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dc.contributor.authorChumbler, Neale R.
dc.contributor.authorJia, Huanguang
dc.contributor.authorPhipps, Michael S.
dc.contributor.authorLi, Xinli
dc.contributor.authorOrdin, Diana
dc.contributor.authorWilliams, Linda S.
dc.contributor.authorMyers, Laura J.
dc.contributor.authorBravata, Dawn M.
dc.contributor.authorChumbler, Neale R.
dc.contributor.authorJia, Huanguang
dc.contributor.authorPhipps, Michael S.
dc.contributor.authorLi, Xinli
dc.contributor.authorOrdin, Diana
dc.contributor.authorWilliams, Linda S.
dc.contributor.authorMyers, Laura J.
dc.contributor.authorBravata, Dawn M.
dc.date2013-01-01
dc.date.accessioned2018-06-10T21:42:59Z
dc.date.available2018-06-10T21:42:59Z
dc.description.abstractThis study examined whether age disparities existed across postdischarge quality indicators (QIs) for veterans with ischemic stroke who received care at Department of Veterans Affairs medical centers (VAMCs). This retrospective cohort included a national sample of 3,196 veterans who were diagnosed with ischemic stroke and received acute and postdischarge stroke care at 127 VAMCs in fiscal year 2007 (10/1/06 through 9/30/07). Data included an assessment of postdischarge stroke QIs in the outpatient setting during the 6 mo postdischarge. The QIs included measurement of and goal achievement for (1) blood pressure, (2) serum international normalized ratio (INR) for all patients discharged on warfarin, (3) cholesterol (low-density lipoprotein [LDL]) levels, (4) serumglycosylated hemoglobin, and (5) depression treatment. The mean age for the 3,196 veterans included in this study was 67.2 +/- 11.3 yr. Before risk adjustment, there were age differences in (1) depression screening/treatment, (2) blood pressure goals, and (3) LDL levels. After we adjusted for patient sociodemographic, clinical, and facility-level characteristics by using hierarchical linear mixed modeling, none of these differences remained significant but INR goals for patients discharged on warfarin differed significantly by age. After we adjusted for patient and facility characteristics, fewer age differences were found in the postdischarge stroke QIs. Clinical trial registration was not required.
dc.identifier.doi10.1682/JRRD.2011.08.0145
dc.identifier.urihttps://hdl.handle.net/20.500.11919/1617
dc.languageEnglish
dc.publisherUniversity of Wyoming. Libraries
dc.relation.ispartofFaculty Publications - Nursing
dc.sourceNursing Faculty Publications
dc.subjectQuality of Health Care; Patient Discharge; After Care; Stroke -- Therapy; United States Department of Veterans Affairs; Healthcare Disparities
dc.subjectMedicine and Health Sciences
dc.titlePostdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients?
dc.typeJournal contribution
dcterms.title.journalJournal of Rehabilitation Research & Development
thesis.degree.disciplineHealth Sciences


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