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.
| Original language | English |
|---|---|
| Pages (from-to) | 137-142 |
| Number of pages | 6 |
| Journal | Journal of the Neurological Sciences |
| Volume | 353 |
| Issue number | 1-2 |
| DOIs | |
| Publication status | Published - 2015 Jun 15 |
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All Science Journal Classification (ASJC) codes
- Neurology
- Clinical Neurology
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Positive correlation between care given by specialists and registered nurses and improved outcomes for stroke patients. / Han, Kyu Tae; Kim, Sun Jung; Jang, Sung In; Kim, Seung Ju; Lee, Seo Yoon; Lee, Hyo Jung; Park, Eun Cheol.
In: Journal of the Neurological Sciences, Vol. 353, No. 1-2, 15.06.2015, p. 137-142.Research output: Contribution to journal › Article
TY - JOUR
T1 - Positive correlation between care given by specialists and registered nurses and improved outcomes for stroke patients
AU - Han, Kyu Tae
AU - Kim, Sun Jung
AU - Jang, Sung In
AU - Kim, Seung Ju
AU - Lee, Seo Yoon
AU - Lee, Hyo Jung
AU - Park, Eun Cheol
PY - 2015/6/15
Y1 - 2015/6/15
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84929993760&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929993760&partnerID=8YFLogxK
U2 - 10.1016/j.jns.2015.04.034
DO - 10.1016/j.jns.2015.04.034
M3 - Article
C2 - 25958265
AN - SCOPUS:84929993760
VL - 353
SP - 137
EP - 142
JO - Journal of the Neurological Sciences
JF - Journal of the Neurological Sciences
SN - 0022-510X
IS - 1-2
ER -