Get with the guidelines-stroke performance indicators: Surveillance of Stroke Care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan

Fang-I Hsieh, Li-Ming Lien, Sien Tsong Chen, Chyi-Huey Bai, Mu Chien Sun, Hung Pin Tseng, Yu Wei Chen, Chih Hung Chen, Jiann Shing Jeng, Song Yen Tsai, Huey-Juan Lin, Chung Hsiang Liu, Yuk Keung Lo, Han Jung Chen, H. C. Chiu, Ming Liang Lai, Ruey Tay Lin, Ming Hui Sun, Bak Sau Yip, Hung-Yi ChiouChung-Yi Hsu, Chaur-Jong Hu

研究成果: 雜誌貢獻文章

162 引文 斯高帕斯(Scopus)

摘要

Background-: Stroke is a leading cause of death around the world. Improving the quality of stroke care is a global priority, despite the diverse healthcare economies across nations. The American Heart Association/American Stroke Association Get With the Guidelines-Stroke program (GWTG-Stroke) has improved the quality of stroke care in 790 US academic and community hospitals, with broad implications for the rest of the country. The generalizability of GWTG-Stroke across national and economic boundaries remains to be tested. The Taiwan Stroke Registry, with 30 599 stroke admissions between 2006 and 2008, was used to assess the applicability of GWTG-Stroke in Taiwan, which spends ≈1/10 of what the United States does in medical costs per new or recurrent stroke. Methods and Results-: Taiwan Stroke Registry, sponsored by the Taiwan Department of Health, engages 39 academic and community hospitals and covers the entire country with 4 steps of quality control to ensure the reliability of entered data. Five GWTG-Stroke performance measures and 1 safety indicator are applicable to assess Taiwan Stroke Registry quality of stroke care. Demographic and outcome figures are comparable between GWTG-Stroke and Taiwan Stroke Registry. Two indicators (early and discharge antithrombotics) are close to GWTG-Stroke standards, while 3 other indicators (intravenous tissue plasminogen activator, anticoagulation for atrial fibrillation, lipid-lowering medication) and 1 safety indicator fall behind. Preliminary analysis shows that compliance with selected GWTG-Stroke guidelines is associated with better outcomes. Conclusions-: Results suggest that GWTG-Stroke performance measures, with modification for ethnic factors, can become global standards across national and economic boundaries for assessing and improving quality of stroke care and outcomes. GWTG-Stroke can be incorporated into ongoing stroke registries across nations.
原文英語
頁(從 - 到)1116-1123
頁數8
期刊Circulation
122
發行號11
DOIs
出版狀態已發佈 - 九月 14 2010

    指紋

Keywords

  • anticoagulants
  • antiplatelets
  • thrombolysis

ASJC Scopus subject areas

  • Physiology (medical)
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

引用此

Hsieh, F-I., Lien, L-M., Chen, S. T., Bai, C-H., Sun, M. C., Tseng, H. P., Chen, Y. W., Chen, C. H., Jeng, J. S., Tsai, S. Y., Lin, H-J., Liu, C. H., Lo, Y. K., Chen, H. J., Chiu, H. C., Lai, M. L., Lin, R. T., Sun, M. H., Yip, B. S., ... Hu, C-J. (2010). Get with the guidelines-stroke performance indicators: Surveillance of Stroke Care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan. Circulation, 122(11), 1116-1123. https://doi.org/10.1161/CIRCULATIONAHA.110.936526