Translational Public Health and Evaluation Division, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-3 Wright Street, Clayton, Victoria 3168, Australia.
School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, New South Wales, Australia.
J Stroke Cerebrovasc Dis. 2021 May;30(5):105707. doi: 10.1016/j.jstrokecerebrovasdis.2021.105707. Epub 2021 Mar 16.
Stroke affects all ages. Despite increased incidence in those <65 years, little is known about age-based differences in inpatient rehabilitation management and outcomes.
To investigate management and outcomes, comparing younger (<65 years) and older (≥65 years) patients with stroke, who received inpatient rehabilitation.
Multicentre, cross-sectional study using data from Australian hospitals who participated in the Stroke Foundation national stroke rehabilitation audit (2016-2018). Chi-square tests compared characteristics and care by age. Multivariable regression models were used to compare outcomes by age (e.g. length of stay). Models were adjusted for sex, stroke type and severity factors.
7,165 audited cases from 127 hospitals; 23% <65 years (66% male; 72% ischaemic stroke). When compared to older patients, younger patients were more likely male (66% vs 52%); identify as Aboriginal or Torres Strait Islander (6% vs 1%); be less disabled on admission; receive psychology (46% vs 34%) input, and community reintegration support, including return to work (OR 1.47, 95% CI 1.03, 2.11), sexuality (OR 1.60, 95% CI 1.39, 1.84) and self-management (OR 1.39, 95% CI 1.23, 1.57) advice. Following adjustment, younger patients had longer lengths of stay (coeff 3.54, 95% CI 2.27, 4.81); were more likely to be independent on discharge (aOR 1.96, 95% CI 1.68, 2.28); be discharged to previous residences (aOR 1.64, 95% CI 1.41, 1.91) and receive community rehabilitation (aOR: 2.27, 95% CI 1.91, 2.70).
Age-related differences exist in characteristics, management and outcomes for inpatients with stroke accessing rehabilitation in Australia.
中风影响所有年龄段。尽管 65 岁以下人群的发病率有所增加，但对于住院康复管理和结果方面的年龄差异知之甚少。
通过比较接受住院康复治疗的年轻（<65 岁）和老年（≥65 岁）中风患者，研究管理和结果。
这是一项多中心、横断面研究，使用了澳大利亚参与中风基金会国家中风康复审计（2016-2018 年）的医院数据。卡方检验比较了年龄的特征和护理。使用多变量回归模型比较了年龄的结果（例如住院时间）。模型调整了性别、中风类型和严重程度因素。
来自 127 家医院的 7165 例审核病例；23%的患者<65 岁（66%为男性；72%为缺血性中风）。与老年患者相比，年轻患者更可能为男性（66%比 52%）；自认为是原住民或托雷斯海峡岛民（6%比 1%）；入院时残疾程度较低；接受心理学（46%比 34%）的投入，以及社区重新融入支持，包括重返工作岗位（OR 1.47，95%CI 1.03，2.11）、性（OR 1.60，95%CI 1.39，1.84）和自我管理（OR 1.39，95%CI 1.23，1.57）建议。调整后，年轻患者的住院时间更长（系数 3.54，95%CI 2.27，4.81）；出院时更有可能独立（aOR 1.96，95%CI 1.68，2.28）；出院到以前的住所（aOR 1.64，95%CI 1.41，1.91）和接受社区康复（aOR：2.27，95%CI 1.91，2.70）。
在澳大利亚接受康复治疗的中风住院患者中，存在与年龄相关的特征、管理和结果差异。
