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Positive correlation between care given by specialists and registered nurses and improved outcomes for stroke patients

Authors
 Kyu Tae Han  ;  Sun Jung Kim  ;  Sung In Jang  ;  Seung Ju Kim  ;  Seo Yoon Lee  ;  Hyo Jung Lee  ;  Eun Cheol Park 
Citation
 JOURNAL OF THE NEUROLOGICAL SCIENCES, Vol.353(1-2) : 137-142, 2015 
Journal Title
 JOURNAL OF THE NEUROLOGICAL SCIENCES 
ISSN
 0022-510X 
Issue Date
2015
MeSH
Adult ; Age Factors ; Aged ; Analysis of Variance ; Caregivers* ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Nurses* ; Patient Discharge/statistics & numerical data ; Patient Readmission/statistics & numerical data ; Republic of Korea ; Specialization* ; Statistics as Topic* ; Stroke/nursing* ; Treatment Outcome*
Keywords
Death ; Quality of care ; Readmission ; Registered nurse ; Specialist ; Stroke
Abstract
BACKGROUND: Cerebrovascular diseases are the second-highest cause of death in South Korea (9.6% of all causes of mortality in 2013). South Korea has a shortage of trained medical personnel compared with other countries and the demands for health care are continuously increasing. Our study sought to determine the relationship between hospital human resources and the outcomes of stroke patients. METHODS: We used data from NHI claims (n=99,464) at 120 hospitals to analyze readmission or death within 30 days after discharge or hospitalization for stroke patients during 2010-2013. We used multilevel models that included both patient-level and hospital-level variables to examine factors associated with readmission or death within 30 days. RESULTS: A total of 1782 (1.8%) patients were readmitted within 30 days, and death occurred within 30 days for 6926 (7.0%) patients. Patients cared for by a higher percentages of specialists or registered nurses had a lower risk of readmission or death within 30 days (readmission per 10% increase in registered nurses, OR=0.89 and SD=0.85-0.94; death per 10% increase in specialists, OR=0.93 and SD=0.89-0.98). CONCLUSIONS: The percentages of specialist and registered nurses caring for stroke patients were positively correlated with better patient outcomes, particularly for patients with cerebral infarction.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022510X15002440
DOI
10.1016/j.jns.2015.04.034
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Jang, Sung In(장성인) ORCID logo https://orcid.org/0000-0002-0760-2878
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140189
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