BACKGROUND: Prognosis after @entity1779 ( @entity1779 ) is poor and care-limiting decisions may worsen outcomes. AIMS: To determine whether in current @entity64 practice, key acute care decisions are associated with @entity64 subtype ( @entity1779 / @entity63 ) and whether these decisions are independently associated with survival. METHODS: We extracted data describing all @entity64 @entity1 included in a UK quality register between 1 April 2013 and 31 March 2014. Key care decisions in our analyses were transfer to higher level care on admission and palliation in the first 72   h. We used multivariable regression models to test for associations between @entity64 subtype ( @entity1779 / @entity63 ), key care decisions, and survival. RESULTS: A total of 65,818 @entity1 were included in the final analysis. After @entity1779 (n   =   7020/65,818, 10.7%), 10.5% were palliated on the day of admission and 19.3% by 72   h (vs. 0.7% and 3.3% for @entity385 ). Although a greater proportion were admitted directly to higher level care after @entity1779 (3.7% vs. 1.5% for @entity385 ), @entity1779 was not independently associated with the decision to admit to higher level care (adjusted odds ratio (OR): 1.12, 95% confidence interval (95%CI): 0.95-1.31, p   =   0.183). However, @entity1779 was strongly associated with the decision to commence palliative care on the day of admission (OR: 7.27, 95%CI: 6.31-8.37, p   <   0.001). Palliative care was independently associated with risk of @entity204 by 30 days regardless of @entity64 subtype. CONCLUSIONS: When compared to @entity385 , @entity1 with @entity1779 are much more likely to commence palliative care during the first 72   h of their care, independent of level of consciousness, age, and premorbid health.

Care-limiting decisions in XXXX and association with survival: analyses of UK national quality register data.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['UK stroke', 'stroke'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['ICH', 'intracerebral hemorrhage'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke']
@entity64 :: (MESH:D020521,Disease) :: ['acute stroke']
