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Relationship between physician specialty and the selection and outcome of ischemic stroke patients.

Publication ,  Journal Article
Horner, RD; Matchar, DB; Divine, GW; Feussner, JR
Published in: Health Serv Res
June 1995

OBJECTIVE: This study compares the initial characteristics, in-hospital treatment, and outcomes of stroke patients managed by neurologists versus non-neurologists. DATA SOURCES/STUDY SETTING: An inception cohort of 146 patients hospitalized with their first stroke at a private, a university, or a Veterans Affairs hospital. STUDY DESIGN: A prospective, hospital-based, multisite cohort study design is used to ascertain the patients' initial 180-day in-hospital and postdischarge experience. DATA COLLECTION/EXTRACTION METHODS: Data were collected on patient demographics, disease severity, and risk factors for stroke; diagnostic tests and pharmacologic management; one-month and six-month all-cause and cause-specific mortality; and physical and functional impairment. PRINCIPAL FINDINGS: The 88 patients (60 percent) admitted to the neurology services of the study hospitals had better prognostic profiles, i.e., lower likelihood of having either completed stroke or cardiac comorbidity, and were less likely to die within one and six months of stroke onset. CONCLUSIONS: Substantial systematic differences in the types of patients managed by neurologists versus other specialists may preclude comparison of outcomes of care.

Duke Scholars

Published In

Health Serv Res

ISSN

0017-9124

Publication Date

June 1995

Volume

30

Issue

2

Start / End Page

275 / 287

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survival Analysis
  • Severity of Illness Index
  • Prospective Studies
  • Prognosis
  • Practice Patterns, Physicians'
  • Outcome Assessment, Health Care
  • North Carolina
  • Neurology
  • Middle Aged
 

Citation

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Horner, R. D., Matchar, D. B., Divine, G. W., & Feussner, J. R. (1995). Relationship between physician specialty and the selection and outcome of ischemic stroke patients. Health Serv Res, 30(2), 275–287.
Horner, R. D., D. B. Matchar, G. W. Divine, and J. R. Feussner. “Relationship between physician specialty and the selection and outcome of ischemic stroke patients.Health Serv Res 30, no. 2 (June 1995): 275–87.
Horner RD, Matchar DB, Divine GW, Feussner JR. Relationship between physician specialty and the selection and outcome of ischemic stroke patients. Health Serv Res. 1995 Jun;30(2):275–87.
Horner, R. D., et al. “Relationship between physician specialty and the selection and outcome of ischemic stroke patients.Health Serv Res, vol. 30, no. 2, June 1995, pp. 275–87.
Horner RD, Matchar DB, Divine GW, Feussner JR. Relationship between physician specialty and the selection and outcome of ischemic stroke patients. Health Serv Res. 1995 Jun;30(2):275–287.
Journal cover image

Published In

Health Serv Res

ISSN

0017-9124

Publication Date

June 1995

Volume

30

Issue

2

Start / End Page

275 / 287

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survival Analysis
  • Severity of Illness Index
  • Prospective Studies
  • Prognosis
  • Practice Patterns, Physicians'
  • Outcome Assessment, Health Care
  • North Carolina
  • Neurology
  • Middle Aged