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Long-Term Trends in Stroke Survivors Discharged to Care Homes: The South London Stroke Register

Clery, Amanda; Bhalla, Ajay; Bisquera, Alessandra; Skolarus, Lesli E.; Marshall, Iain; McKevitt, Christopher; Rudd, Anthony; Sackley, Catherine; Martin, Finbarr C.; Manthorpe, Jill; Wolfe, Charles; Wang, Yanzhong

Long-Term Trends in Stroke Survivors Discharged to Care Homes: The South London Stroke Register Thumbnail


Authors

Amanda Clery

Ajay Bhalla

Alessandra Bisquera

Lesli E. Skolarus

Iain Marshall

Christopher McKevitt

Anthony Rudd

Catherine Sackley

Finbarr C. Martin

Jill Manthorpe

Charles Wolfe

Yanzhong Wang



Abstract

Background and Purpose—

Care homes provide care to many stroke survivors, yet little is known about changes in care home use over time. We aim to determine trends in discharge to care homes, to explore the characteristics of stroke survivors over time (1995–2018), and to identify the associations between these characteristics and discharge to care homes poststroke.

Methods—

Using data from the South London Stroke Register between 1995 and 2018, we estimated the proportions discharged to care homes and their characteristics over time, assessed by tests for trends. Multivariable logistic regression models were built to assess the associations between their characteristics and discharge destination.

Results—

Of 4172 stroke survivors, 484 (12%) were discharged to care homes. This proportion has decreased from 24% in 1995 to 2000 to 5% in 2013 to 2018. The mean age of those discharged to care homes has increased over time, from 73 to 75 (P

Citation

Clery, A., Bhalla, A., Bisquera, A., Skolarus, L. E., Marshall, I., McKevitt, C., …Wang, Y. (2020). Long-Term Trends in Stroke Survivors Discharged to Care Homes: The South London Stroke Register. Stroke, 51(1), 179-185. https://doi.org/10.1161/strokeaha.119.026618

Journal Article Type Article
Acceptance Date Oct 2, 2019
Online Publication Date Nov 6, 2019
Publication Date 2020-01
Deposit Date Nov 12, 2020
Publicly Available Date Mar 28, 2024
Journal Stroke
Print ISSN 0039-2499
Electronic ISSN 1524-4628
Publisher American Heart Association
Peer Reviewed Peer Reviewed
Volume 51
Issue 1
Pages 179-185
DOI https://doi.org/10.1161/strokeaha.119.026618
Keywords Advanced and Specialised Nursing; Clinical Neurology; Cardiology and Cardiovascular Medicine
Public URL https://nottingham-repository.worktribe.com/output/5037079
Publisher URL https://www.ahajournals.org/doi/10.1161/STROKEAHA.119.026618

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