دورية أكاديمية

Impact of Evidence-Based Stroke Care on Patient Outcomes: A Multilevel Analysis of an International Study

التفاصيل البيبلوغرافية
العنوان: Impact of Evidence-Based Stroke Care on Patient Outcomes: A Multilevel Analysis of an International Study
المؤلفون: Venturelli, Paula Munoz, Li, Xian, Middleton, Sandy, Watkins, Caroline, Lavados, Pablo M., Olavarria, Veronica V., Brunser, Alejandro, Pontes-Neto, Octavio, Santos, Taiza E. G., Arima, Hisatomi, Billot, Laurent, Hackett, Maree L., Song, Lily, Robinson, Thompson, Anderson, Craig S., Mead, Gillian, Hackett, Maree, Watkins, Caroline L., Robinson, Thompson G., De Silva, H. Asita, Pandian, Jeyaraj D., Lin, Ruey-Tay, Lee, Tsong-Hai, Cui, Liying, Peng, Bin, Pontes-Neto, Octavio M., Heritier, Stephane, Lindley, Richard, Jan, Stephen, Boaden, Elizabeth, Herbert, Robert, Chen, Christopher P. L. H., Forster, Anne, Woodward, Mark, Rogers, Kris, Scaria, Anish, Lim, Joyce Y., Espinosa, Natalie, McEvoy, Lucy, Blackburn, Lee, Richtering, Sarah S., You, Shoujiang, Ladwig, Simon, Merritt, Gabrielle P., Thomsen, Bryce, Jenson, Kerry, Gordon, Penelope, Nguyen, Dennis Ryan, Quan, Wei Wei, Lo, Tessa Pei-Yi, Lim, Jonathan, Goh, Selena, Ivanova, Elizaveta, Liu, Leibo, Ahmad, Mirza, Singh, Ravider, Donnelly, Paul, Armenis, Manuela, Van Zyl, Marna, Monaghan, Helen, Smith, Phillipa, Glass., Parisa, Zhou, Fanli, Shen, Yun, Lei, Li, Li, Di, Zhang, Ting, Song, Lili, Zhang, Xiaoyan, Peng, Yun, Feng, Lingling, Ye, Zhiping, Gregory., Philip, Pandain, Jeyaraj D., Arora, Deepti, Munoz-Venturelli, Paula, Gonzalez, Francisca, Portales, Bernardita, Santos-Pontelli, Taiza, Rimoli, Brunna, Braga, Monica, Hoffmeister, Lorena, Vidal, Carolina, Benadof, Dafna, Rivas, Rodrigo J., Carvallo, Laura, Carvallo, Pamela, Miranda, Rubia, Pileggi., Brunna, Silva, H. Asita de, Weerawardena, Shalomi, Jeevarajah, Thanushanthan, Dharmawardena, Devaki, Ranasinghe, Dumindi, Dharshana, Matheesha, Shafras, M. M. M., Nandadeva, Nilesh, Nawarathna, Savithri, Yin, Jiu-Haw, Yeh, Shoou-Jeng, Ma, Ruei-Jen, Whiteley, Gemma, Forshaw, Denise, Lightbody, Catherine Elizabeth, Cox, Joanna, Fitzgerald, Jane, Heney, John F., Byfield, Helen, Finley, Simone, Tyrer, Hayley E., Bruce, Carole, Gibbon, Alison, Jones, Brett, Siracusa, Emma, Gowda, Koushik, Cowans, Shahla, Forman, Briana, Jacob, Sherin, Caprecho, Kristine, Khatri, Roshan, Wan, Po Yi, Lopez, Maria, Vanika, Sifiso, Bleeker, Wilhelmina, Ireland, Marinka, Jala, Sheila, Day, Susan, Ha, Eric, Krause, Martin, Passer, Melissa, Giaccari, Sarah, Burkolter, Nadia, Braithwaite, Michael, Tastula, Kylie, Ghia, Darshan, Musuka, Tapuwa, Alvaro, Anthony, Edmonds, Gillian, O'Loughin, Nicole, Phair, Rebecca, Kaoutal, Joanne, Blacker, David J., Saint, Belinda L., Parrey, Kim, Coad, Michelle, Kinchington, Matthew, Senanayake, Nishantha, Alabban, Johanna, Kuehne, Irma, Camilo, Millene, Libardi, Milena, Martins, Sheila, Carlos, Batista, Martins, Magda, Carbonera, Leonardo, Almeida, Andrea, Kelin, Martin, Martins, Gladys, Pauli, Carla, Lunardi, Mariana, Silveira, Luciane, Chagas, Olga, Souza, Daily, Bazan, Rodrigo, Braga, Gabriel, Ribeiro, Priscila, Luvizutto, Gustavo, Polin, Marcia, Winckler, Fernanda, Liu, Jinfeng, Wang, Zhenjiang, Wang, Huibing, Lin, Suying, Dong, Jing, Zhou, Junshan, Qin, Suping, Zhan, Hui, Xue, Yongquan, Tian, Dong, Yang, Dan, Yin, Yan, Li, He, Geng, Changming, Liu, Jieyi, Jiang, Xiaolin, Wu, Yujun, Sun, Wei, Yu, Bingqi, Guan, Yanmei, Wang, Qin, Wei, Bo, Wang, Huirong, Wang, Yan, Tai, Liwen, Zhang, Wenchao, Zhao, Weili, Wang, Xueying, Li, Guoli, Ni, Zhiming, Guo, Fudong, Cen, Lan, Lu, Jun, Chen, Zheng, Yin, Guoming, Wang, Yingchun, Zheng, Jiping, Zhou, Zhimin, Wang, Hongquan, Zou, Renlin, Xue, Bin, Li, Airu, Guo, Jing, Guo, Ying, Jiang, Xingguo, Tan, Xiuge, Zhang, Chunpeng, Shao, Bei, Niu, Xiaoting, Liu, Chunfeng, Chen, Dongqin, Liang, Ping, Zhang, Xia, Zhang, Chunqing, Gong, Wenjie, Huang, Zhichao, Liu, Huihui, Huang, Junying, Shi, Rongfang, Wang, Cuilan, Liu, Ying, Wang, Jinchao, Wu, Guojun, Gao, Zhihong, Lin, Qunli, Xu, Cong, Zheng, Huile, Ye, Xinghai, Jin, Xiaoqiong, Liu, Junyan, Cao, Xiaoyun, Zhang, Yan, Wang, Jinyang, Xu, Yuzhu, Li, Yan, Ma, Xin, Kong, Qi, Hao, Yanlei, Qiao, Baojun, Yan, Hui, Huang, Zhiyong, Chang, Baoqiang, Yan, Jinjin, Liao, Pinjun, Zhang, Wei, Liu, Ling, Zhu, Tingting, Liu, Xuehui, Li, Yongping, Dong, Ruifang, Chen, Miao, Ge, Xiaoli, Wang, Hairong, Dai, Lihua, Liu, Jiafu, Wang, Shixia, Du, Jihui, Song, Aixiu, Li, Yunhai, Feng, Jie, Yu, Cheng, Feng, Honglin, Sun, Xiaojia, Sun, Ruihong, Liu, Weisong, Liu, Jianfeng, Lu, Xuesheng, Chen, Enzhuo, Gao, Wei, Liu, Hui, Wang, Heping, Wang, Yanxia, Song, Juan, Liu, Dongqi, Du, Wenhui, Li, Guixia, Li, Cuiling, Liang, Yanling, Cai, Xuekun, Zhang, Jinli, Tao, Xiaowei, An, Pingshun, Tang, Ranran, Qin, Xu, Wang, Yingling, Zhang, Wenjun, Ma, Rong, Huang, Xiaoqiong, Liu, Yonglin, Wang, Yazhi, Fan, Ping, Yang, Hailan, Feng, Lianyuan, Zhi, Jianxia, Xin, XiangYa, Zhang, Jiewen, Wu, Danhong, He, Haiyan, Chen, Xiaohong, Hou, Yongge, Su, Xiaohui, Fan, Siyuan, Suarez, Luis, Sotomayor, Patricio, Urzua, Ricardo, Conejan, Nathalie, Escobar, Arturo, Gonzalez, Monica, Vargas, Danisa, Constante, Angel, Godoy, Elizabeth, Figueroa, Christian, Martin, Vanesa San, Vidal, Nataly, Munoz, Madeleyn, Almeida, Juan, Acosta, Ignacio, Guerrero, Rodrigo, Lozano, Prudencio, Aguayo, Camila, Pizarro, Jimena, Soto, Alvaro, Bonilla, Flor, Del Castillo, Carolina, Grandjean, Marcela, Von Johnn, Alexis, Gutierrez, Ignacio, Rivero, Francisca, Kate, Mahesh, Akhtar, Naushad, Narang, Gibbsdeep S., Deepak, Ashish, Huded, Vikram, De Sowza, Romnesh, Sigamani, Alben, Rajendran, Karthikeyan, Vishwanath, Anisha, Kumaravelu, Somasundaram, Rahamath, Syed, Kannneganti, Sandeep, Khurana, Dheeraj, Katoch, Cheena, Kaur, Taranpreet, Karadan, Ummer, Kuriakose, Anu, John, Jaison, Basheer, Mumthaz, Padmavathy, Sylaja, Sreedharan., Sapna Erat, Gunasekara, Harsha Hemal, De Silva, Gamlath Chandima Udeni, Ubeywickrama, Peetagam Harshi Lakmali, Silva, Kavisha Chathumali, De Silva, Eshani Anuradha, Ranawaka, Udaya, Mettananda, Chamila, Nanayakkara, Yamuna, Mendis, Tharini, Fernando, Gayathri, Imthikab, Ahamed, Pieris, Kandula, Gunatilake, Saman B., Madanayake, Pamuditha M. W., Paranavitane, Shiran A., Senanayake, Bimsara, Vishwanathan, Vaidhehi, Sivapalan, Maathury, Murage, Ruwangi U., Chandradeva., Uthpala, Liu, Yao-Hua, Lin, Chih-Lung, Lin, Hsiu-Fen, Liu, Kuan-Ting, Chen, Chien-Fu, Wu, Meng-Ni, Tsai, Su-Hua, Chen, Chi-Ching, Chen, Lan-Yi, Chang, Chien-Hung, Chang, Yeu-Jhy, Huang, Kuo-Lun, Chang, Ting-Yu, Liu, Chi-Hung, Seak, Chen-June, Lin, Yu-Li, Luo, Jia-Yi, Yang, Hsiao-Ying, Wang, Ching-Yi, Chan, Lung, Hu, Chaur-Jong, Chi, Nai-Fang, Wu, Dean, Yao, Kuan, Yi-Chun, Hong, Chien-Tai, Chen, Yi-Chun, Sun, Yu, Lin, Cheng-Huai, Lu, Chien-Jung, Chu, Hai-Jui, Lo, Yi-Chia, Chang, Wen-Hui, Lin, Wan-Jung, Lin, Tien-Yu, Cho, Chi-Hsuan, Lu, Shu-Lan, Hsueh, Ya-Fang, Lai, Ching-Yi, Jarrett, David, James, Claire, Valentine, Stacey, Whistler, Clare, Butler, Rebecca, Browning, Simone, Watchurst, Caroline, Erande, Renuka, Elliott, Emma, Patel, Krishna, Brezitski, Maria, Hogan, Caroline, Banaras, Asra, Crook, Lucinda, Ahmed, Rashidat, Potter, Lindsay, Laird, Rosie, Clarke, Natasha, Loosemore, Alison, Godber, J., Gawned, Sara, Hamilton, K. A., Jones, Rachael, Guyler, Paul, Tysoe, Sharon, Prabakaran, Raji, Shah, Sweni, Calver, Joanne, Sztriha, Laszlo K., Fitzpatrick, Maria, Drysdale, Stephanie, McKenzie, Emma, Chitando, Belinda, Willcoxson, Paul, Iveson, Elizabeth, Wanklyn, Peter, Dyer, Natasha, Keeling, Michael, Rodriguez, Romina, Elliott, Kerry, Porteous, Mia, O'Neill, Mark, Orme, Sheridan, Richardson, Carla, Tomlinson, Janet, Hawkins, Suzanne, Bester, Delia, Jeffs, Carol, Howard, Joanne, Brown, Pauline, Ward, Deborah, Turfrey, Jennifer, Raybould, Leanne, Bates, Allison, O'Connell, Sue, O'Connor, Margaret, Williams, Samantha, Emsley, Hedley C. A., McLoughlin, Alison, Raj, Sonia, Gregary, Bindu, Doyle, Donna, Courtauld, G. M., Schofield, C., Lucas, L., Lydon, A., James, A., Saastamoinen, Kari, Howaniec, Laura, Daboo, Premchand, Ali, N. Ali, Richards, Emma, Howe, Joanne, Kamara, Christine, Stocks, Kathy, Lindert, Ralf, Day, Diana J., Finlay, Sarah, Mcgee, Joanne, Mitchell, Jennifer, Amis, Elaine, Macey, Rosemary, Tauro, Suzanne, Henry, Lauren, Cuddy, Sarah, Steele, Andrew, Mullen, Kerry, Kirker, Sarah, Bhattad, Murudappa, Carpenter, Michael, Datta, Prabal, Needle, Ann, Jackson, Linda, Ball, Julie, Beckitt, Rosie, Chivers, Nicola, Bowring, Angela, Eddy, Sara, Thorpe, Kevin, Keenan, Samantha, Griffin, Alison, Maguire, Stuart, Patterson, Chris, Ramadan, Hawraman, Bellfield, Ruth, Hooley, Michaela, Stewart, Kelvin, Williams, Lucy, Gurney, Cara, Oliver, Deborah, Gardiner, Maria, Grayland, Sarah, Bhandari, Mohit, Collas, David M., Adesina, Tolu, Sundayi, Saul, Harvey, Ruth, Pope, Emma, Lam, Audrey, Walker, Elaine, Merrill, Colin, Banerjee, Soma, Harvey, Kirsten Hannah, Mashate, Sheila, Wilding, Peter, Johnson, Linda, Namushi, Robert, Jacob, Patricia, Andole, Sreeman, Dunne, Karen, Gadapa, Naveen, King, Sam, Siliuzaite, Sonata, Dealing, Sharon, Attwood, Karen, Sanmuganathan, Samuel, Woods, Annette, Sandhu, Banher, Mamun, Maam, Mahmood, Afzal, Jones, June, Ojo, Abimbola, Carter-Evans, Denise, Fitzsimmons, Paul, Manoj, Aravind, Fletcher, Glyn, Lopez, Paula, Rana, Pretap Singh, Greig, Jill, Robinson, Matthew, Jones, Phil, Jones, Sarah, Jones, Lorinda, West, Claire, Tench, Helen, Potter, Sue, Gascoyne, Rachel, Whileman, Amanda, Hall, Emily, Wright, Stephanie, Toms, Julie, Sekaran, Lakshmanan, Phiri, Duke, Sethuraman, Sakthivel, Mohammed, Niaz, Justin, Frances, Tate, Margaret Louise, Chauhan, Meena, Chatterjee, Kausik, Haider, Syed I., Nallasivan, Arumugam, Webster, Tim, Leason, Sandra, Seagrave, Samantha, Owksu-Agyei, Peter, Temple, Natalie, Butterworth-Cowin, Nicola, Magezi, Frederick, Turner, Eleanor, Khan, Shagufta, Stephens, Claire, Mistri, Amit, Murphy, Aidan, Lam, Manda, Underwood, Paul, Thompson, Catherine, Smith, Caroline, Buckley, Clare, Wood, Diane, Board, Sarah, Howard, Linda, Johnson, Sharon, Ahmed, Ashraf, Oates, Bethany, Jenkinson, Damian F., Leonard, Sara, Jupp, Becky J., Thavanesan, Kamy, Dharmasiri, Michelle, Logianathan, Sathyabama, Ovington, Catherine, Hann, Gail, Cox, Chantel, McCormick, Michael T., Douglas, Catherine, Goggin, Michael, Fearon, Patricia, Gilpin, Sara, O'Hagan, Margaret, Mangion, David M., Hardwick, Anne, Netherton, Kimberley, Ni, H., Quinn, Judith, Bozkaplan, Tulu, Jose, Josin, HEADPOST Head Positioning In Acute
المساهمون: Universidade Estadual Paulista (UNESP)
بيانات النشر: Wiley-Blackwell
سنة النشر: 2019
المجموعة: Universidade Estadual Paulista São Paulo: Repositório Institucional UNESP
مصطلحات موضوعية: acute stroke care, multilevel analysis, outcome, quality
الوصف: National Health and Medical Research Council of Australia ; National Health and Medical Research Council of Australia: 1066966 ; Background-The uptake of proven stroke treatments varies widely. We aimed to determine the association of evidence-based processes of care for acute ischemic stroke (AIS) and clinical outcome of patients who participated in the HEADPOST (Head Positioning in Acute Stroke Trial), a multicenter cluster crossover trial of lying flat versus sitting up, head positioning in acute stroke. Methods and Results-Use of 8 AIS processes of care were considered: reperfusion therapy in eligible patients; acute stroke unit care; antihypertensive, antiplatelet, statin, and anticoagulation for atrial fibrillation; dysphagia assessment; and physiotherapist review. Hierarchical, mixed, logistic regression models were performed to determine associations with good outcome (modified Rankin Scale scores 0-2) at 90 days, adjusted for patient and hospital variables. Among 9485 patients with AIS, implementation of all processes of care in eligible patients, or defect-free care, was associated with improved outcome (odds ratio, 1.40; 95% CI, 1.18-1.65) and better survival (odds ratio, 2.23; 95% CI, 1.62-3.09). Defect-free stroke care was also significantly associated with excellent outcome (modified Rankin Scale score 0-1) (odds ratio, 1.22; 95% CI, 1.04-1.43). No hospital characteristic was independently predictive of outcome. Only 1445 (15%) of eligible patients with AIS received all processes of care, with significant regional variations in overall and individual rates. Conclusions-Use of evidence-based care is associated with improved clinical outcome in AIS. Strategies are required to address regional variation in the use of proven AIS treatments.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 2047-9980
العلاقة: Journal Of The American Heart Association; http://dx.doi.org/10.1161/JAHA.119.012640Test; Journal Of The American Heart Association. Hoboken: Wiley, v. 8, n. 13, 19 p., 2019.; http://hdl.handle.net/11449/186143Test; WOS:000484578700030
DOI: 10.1161/JAHA.119.012640
الإتاحة: https://doi.org/10.1161/JAHA.119.012640Test
http://hdl.handle.net/11449/186143Test
حقوق: openAccess
رقم الانضمام: edsbas.20AFFAC1
قاعدة البيانات: BASE
الوصف
تدمد:20479980
DOI:10.1161/JAHA.119.012640