Academic Perspective on Inequalities:Stroke

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Presentation transcript:

Academic Perspective on Inequalities:Stroke Professor Charles Wolfe Lambeth Health Inequalities Conference February 2012

Inequalites Research in Lambeth Stroke Cardiovascular Disease Risk Assessment Psychosis Respiratory Disease Organ Donation Ethnicity, Deprivation Quality of Care Large data set analyses Informatics Platform

Total Stroke Incidence Rates: The South London Stroke Register (617 patients; source population 271,817; 1995-1997) 70 60 Black Incidence rate White 50 Other 40 Overall 30 20 10 <15 25-34 45-54 65-74 >84 Age group (years)

Stroke Incidence in Black and White Ethnic Groups: The South London Stroke Register (2,874 stroke patients; source population 271,817; 1995-2004)

Ethnic differences in survival after stroke: SLSR

South London Stroke Register: Interventions in the acute phase 95-97 n=907 98-00 n=810 01-03 n=757 04-06 n=706 07-09 n=620 p-trend Hospital admission n(%) 745 (82.1) 693 (85.6) 647 (85.5) 658 (93.2) 587 (94.7) <0.001 Stroke unit n(%) 141 (18.9) 245 (35.4) 424 (65.5) 503 (76.4) 460 (78.4) >50% on stroke unit 76 (10.4) 60 (9.1) 306 (49.2) 462 (72.0) 413 (72.0) Brain imaging 759 (85.2) 726 (91.9) 678 (91.8) 674 (98.4) 554 (99.6) Swallow screen n(%) 710 (96.1) 632 (92.7) 584 (90.7) 594 (90.4) 516 (87.9) This table reports on the specific interventions in each time period and the trends over the 15 year period. The proportion of patients admitted to hospital increased significantly over the study period. The majority of patients received brain imaging and there was a statistically significant increase over time.