Home-time is a feasible and valid stroke outcome measure in national datasets

McDermid, I., Barber, M., Dennis, M., Langhorne, P. , Macleod, M. J., McAlpine, C. H. and Quinn, T. J. (2019) Home-time is a feasible and valid stroke outcome measure in national datasets. Stroke, 50(5), pp. 1282-1285. (doi:10.1161/STROKEAHA.118.023916) (PMID:30896358)

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Abstract

Background and Purpose— Home-time (HT) is a stroke outcome measure based on time spent at home after stroke. We hypothesized that HT assessment would be feasible and valid using national data. Methods— We linked the Scottish Stroke Care Audit to routine healthcare data and calculated 90-day HT for all strokes, 2005 to 2017. We described prognostic validity (Spearman rank correlation) of HT to baseline factors. Results— We were able to calculate HT for 101 969 strokes (99.3% of total Scottish strokes). Mean HT was 46 days (95% CI, 45.8–46.2; range, 0–90). HT showed consistent correlation with our prespecified prognostic factors: age: ρ, −0.35 (95% CI, −0.35 to −0.36); National Institutes of Health Stroke Scale score, −0.54 (95% CI, −0.52 to −0.55); and 6 simple variables (ordinal), −0.61 (95% CI, −0.61 to −0.62). Conclusions— HT can be derived at scale using routine clinical data and appears to be a valid proxy measure of functional recovery. Other national databases could use HT as a time and cost efficient measure of medium and longer-term outcomes.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Langhorne, Professor Peter and McAlpine, Dr Christine and Quinn, Dr Terry
Authors: McDermid, I., Barber, M., Dennis, M., Langhorne, P., Macleod, M. J., McAlpine, C. H., and Quinn, T. J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Stroke
Publisher:American Heart Association
ISSN:0039-2499
ISSN (Online):1524-4628
Published Online:21 March 2019
Copyright Holders:Copyright © 2019 American Heart Association, Inc.
First Published:First published in Stroke 50(5):1282-1285
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
686211Joint Stroke Association/Chief Scientist Office Senior Clinical LectureshipTerence QuinnStroke Association (STROKEAS)TSA15LECT05RI CARDIOVASCULAR & MEDICAL SCIENCES