received optimal care, which included anticlotting drugs in the hospital and at discharge, anticoagulants for patients with atrial fibrillation, statins for high cholesterol and smoking cessation counseling for smokers.

For the sickest patients – people who had diabetes, heart failure, heart attacks and other health concerns – two specific treatment strategies were often lacking: anticoagulant drugs for atrial fibrillation, and statins for high cholesterol.

The database showed that those patients were more likely to be readmitted to the hospital for ischemic stroke within one year of having a TIA.

“We found that there’s a real need for more work in high-risk populations to deliver optimal care and eliminate this mismatch in treatment,” O’Brien said.


Story Source:

The above story is based on materials provided by Duke Medicine. Note: Materials may be edited for content and length.


Cite This Page:

Duke Medicine. "Unhealthiest stroke patients less likely to get optimal care." ScienceDaily. ScienceDaily, 19 November 2013. <www.sciencedaily.com/releases/2013/11/131119193309.htm>.
Duke Medicine. (2013, November 19). Unhealthiest stroke patients less likely to get optimal care. ScienceDaily. Retrieved September 23, 2014 from www.sciencedaily.com/releases/2013/11/131119193309.htm
Duke Medicine. "Unhealthiest stroke patients less likely to get optimal care." ScienceDaily. www.sciencedaily.com/releases/2013/11/131119193309.htm (accessed September 23, 2014).

Share This



More Health & Medicine News

Tuesday, September 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Liberia Pleads for Help to Fight Ebola

Liberia Pleads for Help to Fight Ebola

AP (Sep. 22, 2014) Liberia's finance minister is urging the international community to quickly follow through on pledges of cash to battle Ebola. Bodies are piling up in the capital Monrovia as the nation awaits more help. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Ebola Doctor Says Border Controls Critical

Ebola Doctor Says Border Controls Critical

AP (Sep. 22, 2014) A Florida doctor who helped fight the expanding Ebola outbreak in West Africa says the disease can be stopped, but only if nations quickly step up their response and make border control a priority. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Global Ebola Aid Increasing But Critics Say It's Late

Global Ebola Aid Increasing But Critics Say It's Late

Newsy (Sep. 21, 2014) More than 100 tons of medical supplies were sent to West Africa on Saturday, but aid workers say the global response is still sluggish. Video provided by Newsy
Powered by NewsLook.com
Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins