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Outcomes measured by mortality rates, quality of life and degree of autonomy in the first year in stroke units in Spain

Overview of attention for article published in Health and Quality of Life Outcomes, March 2015
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Title
Outcomes measured by mortality rates, quality of life and degree of autonomy in the first year in stroke units in Spain
Published in
Health and Quality of Life Outcomes, March 2015
DOI 10.1186/s12955-015-0230-8
Pubmed ID
Authors

Javier Mar, Jaime Masjuan, Juan Oliva-Moreno, Nuria Gonzalez-Rojas, Virginia Becerra, Miguel Ángel Casado, Covadonga Torres, María Yebenes, Manuel Quintana, Jose Alvarez-Sabín, on behalf of CONOCES Investigators Group

Abstract

The primary objective of this sub analysis of the CONOCES study was to analyse outcomes in terms of mortality rates, quality of life and degree of autonomy over the first year in patients admitted to stroke units in Spain. The secondary objective was to identify the factors determining good prognosis. We studied a sample of patients who had suffered a confirmed stroke and been admitted to a Stroke Unit in the Spanish healthcare system. Socio-demographic and clinical variables and variables related to the level of severity (NIHSS), the level of autonomy (Barthel, modified Rankin) and quality of life (EQ-5D) were recorded at the time of admission and then three months and one year after the event. Factors determining prognosis were analysed using logistic regression and ROC curves. A total of 321 patients were recruited, 33% of whom received thrombolytic treatment, which was associated with better results on the Barthel and the modified Rankin scales and in terms of the risk of death. Mean quality of life measured through EQ-5D improved from 0.57 at discharge to 0.65 one year later. Full autonomy level measured by Barthel index increased from 30.1% at discharge to 52.8% at one year and by the modified Rankin scale from 51% to 71%. The rates for in-hospital and 1-year mortality were 5.9% and 17.4% respectively. Low NIHSS scores were associated with a good prognosis with all the outcome variables. The three instruments applied (NIHSS, Barthel and modified Rankin scales) on admission showed good discriminative ability for patient prognosis in the ROC curves. There has been a change in the prognosis for stroke in Spain in recent years as the quality of life at 1 year observed in our study is clearly higher than that obtained in other Spanish studies conducted previously. Moreover, survival and functional outcome have also improved following the introduction of a new model of care. These results clearly promote extension of the model based on stroke units and reinforced rehabilitation to the majority of the more than 100,000 strokes that occur annually in Spain.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 106 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 2 2%
Unknown 104 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 18 17%
Student > Master 18 17%
Student > Doctoral Student 12 11%
Student > Ph. D. Student 8 8%
Other 6 6%
Other 25 24%
Unknown 19 18%
Readers by discipline Count As %
Medicine and Dentistry 35 33%
Nursing and Health Professions 13 12%
Neuroscience 7 7%
Social Sciences 6 6%
Economics, Econometrics and Finance 4 4%
Other 20 19%
Unknown 21 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 March 2015.
All research outputs
#18,403,994
of 22,796,179 outputs
Outputs from Health and Quality of Life Outcomes
#1,670
of 2,159 outputs
Outputs of similar age
#209,339
of 286,345 outputs
Outputs of similar age from Health and Quality of Life Outcomes
#15
of 20 outputs
Altmetric has tracked 22,796,179 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,159 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 286,345 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 20 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.