Evidence map›Paper›PMID 31116786›Full record

ArticlePloS one2019

Association between continuity of care and long-term mortality in Taiwanese first-ever stroke survivors: An 8-year cohort study.

Chun-Pai Yang, Hao-Min Cheng, Mei-Chun Lu, Hui-Chu Lang

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In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Chun-Pai YangDepartment of Neurology, Kuang Tien General Hospital, Taichung, Taiwan.
Hao-Min ChengDepartment of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan.
Mei-Chun LuDepartment of Medical Research, Kuang Tien General Hospital, Taichung, Taiwan.
Hui-Chu LangInstitute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan.ORCID 0000-0003-2762-4385

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuity of care is considered to be an important principle of stroke care; however, few analyses of empirically related outcomes have been reported.

objectiveThis study examined the correlation between the continuity of care for outpatients after a stroke event and the survival of stroke patients over the year following hospital discharge. RESEARCH

designData from the Taiwan National Health Insurance Database were used in this study. We defined stroke as the ICD-9-CM codes 430 to 437, and all patients were followed up regarding their survival for at least one year. The modified modified continuity index (MMCI) was used as the indicator of continuity of care. Cox proportional hazard models with robust sandwich variance estimates were employed to analyze the correlation between continuity of care and stroke-related death.

resultsA total of 9,252 stroke patients were included in the analysis. Those patients who had a high and a completed COC had a higher percentage of survival (97.25% and 95.39%) compared to the other two groups. After controlling for other variables, compared with the low-level continuity of care group, the moderate-level, high-level and completed continuity of care groups still showed a significantly lower risk of death HR (95% CI) were: 0.63 (0.49-0.80), 0.56 (0.40-0.79) and 0.50 (0.39-0.63), respectively.

conclusionContinuity of care may increase the survival among stroke patients and therefore plays an important role in management of stroke after survival.

Indexed as

Continuity of Patient CareAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsStrokeSurvival AnalysisTaiwanYoung Adult

Identifiers

PMID31116786
PMCPMC6530892

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.