Temporal Changes in the Quality of Acute Stroke Care in Five National Audits across Europe

BioMed Research International
Steffi HillmannPeter Heuschmann

Abstract

Background. Data on potential variations in delivery of appropriate stroke care over time are scarce. We investigated temporal changes in the quality of acute hospital stroke care across five national audits in Europe over a period of six years. Methods. Data were derived from national stroke audits in Germany, Poland, Scotland, Sweden, and England/Wales/Northern Ireland participating within the European Implementation Score (EIS) collaboration. Temporal changes in predefined quality indicators with comparable information between the audits were investigated. Multivariable logistic regression analyses were performed to estimate adherence to quality indicators over time. Results. Between 2004 and 2009, individual data from 542,112 patients treated in 538 centers participating continuously over the study period were included. In most audits, the proportions of patients who were treated on a SU, were screened for dysphagia, and received thrombolytic treatment increased over time and ranged from 2-fold to almost 4-fold increase in patients receiving thrombolytic therapy in 2009 compared to 2004. Conclusions. A general trend towards a better quality of stroke care defined by standardized quality indicators was observed over time. Th...Continue Reading

References

Jun 3, 2006·Stroke; a Journal of Cerebral Circulation·Maciej NiewadaUNKNOWN Polish National Stroke Prevention and Treatment Collaborative Group
Dec 21, 2006·American Journal of Preventive Medicine·Mathew J ReevesMathew J Reeves
Dec 21, 2006·American Journal of Preventive Medicine·Peter U HeuschmannUNKNOWN German Stroke Registers Study Group
Aug 22, 2009·Stroke; a Journal of Cerebral Circulation·Gustavo SaposnikUNKNOWN Stroke Outcomes Research Canada (SORCan) Working Group
Mar 5, 2011·International Journal of Stroke : Official Journal of the International Stroke Society·Kjell AsplundPer-Olov Wester
Jun 24, 2011·BMC Research Notes·Annette BoazUNKNOWN European Implementation Score Collaborative Group (EIS)
Dec 14, 2011·Stroke; a Journal of Cerebral Circulation·Silke WiedmannPeter U Heuschmann
Mar 10, 2012·Stroke; a Journal of Cerebral Circulation·Sònia AbilleiraMiquel Gallofré
Jan 17, 2013·Stroke; a Journal of Cerebral Circulation·Kun HuangMoira K Kapral
Jan 30, 2013·Diabetes Care·Davar NikneshanUNKNOWN Stroke Outcomes Research Canada (SORCan) Working Group
May 29, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Moira K KapralJack V Tu
Aug 2, 2013·Neurology·Emer R McGrathUNKNOWN Investigators of the Ontario Stroke Registry
Oct 12, 2013·Clinical Medicine : Journal of the Royal College of Physicians of London·Geoffrey CloudUNKNOWN Intercollegiate Stroke Working Party
Jan 1, 2015·Stroke; a Journal of Cerebral Circulation·Silke WiedmannUNKNOWN European Implementation Score Collaboration

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Citations

Sep 27, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Ataru NishimuraUNKNOWN J-ASPECT study collaborators
Jun 27, 2019·European Stroke Journal·Bo NorrvingValeria Caso
Oct 26, 2018·Stroke; a Journal of Cerebral Circulation·Lizz PaleyUNKNOWN SSNAP Collaboration

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