Nichols, L and Stirling, C and Stankovich, J and Gall, S, Time to treatment following an aneurysmal subarachnoid hemorrhage, rural place of residence and inter-hospital transfers, Australasian Emergency Care, 23, (4) pp. 225-232. ISSN 2588-994X (2020) [Refereed Article]
Copyright 2020 College of Emergency Nursing Australasia. Published by Elsevier Ltd.
Methods: A state-wide retrospective cohort study was established from 2010-2014. Time intervals from ictus to treatment were calculated. Linear regression examined associations between transfer status, place of residence and socioeconomic status and log-transformed times to treatment.
Results: The median (IQR) time to intervention was 13.78 (6.48-20.63) hours. Socioeconomic disadvantage was associated with a 1.52-fold increase in the time to hospital (p<0.05) and a 1.76-fold increase in time to neurosurgical admission (p<0.05). Residing in an outer regional area was associated with a 2.27-fold increase (p<0.05) in time to neurosurgical admission. Inter-hospital transfers were associated with a 6.26-fold increase in time to neurosurgical admission (p<0.05).
Conclusions: The time to treatment was negatively influenced by socioeconomic disadvantage; geographical location and inter-hospital transfers. The urgent transfer of individuals with suspected aSAH is undeniably necessary when neurosurgical services are unavailable locally. The timeliness and organisation of transfers should be reviewed to overcome the potential vulnerability to poor outcomes for people from rural and disadvantaged areas.
|Item Type:||Refereed Article|
|Keywords:||aneurysm, socioeconomic position, subarachnoid hemorrhage, treatment|
|Research Division:||Biomedical and Clinical Sciences|
|Research Group:||Clinical sciences|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Social structure and health|
|UTAS Author:||Nichols, L (Mrs Linda Nichols)|
|UTAS Author:||Stirling, C (Professor Christine Stirling)|
|UTAS Author:||Gall, S (Associate Professor Seana Gall)|
|Deposited By:||Menzies Institute for Medical Research|
Repository Staff Only: item control page