TY  - JOUR
A1  - Wiedmann, Silke
A1  - Heuschmann, Peter U.
A1  - Hillmann, Steffi
A1  - Busse, Otto
A1  - Wiethoelter, Horst
A1  - Walter, Georg M.
A1  - Seidel, Guenter
A1  - Misselwitz, Bjoern
A1  - Janssen, Alfred
A1  - Berger, Klaus
A1  - Burmeister, Christoph
A1  - Matthias, Christine
A1  - Kolominsky-Rabas, Peter
A1  - Hermanek, Peter
T1  - The Quality of Acute Stroke Care-an Analysis of Evidence-Based Indicators in 260 000 Patients
JF  - Deutsches Ärzteblatt International
N2  - Background: Stroke patients should be cared for in accordance with evidence-based guidelines. The extent of implementation of guidelines for the acute care of stroke patients in Germany has been unclear to date. Methods: The regional quality assurance projects that cooperate in the framework of the German Stroke Registers Study Group (Arbeitsgemeinschaft Deutscher Schlaganfall-Register, ADSR) collected data on the care of stroke patients in 627 hospitals in 2012. The quality of the acute hospital care of patients with stroke or transient ischemic attack (TIA) was assessed on the basis of 15 standardized, evidence-based quality indicators and compared across the nine participating regional quality assurance projects. Results: Data were obtained on more than 260 000 patients nationwide. Intravenous thrombolysis was performed in 59.7% of eligible ischemic stroke patients patients (range among participating projects, 49.7-63.6%). Dysphagia screening was documented in 86.2% (range, 74.8-93.1%). For the following indicators, the defined targets were not reached for all of Germany: antiaggregation within 48 hours, 93.4% (range, 86.6-96.4%); anticoagulation for atrial fibrillation, 77.6% (range, 72.4-80.1%); standardized dysphagia screening, 86.2% (range, 74.8-93.1%); oral and written information of the patients or their relatives, 86.1% (range, 75.4-91.5%). The rate of patients examined or treated by a speech therapist was in the target range. Conclusion: The defined targets were reached for most of the quality indicators. Some indicators, however, varied widely across regional quality assurance projects. This implies that the standardization of care for stroke patients in Germany has not yet been fully achieved.
KW  - Hesse
KW  - study-group ADSR
KW  - ischemic-stroke
KW  - Germany
KW  - implementation
KW  - rehabilitation
Y1  - 2014
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-114747
SN  - 1866-0452
VL  - 111
IS  - 45
ER  -