Burden of Ischemic Stroke and Benefits of Stroke Unit Care and Thrombolytic Therapy

2012 ◽  
Keyword(s):  
Ischemic Stroke ◽  
Thrombolytic Therapy ◽  
Stroke Unit ◽  
Stroke Unit Care

Stroke unit care for ischemic stroke in China: results of a nation-based study

2020 ◽  
Vol 46 (7) ◽  
pp. 1489-1491
Author(s):  
Wen-Jun Tu ◽  
Bao-Hua Chao ◽  
Feng Yan ◽  
Lei Cao ◽  
Long-De Wang
Keyword(s):  
Ischemic Stroke ◽  
Stroke Unit ◽  
Stroke Unit Care

Stroke Unit Care: Does Ischemic Stroke Subtype Matter?

2011 ◽  
Vol 6 (3) ◽  
pp. 244-250 ◽  
Author(s):  
Gustavo Saposnik ◽  
Khalid A. Hassan ◽  
Daniel Selchen ◽  
Jiming Fang ◽  
Moira K. Kapral ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Stroke Unit ◽  
Stroke Subtype ◽  
Ischemic Stroke Subtype ◽  
Stroke Unit Care

Abstract TP298: Measuring Quality of Care for Acute Ischemic Stroke Treated With Acute Reperfusion Therapy in Japan: A Nationwide Quality Improvement Initiative of the J-aspect Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Nice Ren ◽  
Ataru Nishimura ◽  
Kunihiro Nishimura ◽  
Koichi Arimura ◽  
Ai Kurogi ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Stroke Unit ◽  
Recombinant Tissue Plasminogen Activator ◽  
Reperfusion Therapy ◽  
Medical Chart ◽  
Quality Improvement Initiative ◽  
Novel Approach ◽  
Total Data ◽  
Stroke Unit Care

Background and Purpose: There is no consensus about efficiently measuring quality indicators (QIs) of acute ischemic stroke (AIS) in Japan. To evaluate feasibility and reliability of measuring QIs for AIS patients who received intravenous recombinant tissue plasminogen activator (rt-PA) or endovascular therapy (ET), by combining information from health insurance claims database and medical chart. Methods: AIS patients who received rt-PA or ET between 2013 and 2015 were identified from the J-ASPECT Diagnosis Procedure Combination (DPC) database. The 17 and 8 QI measures for primary and comprehensive stroke centers (PSCs and CSCs) were selected for AIS, respectively. More than 60% of data for calculating the QIs were obtained from the DPC database and preset in the tool. Responsible physicians were asked to review accuracy of preset data and add necessary information from medical chart. Adherence rates or performance measures for each QI were calculated for patient- and hospital-levels. Associations between adherence rates and hospital characteristics were analyzed using hierarchical logistic regression analysis. Result: In total, data of 8,506 patients (rt-PA 83.5%, ET 34.9%) from 173 hospitals were obtained. The median age was 76 (interquartile range 65–83) years, and 42.1% were women. Median National Institute of Health Stroke Scale (NIHSS) score at admission was 14 (7-21). All of the target QIs were successfully measured. Among PSC QIs, adherence rates were low (<50%) (e.g. door-to-needle time < 60 minutes 37.9%) and intermediate (50-75%) (e.g. stroke unit care 58.7%) in 4 each. For CSC QIs, median door-to-puncture time was 105 (76-147) minutes and TICI grade 2b and 3 recanalization were achieved in 73%. A higher number of stroke discharge was associated with greater adherence to stroke unit care, early rehabilitation and stroke education. Conclusion: Measuring QIs of AIS by this novel approach was feasible and reliable to provide a national benchmark.

Acute stroke unit care and early neurological deterioration in ischemic stroke

2008 ◽  
Vol 255 (7) ◽  
pp. 1012-1017 ◽  
Author(s):  
Jaume Roquer ◽  
Ana Rodríguez-Campello ◽  
Meritxell Gomis ◽  
Jordi Jiménez-Conde ◽  
Elisa Cuadrado-Godia ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Neurological Deterioration ◽  
Early Neurological Deterioration ◽  
Acute Stroke Unit ◽  
Stroke Unit Care
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