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Temporal changes in the quality of acute stroke care in five national audits across Europe

Please always quote using this URN: urn:nbn:de:bvb:20-opus-149059
  • 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 auditsBackground. 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.show moreshow less

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Author: Steffi Hillmann, Silke Wiedmann, Alec Fraser, Juan Baeza, Anthony Rudd, Bo Norrving, Kjell Asplund, Maciej Niewada, Martin Dennis, Peter Hermanek, Charles D. A. Wolfe, Peter U. Heuschmann
URN:urn:nbn:de:bvb:20-opus-149059
Document Type:Journal article
Faculties:Medizinische Fakultät / Institut für Klinische Epidemiologie und Biometrie
Language:English
Parent Title (English):BioMed Research International
Year of Completion:2015
Volume:2015
Issue:432497
Source:BioMed Research International Volume 2015, Article ID 432497. DOI: 10.1155/2015/432497
DOI:https://doi.org/10.1155/2015/432497
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Tag:German Stroke Registers Study Group; implementation; indicators; ischemic stroke; mortality; outcomes; registries; thrombolysis
Release Date:2018/11/23
EU-Project number / Contract (GA) number:223153
OpenAIRE:OpenAIRE
Licence (German):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International