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Título:
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Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): an international observational study
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Autores:
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Langhorne, Peter ;
O'Donnell, Martin J. ;
Chin, Siu Lim ;
Zhang, Hongye ;
Xavier, Denis ;
Avezum, Alvaro ;
Mathur, Nandini ;
Turner, Melanie ;
MacLeod, Mary Joan ;
Lopez-Jaramillo, Patricio ;
Damasceno, Albertino ;
Hankey, Graeme J. ;
Dans, Antonio L. ;
Elsayed, Ahmed ;
Mondo, Charles ;
Wasay, Mohammad ;
Czlonkowska, Anna ;
Weimar, Christian ;
Yusufali, Afzal Hussein ;
Hussain, Fawaz Al ;
Lisheng, Liu ;
Diener, Hans-Christoph ;
Ryglewicz, Danuta ;
Pogosova, Nana ;
Iqbal, Romana ;
Diaz, Rafael ;
Yusoff, Khalid ;
Oguz, Aytekin ;
Wang, Xingyu ;
Penaherrera, Ernesto ;
Lanas, Fernando ;
Ogah, Okechukwu S. ;
Ogunniyi, Adesola ;
Iversen, Helle K. ;
Malaga, German ;
Rumboldt, Zvonko ;
Magazi, Daliwonga ;
Nilanont, Yongchai ;
Rosengren, Annika ;
Oveisgharan, Shahram ;
Yusuf, Salim ;
INTERSTROKE collaborators
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Tipo de documento:
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texto impreso
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Editorial:
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Elsevier, 2018-11-30T22:50:35Z
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Nota general:
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info:eu-repo/semantics/restrictedAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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Idiomas:
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Inglés
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Palabras clave:
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Editados por otras instituciones
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Artículos
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Artículos en revistas indizadas
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Resumen:
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BACKGROUND: Stroke disproportionately affects people in low-income and middle-income countries. Although improvements in stroke care and outcomes have been reported in high-income countries, little is known about practice and outcomes in low and middle-income countries. We aimed to compare patterns of care available and their association with patient outcomes across countries at different economic levels. METHODS: We studied the patterns and effect of practice variations (ie, treatments used and access to services) among participants in the INTERSTROKE study, an international observational study that enrolled 13?447 stroke patients from 142 clinical sites in 32 countries between Jan 11, 2007, and Aug 8, 2015. We supplemented patient data with a questionnaire about health-care and stroke service facilities at all participating hospitals. Using univariate and multivariate regression analyses to account for patient casemix and service clustering, we estimated the association between services available, treatments given, and patient outcomes (death or dependency) at 1 month. FINDINGS: We obtained full information for 12?342 (92%) of 13?447 INTERSTROKE patients, from 108 hospitals in 28 countries; 2576 from 38 hospitals in ten high-income countries and 9766 from 70 hospitals in 18 low and middle-income countries. Patients in low-income and middle-income countries more often had severe strokes, intracerebral haemorrhage, poorer access to services, and used fewer investigations and treatments (p
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En línea:
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http://doi.org/10.1016/S0140-6736(18)30802-X
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