Temporal Changes in the Quality of Acute Stroke Care in Five National Audits across Europe
Joint Authors
Hillmann, Steffi
Wiedmann, Silke
Fraser, Alec
Baeza, Juan
Rudd, Anthony
Norrving, Bo
Asplund, Kjell
Niewada, Maciej
Dennis, Martin
Hermanek, Peter
Heuschmann, Peter U.
Wolfe, Charles D. A.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-09
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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.
The association between introducing a specific measure and higher adherence over time might indicate that monitoring of stroke care performance contributes to improving quality of care.
American Psychological Association (APA)
Hillmann, Steffi& Wiedmann, Silke& Fraser, Alec& Baeza, Juan& Rudd, Anthony & Norrving, Bo…[et al.]. 2015. Temporal Changes in the Quality of Acute Stroke Care in Five National Audits across Europe. BioMed Research International،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1055470
Modern Language Association (MLA)
Hillmann, Steffi…[et al.]. Temporal Changes in the Quality of Acute Stroke Care in Five National Audits across Europe. BioMed Research International No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1055470
American Medical Association (AMA)
Hillmann, Steffi& Wiedmann, Silke& Fraser, Alec& Baeza, Juan& Rudd, Anthony & Norrving, Bo…[et al.]. Temporal Changes in the Quality of Acute Stroke Care in Five National Audits across Europe. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1055470
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055470