Observational studyBMJ open2021
Regional differences in the care and outcomes of acute stroke patients in Australia: an observational study using evidence from the Australian Stroke Clinical Registry (AuSCR).
Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Social determinants of health and stroke care and outcomes: SEQUINS lecture 2025.Equity neuroscience · 2026Article
- Acute Suspected Stroke Clinical Pathway Use in Tasmanian Emergency Departments: A Retrospective Study.Emergency medicine Australasia : EMA · 2026Observational
- Bridging the Distance for Ischaemic Stroke Treatment in Regional Australia: A Retrospective Cohort Study.The Australian journal of rural health · 2026Article
- Variations in Methodological Approaches to Measuring Health Inequalities and Inequities: A Scoping Review of Acute Stroke Pathways.Healthcare (Basel, Switzerland) · 2025Review
- Associations Between Measures of Structural Racism and Receipt of Acute Ischemic Stroke Interventions in the United States.Journal of the American Heart Association · 2025Article
- Enhancing Stroke Recognition: A Comparative Analysis of Balance and Eyes-Face, Arms, Speech, Time (BE-FAST) and Face, Arms, Speech, Time (FAST) in Identifying Posterior Circulation Strokes.Journal of clinical medicine · 2024Article
- Regional access to a centralized extracorporeal membrane oxygenation (ECMO) service in Victoria, Australia.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024Article
- Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P).Journal of clinical medicine · 2024Article
- Stroke and liminality: narratives of reconfiguring identity after stroke and their implications for person-centred stroke care.Frontiers in rehabilitation sciences · 2024Article
- Stroke survivors' perspectives on decision-making about rehabilitation and the prospect of taking recovery-promoting drugs: A qualitative study.Exploratory research in clinical and social pharmacy · 2023Article
- Improving multidisciplinary hospital care for acute cerebral circulation disorders in Kazakhstan.Heliyon · 2023Article
- Factors Associated with Receiving a Discharge Care Plan After Stroke in Australia: A Linked Registry Study.Reviews in cardiovascular medicine · 2022Article
- Trends in direct oral anticoagulant use in patients presenting with acute stroke.Internal medicine journal · 2022Article
- Prioritizing indigenous health equity in health registers: an environmental scan of strategies for equitable ascertainment and quality data.Global health research and policy · 2022Article
- Quality of life and physical activities of daily living among stroke survivors; cross-sectional study.Nursing open · 2022Article
- Telemedicine for Stroke: Quantifying the Long-Term National Costs and Health Benefits.Frontiers in neurology · 2021Article
- Regional Differences in Hospital Costs of Acute Ischemic Stroke in China: Analysis of Data From the Chinese Acute Ischemic Stroke Treatment Outcome Registry.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the processes and outcomes of care in patients who had a stroke treated in urban versus rural hospitals in Australia.
designObservational study using data from a multicentre national registry.
settingData from 50 acute care hospitals in Australia (25 urban, 25 rural) which participated in the Australian Stroke Clinical Registry during the period 2010-2015.
participantsPatients were divided into two groups (urban, rural) according to the Australian Standard Geographical Classification Remoteness Area classification. Data pertaining to 28 115 patients who had a stroke were analysed, of whom 8159 (29%) were admitted to hospitals located within rural areas. PRIMARY AND SECONDARY OUTCOME MEASURES: Regional differences in processes of care (admission to a stroke unit, thrombolysis for ischaemic stroke, discharge on antihypertensive medication and provision of a care plan), and survival analyses up to 180 days and health-related quality of life at 90-180 days.
resultsCompared with those admitted to urban hospitals, patients in rural hospitals less often received thrombolysis (urban 12.7% vs rural 7.5%, p<0.001) or received treatment in stroke units (urban 82.2% vs rural 76.5%, p<0.001), and fewer were discharged with a care plan (urban 61.3% vs rural 44.7%, p<0.001). No significant differences were found in terms of survival or overall self-reported quality of life.
conclusionsRural access to recommended components of acute stroke care was comparatively poorer; however, this did not appear to impact health outcomes at approximately 6 months.
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