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In‐Hospital Stroke Mortality, Hospital Transfers, and Referral Bias at a Rural Academic Medical Center
Author(s) -
Riggs Jack E.,
Libell David P.,
Hobbs Gerald R.
Publication year - 2002
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.2002.tb00889.x
Subject(s) - medicine , intracerebral hemorrhage , emergency medicine , referral , acute stroke , stroke (engine) , odds , odds ratio , medical emergency , center (category theory) , family medicine , subarachnoid hemorrhage , emergency department , logistic regression , nursing , mechanical engineering , chemistry , engineering , crystallography
A chart review of acute stroke (DRG 14) discharges from a rural academic medical center in 1999 was performed because of an observed high in‐hospital crude acute stroke mortality rate An analysis of the results of this chart review demonstrated that the odds ratio of intracerebral hemorrhage in patients who had been transferred from other hospitals was 117 compared to intracerebral hemorrhage in nonhospital transfer patients (p >1) This finding illustrates the potential magnitude and significance of referral bias at a rural academic medical center