In London hyperacute care was provided to all patients with

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pandora jewellery Design Analysis of difference in differences between regions with patient level data from the hospital episode statistics database linked to mortality data supplied by the Office for National Statistics.Setting Acute stroke services in Greater Manchester and London, England.Participants 258915 patients with stroke living in urban areas and admitted to hospital in January 2008 to March 2012.Interventions ”Hub and spoke” model for acute stroke care. In London hyperacute care was provided to all patients with stroke. In Greater Manchester hyperacute care was provided to patients presenting within four hours of developing symptoms of stroke.Main outcome measures Mortality from any cause and at any place at 3, 30, and 90 days after hospital admission; length of hospital stay.Results In London there was a significant decline in risk adjusted mortality at 3, 30, and 90 days after admission. pandora jewellery

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