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dc.contributor.authorValcárcel Nazco, Cristina
dc.contributor.authorAlonso-Modino, D
dc.contributor.authorMontón-Álvarez, F
dc.contributor.authorSabatel-Hernández, R
dc.contributor.authorPastor-Santoveña, M S
dc.contributor.authorMesa-Blanco, P
dc.contributor.authorLópez-Fernández, J C
dc.contributor.authorSerrano-Aguilar, Pedro
dc.date.accessioned2019-02-11T10:38:16Z
dc.date.available2019-02-11T10:38:16Z
dc.date.issued2017-04-18
dc.identifier.citationNeurologia 2017 Apr 18.(17) 30136-6es_ES
dc.identifier.issn02134853es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/7157
dc.description.abstractINTRODUCTION AND OBJECTIVE: Imaging diagnosis is essential for treatment planning in stroke patients. However, use of these techniques varies due to uncertainty about their effectiveness. Our purpose was to describe the use of CT and MRI in stroke and transient ischaemic attack (TIA) over 5years in hospitals belonging to the Canary Islands Health Service and analyse interhospital variability based on routinely collected administrative data. PATIENTS AND METHOD: We gathered the minimum basic dataset (MBDS) from patients diagnosed with stroke or TIA between 2005 and 2010 in 4hospitals. Patients' age, sex, procedures, secondary diagnoses, and duration of hospital stay were also recorded. We conducted a descriptive analysis of patient characteristics and a bivariate analysis using the t test and the chi square test to detect differences between patients assessed and not assessed with MRI. Logistic regression was used to analyse unequal access to MRI. RESULTS AND CONCLUSIONS: Our study included 10,487 patients (8,571 with stroke and 1,916 with TIA). The percentage of stroke patients undergoing a CT scan increased from 89.47% in 2005 to 91.50% in 2010. In these patients, use of MRI also increased from 25.41% in 2005 to 36.02% in 2010. Among patients with TIA, use of CT increased from 84.64% to 88.04% and MRI from 32.53% to 39.13%. According to our results, female sex, younger age, and presence of comorbidities increase the likelihood of undergoing MRI.es_ES
dc.language.isoenges_ES
dc.publisherElsevier es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectComputed tomographyes_ES
dc.subjectDesigualdadeses_ES
dc.subjectIctuses_ES
dc.subjectImaging techniqueses_ES
dc.subjectInequalitieses_ES
dc.subjectMagnetic resonance imaginges_ES
dc.subjectPruebas de imagenes_ES
dc.subjectResonancia nuclear magnéticaes_ES
dc.subjectStrokees_ES
dc.subjectTomografía axial computarizadaes_ES
dc.subjectVariabilidades_ES
dc.subjectVariabilityes_ES
dc.titleVariability in the use of neuroimaging techniques for diagnosis and follow-up of stroke patientses_ES
dc.title.alternativeGrandes variaciones en la utilización de pruebas por imagen en el diagnóstico y seguimiento de los pacientes con ictuses_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID28431835es_ES
dc.identifier.doi10.1016/j.nrl.2017.02.001es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1578-1968es_ES
dc.identifier.journalNeurologia (Barcelona, Spain)es_ES
dc.repisalud.centroISCIII::Unidad de Investigación en Cuidados de Salud (Investén-isciii)es_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 Internacional