May 9, 2022Frontiers in NeurologyOpen Access

Favorable mRS at discharge (<3) was significantly higher in urban areas (63.03%) compared to semi-urban (48.75%) and rural areas (31.35%) (global p=0.0000), with higher lethality in rural (13.56%) vs urban patients (10.64%).

View Full Paper

Ask AI

Bookmark

Why the study?

Information is scarce in Latin America regarding factors related to stroke patient outcomes in rural versus urban areas.

Comparison

Rural vs semi-urban vs urban origin

Design

Prospective cohort study

Follow-up

3 months

Authors

NLNatalia Llanos‐Leyton CPCarlos A. Pardo GPGabriel David Pinilla-Monsalve

Discussion

Member takes

Overview

Rural stroke patients had worse functional outcomes; leaves open whether regional networks can reduce disparities in Latin America.

Structured PICO

Population

555 acute stroke patients (432 with ischemic stroke) over 18 years old admitted to a high complexity hospital in southwestern Colombia within a stroke code context, including 357 from urban, 80 from semi-urban, and 118 from rural areas.

Outcome

Change in modified Rankin scale (mRS) between onset and discharge/3-months follow-uphard clinical

Acute stroke patients from rural areas experience worse functional outcomes and higher mortality at discharge and 3 months compared to urban patients, highlighting significant pre-hospital and healthcare access disparities.

Limitations

Small sample size compared to international studies
Potential bias from prospective data collection after institutional code-stroke creation
Loss to follow-up due to telephone changes
Single-center study
Lack of data in rural hospitals about stroke cases
Potential underdiagnosis and information biases for dyslipidemia in rural patients

Cite This Study

Llanos‐Leyton et al. (2022) studied this question.

synapsesocial.com/papers/6a7951608d250a4360f37a51 https://doi.org/10.3389/fneur.2022.869772

View Full Paper

Ask AI

Bookmark

May 9, 2022Frontiers in NeurologyOpen Access

Favorable mRS at discharge (<3) was significantly higher in urban areas (63.03%) compared to semi-urban (48.75%) and rural areas (31.35%) (global p=0.0000), with higher lethality in rural (13.56%) vs urban patients (10.64%).

View Full Paper

Ask AI

Bookmark

Why the study?

Information is scarce in Latin America regarding factors related to stroke patient outcomes in rural versus urban areas.

Comparison

Rural vs semi-urban vs urban origin

Design

Prospective cohort study

Follow-up

3 months

Authors

NLNatalia Llanos‐Leyton CPCarlos A. Pardo GPGabriel David Pinilla-Monsalve

Discussion

Member takes

Overview

Rural stroke patients had worse functional outcomes; leaves open whether regional networks can reduce disparities in Latin America.

Structured PICO

Population

Outcome

Change in modified Rankin scale (mRS) between onset and discharge/3-months follow-uphard clinical

Limitations

Small sample size compared to international studies
Potential bias from prospective data collection after institutional code-stroke creation
Loss to follow-up due to telephone changes
Single-center study
Lack of data in rural hospitals about stroke cases
Potential underdiagnosis and information biases for dyslipidemia in rural patients

Cite This Study

Llanos‐Leyton et al. (2022) studied this question.

synapsesocial.com/papers/6a7951608d250a4360f37a51 https://doi.org/10.3389/fneur.2022.869772

View Full Paper

Ask AI

Bookmark