To estimate 1) among patients with stroke, nursing home use attributable to stroke, and 2) the savings in nursing home use, assuming strokes were prevented.
All confirmed cases of first stroke among Rochester, Minnesota, residents from 1987 through 1989 (n=290) and one nonstroke control of same gender and similar age for each patient were followed up in provider-linked medical records and State of Minnesota nursing home files until emigration, death, or December 31,1994.
Data included disability and place of residence at baseline (i.e., date of stroke for each patient and their corresponding control), length of follow-up, cumulative incidence of nursing home admission, proportion of follow-up spent in a nursing home, and number of nursing home days.
Before baseline, patients and controls were similar in the level of disability (mean Rankin=1.7 for patients and 1.6 for controls) and the proportion in a nursing home (11% for both groups).
Among those not in the nursing home at baseline, 5-year cumulative incidence of first admission was 48% for cases versus 20% for controls.
Survival was significantly shorter for cases than for controls ; the proportion of follow-up spent in the nursing home was 20% for cases versus 11% for controls.
When controlling for survival, cases experienced an average of 110 (95% CI, 63 to 156) more nursing home days per person than controls in the first five years. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Nursing, A domicile, Utilisation, Etats Unis, Amérique du Nord, Amérique, Prévention, Incidence, Epidémiologie, Evolution, Adulte, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Nursing, At home, Use, United States, North America, America, Prevention, Incidence, Epidemiology, Evolution, Adult, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0362761
Code Inist : 002B17C. Création : 25/01/1999.