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Evaluation of the Possible Impact of Care Network for Stroke and Transient Ischemic Attack on Rates of Recurrence

Author

Listed:
  • Florie Raffe
  • Agnès Jacquin

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Olivier Milleret
  • Jérôme Durier

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Damien Sauze

    (LEG - Laboratoire d'Economie et de Gestion - UB - Université de Bourgogne - CNRS - Centre National de la Recherche Scientifique)

  • Christine Peyron

    (LEG - Laboratoire d'Economie et de Gestion - UB - Université de Bourgogne - CNRS - Centre National de la Recherche Scientifique)

  • Guy Victor Osseby

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Michaël Menassa

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Marie Hervieu

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Fanny Pelissier

    (ACTALIA [Villers-Bocage] - Actalia [Saint-Lô])

  • Pierre Routhier

    (COFRHIGEO - Comité français d'histoire de la géologie)

  • Jean-Noel Beis

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Maurice M. Giroud

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

  • Yannick Béjot

    (CEP - Centre d'épidémiologie des populations - UB - Université de Bourgogne - UNICANCER/CRLCC-CGFL - Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] - UNICANCER)

Abstract

We aimed to demonstrate that a stroke network is able to reduce the proportion of recurrent cerebrovascular events. In 2003, we set up a care network with the aim to reduce the proportion of stroke recurrence. For the statistical analysis, recurrent cerebrovascular events observed from 1985 to 2002 within the population of Dijon made it possible to model trends using Poisson logistic regression. From 1985 to 2002, we recorded 172 recurrent cerebrovascular events which were used to model trends before the creation of the care network. Within the period 2003–2007, we observed 162 recurrent cerebrovascular events compared with 196.7 expected cerebrovascular events with a significant standardized incidence rate of 0.82 (0.70–0.96; p = 0.01). After eliminating the role of some environmental factors, the possible hypothesis for the fall in recurrent stokes is probably the positive effect of the stroke care network.

Suggested Citation

  • Florie Raffe & Agnès Jacquin & Olivier Milleret & Jérôme Durier & Damien Sauze & Christine Peyron & Guy Victor Osseby & Michaël Menassa & Marie Hervieu & Fanny Pelissier & Pierre Routhier & Jean-Noel , 2011. "Evaluation of the Possible Impact of Care Network for Stroke and Transient Ischemic Attack on Rates of Recurrence," Post-Print halshs-01228420, HAL.
    • Handle: RePEc:hal:journl:halshs-01228420
    DOI: 10.1159/000326298
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    Cited by:

    1. Kristel Gache & Henri Leleu & Gérard Nitenberg & France Woimant & Marie Ferrua & Etienne Minvielle, 2014. "Main barriers to effective implementation of stroke care pathways in France: a qualitative study," Post-Print hal-01509874, HAL.

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