Development and Implementation of Evidence-Based Indicators for Measuring Quality of Acute Stroke Care

Heuschmann, Peter U.; Biegler, M.; Busse, O.; Elsner, Susanne; Grau, Armin J.; Hasenbein, U.; Hermanek, P; Janzen, R. W. C.; Kolominsky-Rabas, Peter; Kraywinkel, Klaus; Lowitzsch, К.; Misselwitz, B.; Nabavi, Darius G.; Otten, K.; Pientka, Ludger; Reutern, G. M. von; Ringelstein, E. B.; Sander, Dirk; Wagner, Markus; Berger, Klaus

doi:10.1161/01.str.0000241086.92084.c0

Cited by 112 publications

(69 citation statements)

References 27 publications

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“…6 Stakeholders (professions and organizations involved in acute stroke care, stroke societies, quality improvement organizations, and patient organizations) were involved by membership of the Quality Indicator Board of the German Stroke Registers Study Group, which provides governance for the register.…”

Section: Methods Used To Derive Quality Indicators In the Registersmentioning

confidence: 99%

Cross-National Key Performance Measures of the Quality of Acute Stroke Care in Western Europe

Norrving

Bray

Asplund

et al. 2015

Stroke

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Background and Purpose-There are no agreed measures of stroke care quality that enable the standardized comparison of stroke care between countries. We aimed to develop a set of measures of quality of acute stroke care involving stroke quality registers in Western Europe. Methods-A multinational working group identified 6 regional or national stroke quality registers in Europe and reviewed their data sets, performance measures, and the method by which these had been developed. Measures used in the registers were presented for discussion to a consensus group of representatives from the quality registers identified, as well as other stroke experts, and the final set of common performance measures was agreed through majority consensus. Results-Thirty final performance measures were agreed by the European consensus group, encompassing the domains of coordination of care (stroke unit-based care), diagnosis (brain imaging, vascular imaging, cardiac arrhythmia detection, and therapy assessment), preservation of neural tissue (thrombolytic therapy and door-to-needle time), prevention of complications (dysphagia screening), initiation of secondary prevention (antiplatelet, anticoagulation, lipid lowering, blood pressure lowering, carotid surgery, time from vascular imaging to carotid surgery, and smoking cessation), survival (90-day poststroke mortality), and functional outcomes (90-day modified Rankin Scale). Conclusions-On the basis of experience of quality registers in Europe, we have proposed a common set of performance measures that will facilitate the international comparison of acute stroke care quality. (Stroke. 2015;46:2891-2895.

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Section: Methods Used To Derive Quality Indicators In the Registersmentioning

confidence: 99%

Cross-National Key Performance Measures of the Quality of Acute Stroke Care in Western Europe

Norrving

Bray

Asplund

et al. 2015

Stroke

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“…15 Based on these data, hospital performance is regularly evaluated using quality indicators developed by the German Stroke Registers Study Group. 16 The participating stroke units currently document ≈9000 patients per year, covering ≈80% of all stroke patients in Berlin.…”

Section: Strokementioning

confidence: 99%

Association Between Socioeconomic Status and Functional Impairment 3 Months After Ischemic Stroke

Grube

Koennecke

Walter

et al. 2012

Stroke

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Background and Purpose-We aimed to analyze the association between patient socioeconomic status and functional impairment 3 months after ischemic stroke and to identify factors that influence this association. Methods-Data were obtained from the Berlin Stroke Register, a network of 14 stroke units in Berlin. Ischemic stroke patients consecutively admitted to 1 of the hospitals in the Berlin Stroke Register between June 2010 and September 2011, were followed-up 3 months after the index event by postal or telephone interview. We used multivariable logistic regression to examine the association between highest education as marker of socioeconomic status and functional impairment after stroke defined by Barthel Index categories. We adjusted for age, sex, prestroke dependency, stroke severity, functional deficit after stroke onset, and comorbidities as possible confounding factors. Results-A total of 1688 ischemic stroke patients who were alive at 3 months and completed the questionnaire were included in the analysis; 40% of the patients were female and 50% of the patients were 70 years or older. Age, prestroke dependency, stroke severity, and the absence of comorbidities were significantly associated with good functional outcome at 3 months. In multivariable analysis, a higher probability of good outcome was observed in patients with college or university degree (odds ratio, 2.18; 95% confidence interval, 1.39-3.42) compared with patients with no completed education. Conclusion-Patients

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“…The comparison of the treatment outcomes in patients with TL during hospitalization between our center and the other centers show that the largest percentage of patients are with favorable or very favorable outcome from the treatment -around 70% (12,13,15).…”

Section: Resultsmentioning

confidence: 89%

Approaches for optimizing medical aid in acute ischemic stroke patients, hospitalized in UMHAT â€žSaint Marina` - Varna

Georgieva-Hristova

Andonova²,

Kalevska³

2016

Scripta Scientifica Salutis Publicae

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In Bulgaria treatment of acute ischemic strokes is performed at neurology or internal diseases wards in smaller hospitals, intensive care wards in state regional hospitals or ischemic stroke units and intensive care wards for treatment of neurological diseases at university hospitals. A prospective study was carried in the period 2009 -2013, with the aim of optimizing the treatment of acute ischemic stroke (AIS) patients, hospitalized at the Neurology Clinic of UMHAT-St. Marina. The gradual introduction of innovative treatment methods including intravenous thrombolysis and endovascular therapy of AIS patients, into everyday clinical practice, as well as organizational restructurations in view of optimizing the care for such patients led to the improvement of some quality indicators.

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Development and Implementation of Evidence-Based Indicators for Measuring Quality of Acute Stroke Care

Cited by 112 publications

References 27 publications

Cross-National Key Performance Measures of the Quality of Acute Stroke Care in Western Europe

Cross-National Key Performance Measures of the Quality of Acute Stroke Care in Western Europe

Association Between Socioeconomic Status and Functional Impairment 3 Months After Ischemic Stroke

Approaches for optimizing medical aid in acute ischemic stroke patients, hospitalized in UMHAT â€žSaint Marina` - Varna

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