Profile and outcome of post stroke patients managed at selected public primary care health centres in Peninsular Malaysia: A retrospective observational study
Profile and outcome of post stroke patients managed at selected public primary care health centres in Peninsular Malaysia: A retrospective observational study
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DOI：
10.1038/s41598-018-36154-0
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发表时间：
2018-12-19
影响因子：
4.6
通讯作者：
Aljunid, Syed Mohamed
中科院分区：
文献类型：
--
作者：
Aziz, Aznida Firzah Abdul;Ali, Mohd Fairuz;Aljunid, Syed Mohamed
发展中国家卒中后结局的数据很少，原因是医疗服务系统不协调。在马来西亚，国家卒中临床实践指南未涉及三级护理以外的护理转移和长期卒中后护理。因此，中风后护理可以在三级或初级护理机构提供。本研究旨在描述马来西亚半岛公共初级保健中心的初级保健团队提供的卒中后护理的患者特征和结果。采用多阶段抽样方法，选择公立初级保健中心招募中风后患者。在每个健康中心，进行方便抽样，以招募2012年7月至12月期间接受卒中后护理的成年患者（≥ 18岁）。在招募时记录基线测量结果，同时进行回顾性病历审查，以了解医疗中心医疗和/或康复治疗的详细信息。在适当情况下，使用配对t检验和Wilcoxon秩检验比较卒中后护理测量值的变化。从10个公共初级保健中心共招募了151名患者。卒中发生时的平均年龄为55.8 ± 9.8岁。中位随访时间为2.3（IQR 5.1）年。大多数人与亲戚同住（80.8%），家庭成员是主要照顾者（75.8%）。11%的人现在吸烟。几乎71.0%的患者达到BP
Data on post stroke outcomes in developing countries are scarce due to uncoordinated healthcare delivery systems. In Malaysia, the national stroke clinical practice guideline does not address transfer of care and longer term post stroke care beyond tertiary care. Hence, post stroke care delivery may be delivered at either tertiary or primary care facilities. This study aimed at describing patients' characteristics and outcomes of post stroke care delivered by the primary care teams at public primary care healthcentres across Peninsular Malaysia. Multi staged sampling was done to select public primary care health centres to recruit post stroke patients. At each health centre, convenience sampling was done to recruit adult patients (>= 18 years) who received post stroke care between July-December 2012. Baseline measurements were recorded at recruitment and retrospective medical record review was done simultaneously, for details on medical and / or rehabilitation treatment at health centre. Changes in the measurements for post stroke care were compared using paired t-tests and Wilcoxon Rank test where appropriate. Total of 151 patients were recruited from ten public primary care healthcentres. The mean age at stroke presentation was 55.8 +/- 9.8 years. Median duration of follow up was 2.3 (IQR 5.1) years. Majority co-resided with a relative (80.8%), and a family member was primary caregiver (75.%). Eleven percent were current smokers. Almost 71.0% of patients achieved BP