In-hospital stroke mortality, hospital transfers, and referral bias at a rural academic medical center

被引:5
|
作者
Riggs, JE [1 ]
Libell, DP
Hobbs, GR
机构
[1] W Virginia Univ, Hlth Sci Ctr, Dept Neurol, Morgantown, WV 26506 USA
[2] W Virginia Univ, Sch Med, Dept Neurol, Stroke Team, Morgantown, WV 26506 USA
[3] W Virginia Univ, Dept Stat, Morgantown, WV 26506 USA
[4] W Virginia Univ, Dept Community Med, Morgantown, WV 26506 USA
来源
JOURNAL OF RURAL HEALTH | 2002年 / 18卷 / 02期
关键词
D O I
10.1111/j.1748-0361.2002.tb00889.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A chart review of acute stroke (DRG 14) discharges from a rural academic medical center in 1999 was performed because of an observed high in-hospital crude acute stroke mortality rate. An analysis of the results of this chart review demonstrated that the odds ratio of intracerebral hemorrhage in patients who had been transferred from other hospitals was 11.7 compared to intracerebral hemorrhage in nonhospital transfer patients (p < 0.00001). This finding illustrates the potential magnitude and significance of referral bias at a rural academic medical center.
引用
收藏
页码:294 / 297
页数:4
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