Abstract
In a cohort of patients with cerebral infarction, we investigated the factors related to individual patients and the institutions in which they were treated, in relation to management outcome. All of the study patients were registered at 27 institutions in Japan between 2004 and 2007. The correlations between management outcome and patient- and institution-related factors were investigated using multivariate analysis.
Among the patient-related factors, age, NIH stroke score on admission, and hypercholesterolemia significantly affected the management outcome. Among the institution-related factors, the number of clinicians in the neurological and neurosurgical departments significantly affected the management outcome. When the number of clinicians was higher, management outcome was better.
In order to improve the management outcome of patients with cerebral infarction, it is necessary to increase the number of clinicians, and to concentrate them in major stroke care units.
