Quality of care for ischemic stroke in China vs India: Findings from national clinical registries.

Neurology
Zixiao LiAneesh B Singhal

Abstract

To understand stroke risk factors, status of stroke care, and opportunities for improvement as China and India develop national strategies to address their disproportionate and growing burden of stroke. We compared stroke risk factors, acute management, adherence to quality performance measures, and clinical outcomes among hospitalized ischemic stroke patients using data from the Indo-US Collaborative Stroke Project (IUCSP) and China National Stroke Registry-II (CNSR-II). The IUCSP included 5 academic stroke centers from different geographic regions (n = 2,066). For comparison, the CNSR-II dataset was restricted to 31 academic hospitals among 219 participating sites from 31 provinces (n = 1,973). Indian patients were significantly younger, had health insurance less often, and had significantly different risk factors (more often diabetes mellitus, dyslipidemia, and coronary heart disease; less often prior stroke, hypertension, atrial fibrillation, and smoking). Hospitalized Indian patients had greater stroke severity (median NIH Stroke Scale score 10 vs 4), higher rates of IV thrombolysis within 3 hours (7.5% vs 2.4%), greater in-hospital mortality (7.9% vs 1.2%), and worse outcome (3-month modified Rankin Scale score 0-2, 49.3%...Continue Reading

References

Apr 9, 2004·The New England Journal of Medicine·Jack V TuUNKNOWN Investigators in the Registry of the Canadian Stroke Network
Apr 23, 2011·Stroke; a Journal of Cerebral Circulation·Yilong WangUNKNOWN China National Stroke Registry Investigators
Jan 17, 2012·Stroke; a Journal of Cerebral Circulation·Haiqiang JinUNKNOWN ChinaQUEST (Quality Evaluation of Stroke Care and Treatment) Investigators
Jan 8, 2014·Journal of Stroke·Jeyaraj Durai Pandian, Paulin Sudhan
Sep 10, 2014·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A MalmivaaraU Häkkinen
Jun 14, 2016·Lancet Neurology·Valery L FeiginUNKNOWN Global Burden of Diseases, Injuries and Risk Factors Study 2013 and Stroke Experts Writing Group
Oct 26, 2016·Stroke; a Journal of Cerebral Circulation·Zixiao LiUNKNOWN China National Stroke Registries
Oct 19, 2017·Journal of Stroke·Narayanaswamy VenketasubramanianJose C Navarro
Nov 18, 2017·Stroke; a Journal of Cerebral Circulation·Zixiao LiYongjun Wang
Nov 24, 2017·Stroke; a Journal of Cerebral Circulation·P N SylajaAneesh B Singhal
Jan 13, 2018·Neurology India·Dheeraj KhuranaAneesh B Singhal

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Citations

Jun 23, 2020·Stroke; a Journal of Cerebral Circulation·M V Padma SrivastavaMayank Goyal

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