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Home > Acute Stroke Care in Dementia: A Cohort Study from the Swedish Dementia and Stroke Registries.

TitleAcute Stroke Care in Dementia: A Cohort Study from the Swedish Dementia and Stroke Registries.
Publication TypeJournal Article
Year of Publication2018
AuthorsZupanic, E, Kåreholt, I, Norrving, B, Secnik, J, von Euler, M, Winblad, B, Religa, D, Kramberger, MGregoric, Johnell, K, Eriksdotter, M, Garcia-Ptacek, S
JournalJ Alzheimers Dis
Volume66
Issue1
Pagination185-194
Date Published2018
ISSN1875-8908
Abstract

BACKGROUND: Previous studies have shown that patients with dementia receive less testing and treatment for stroke.

OBJECTIVES: Our aim was to investigate hospital management of acute ischemic stroke in patients with and without dementia.

METHODS: Retrospective analysis of prospectively collected data 2010-2014 from the Swedish national dementia registry (SveDem) and the Swedish national stroke registry (Riksstroke). Patients with dementia who suffered an acute ischemic stroke (AIS) (n = 1,356) were compared with matched non-dementia AIS patients (n = 6,755). Outcomes included length of stay in a stroke unit, total length of hospitalization, and utilization of diagnostic tests and assessments.

RESULTS: The median age at stroke onset was 83 years. While patients with dementia were equally likely to be directly admitted to a stroke unit as their non-dementia counterparts, their stroke unit and total hospitalization length were shorter (10.5 versus 11.2 days and 11.6 versus 13.5, respectively, p 

CONCLUSIONS: Patients with dementia who suffer an ischemic stroke have equal access to direct stroke unit care compared to non-dementia patients; however, on average, their stay in a stroke unit and total hospitalization are shorter. Dementia patients are also less likely to receive specific diagnostic tests and assessments by the interdisciplinary stroke team.

DOI10.3233/JAD-180653
Alternate JournalJ. Alzheimers Dis.
PubMed ID30248059
PubMed Central IDPMC6294591
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Source URL: https://www.j-alz.com/content/acute-stroke-care-dementia-cohort-study-swedish-dementia-and-stroke-registries