Ontario Stroke Evaluation Report 2010: Technical Report.

Hall R, O'Callaghan C, Bayley M, Meyer S, Khan F, Liu Y, Linkewich B, Lumsden J, Willems D
Record ID 32011000206
English
Authors' recommendations: Annual age- and sex-adjusted first-hospital-visit rate for stroke/TIA (transient ischemic attack) per 1,000 population decreased by 23% between 2003/04 and 2007/08 in Ontario, despite an expected increase due to the aging population.Annual age- and sex-adjusted inhospital mortality rates due to stroke decreased by 6% between 2003/04 and 2007/08.More patients received care in stroke centres. More than half were cared for in non-designated centres. Patients admitted for inpatient acute stroke care at non-designated centres were less likely to be discharged to inpatient rehabilitation and have higher mortality.For stroke admissions, the wait time for carotid interventions was reduced significantly; in 2003/04 the median wait time was 41 days, and in 2007/08, it had dropped to 15 days.There was an overall increase in the proportion of stroke patients discharged to inpatient rehabilitation following an acute stroke hospitalization between 2003/04 and 2007/08 (from 20% to 23%), and a decrease going to long-term care (from 8.5% to 7%). However, it is estimated that the proportion discharged to inpatient rehabilitation should be closer to 40%.There was substantial variation in stroke outcomes and practice across Ontario’s 14 Local Health Integration Networks (LHINs).
Details
Project Status: Completed
URL for project: http://www.ices.on.ca/file/OSS_TechReport_Final_interactive_April%2021_update1.pdf
Year Published: 2010
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Critical Care
  • Emergency Service, Hospital
  • Ontario
  • Rehabilitation
  • Stroke
Contact
Organisation Name: Institute for Clinical Evaluative Sciences
Contact Address: Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, G-Wing, Toronto ON, Canada, M5N 3M5. Tel: 416-480-4055; Fax: 416-480-6048
Contact Name: info@ices.on.ca
Contact Email: info@ices.on.ca
Copyright: Institute for Clinical Evaluative Sciences (ICES)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.