title: The quality of diabetes care following hospitalization for ischemic stroke.
abstract: BACKGROUND
  Follow-up is critically important for stroke survivors with diabetes, yet there is limited research about the quality of diabetes care that these patients receive. We investigated performance on diabetes quality of care indicators for stroke survivors overall and by race.
  
  
  METHODS
  Claims data was extracted for 1,460 Medicare beneficiaries with preexisting diabetes who survived hospitalization for acute ischemic stroke in 2000. Adjusted probabilities of receiving HbA1c, LDL and dilated eye exams were estimated using logistic regression.
  
  
  RESULTS
  53% had a dilated eye exam, 60% received an LDL check, 73% percent had their HbA1c checked at least once and only 51% received two or more HbA1c checks. In the unadjusted results, blacks were significantly less likely than whites to receive these tests.
  
  
  CONCLUSIONS
  Care of stroke survivors, particularly blacks, shows gaps according to guidelines.
authors.affiliation: Department of Population Health Sciences, Geriatrics Division, University of Wisconsin School of Medicine and Public Health, Madison, Wisc., USA. nancy.pandhi@fammed.wisc.edu
authors.forename: Nancy
authors.initials: N
authors.lastname: Pandhi
authors.forename: Maureen A
authors.initials: MA
authors.lastname: Smith
authors.forename: Amy J H
authors.initials: AJ
authors.lastname: Kind
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Frytak
authors.forename: Michael D
authors.initials: MD
authors.lastname: Finch
mesh_terms: D000208:Acute Disease; D001741:Black or African American; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002545:Brain Ischemia / Q000208:ethnology / Q000401:mortality / Q000628:therapy*; D048909:Diabetes Complications / Q000208:ethnology / Q000401:mortality / Q000628:therapy*; D003920:Diabetes Mellitus / Q000097:blood / Q000208:ethnology / Q000401:mortality / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D019983:Guideline Adherence; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008077:Lipoproteins, LDL / Q000097:blood; D008297:Male; D006278:Medicare; D009184:Mydriatics; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000706:statistics & numerical data; D020521:Stroke / Q000208:ethnology / Q000401:mortality / Q000628:therapy*; D014481:United States / Q000453:epidemiology; D044465:White People
chemical_list: D006442:Glycated Hemoglobin; D008077:Lipoproteins, LDL; D009184:Mydriatics; C517652:hemoglobin A1c protein, human