1. Academic Perspective on Inequalities:Stroke
Professor Charles Wolfe
Lambeth Health Inequalities Conference
February 2012

2. Inequalites Research in Lambeth
Stroke
Cardiovascular Disease Risk Assessment
Psychosis
Respiratory Disease
Organ Donation
Ethnicity, Deprivation
Quality of Care
Large data set analyses
Informatics Platform

3. Total Stroke Incidence Rates: The South London Stroke Register
(617 patients; source population 271,817; ) 70 60
Black
Incidence rate
White 50
Other 40
Overall 30 20 10
<15
25-34
45-54
65-74
>84
Age group (years)

4. Stroke Incidence in Black and White Ethnic Groups: The South London Stroke Register (2,874 stroke patients; source population 271,817; )

5. Ethnic differences in survival after stroke: SLSR

6. South London Stroke Register: Interventions in the acute phase
95-97
n=907
98-00
n=810
01-03
n=757
04-06
n=706
07-09
n=620
p-trend
Hospital admission n(%)
745 (82.1)
693 (85.6)
647 (85.5)
658 (93.2)
587 (94.7)
<0.001
Stroke unit
n(%)
141 (18.9)
245 (35.4)
424 (65.5)
503 (76.4)
460 (78.4)
>50% on stroke unit
76 (10.4)
60 (9.1)
306 (49.2)
462 (72.0)
413 (72.0)
Brain imaging
759 (85.2)
726 (91.9)
678 (91.8)
674 (98.4)
554 (99.6)
Swallow screen n(%)
710 (96.1)
632 (92.7)
584 (90.7)
594 (90.4)
516 (87.9)
This table reports on the specific interventions in each time period and the trends over the 15 year period. The proportion of patients admitted to hospital increased significantly over the study period. The majority of patients received brain imaging and there was a statistically significant increase over time.