Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
Substantial Progress Yet Significant Opportunity for Improvement in Stroke Care in China.
First author：Zixiao Li
Corresponding author：Yongjun Wang
essential_information
- Person in charge：Zixiao Li
- Data Sources： CNSR-I Golden Bridge
- Number of papers：OTHERS20190379
- Published time：2016-11-01
2016-11-01
Published articles
Journal：Stroke
Publication type: Research Article
IF(IF): 7.914
PMID: 27758941 Link To Pubmed Full text Download
Background And Purpose
Method
Data were obtained from the 2 phases of China National Stroke Registries, which included 131 hospitals (12 173 patients with acute ischemic stroke) in China National Stroke Registries phase 1 from 2007 to 2008 versus 219 hospitals (19604 patients) in China National Stroke Registries phase 2 from 2012 to 2013. Multiple regression models were developed to evaluate the difference in adherence to performance measure between the 2 study periods
Conclusion
Adherence to stroke performance metrics has increased over time, but significant opportunities remain for further improvement. Continuous stroke quality improvement program should be developed as a national priority in China.
Main results
The overall quality of care has improved over time, as reflected by the higher composite score of 0.76 in 2012 to 2013 versus 0.63 in 2007 to 2008. Nine of 13 individual performance metrics improved. However, there were no significant improvements in the rates of intravenous thrombolytic therapy and anticoagulation for atrial fibrillation. After multivariate analysis, there remained a significant 1.17-fold (95% confidence interval, 1.14–1.21) increase in the odds of delivering evidence-based performance metrics in the more recent time periods versus older data. The performance metrics with the most significantly increased odds included stroke education, dysphagia screening, smoking cessation, and antithrombotics at discharge.