Measuring Quality of Care for Ischemic Stroke Treated With Acute Reperfusion Therapy in Japan ― The Close The Gap-Stroke ―
| العنوان: | Measuring Quality of Care for Ischemic Stroke Treated With Acute Reperfusion Therapy in Japan ― The Close The Gap-Stroke ― |
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| المؤلفون: | Akiko Kada, Takahiro Higashi, Kazuo Minematsu, Keisuke Abe, Teiji Tominaga, Kotaro Ono, Shigeru Miyachi, Takanari Kitazono, Kazunori Matsumizu, Yoshiaki Shiokawa, Nice Ren, Kazunori Toyoda, Ai Kurogi, Koji Iihara, Yoichiro Hashimoto, Kuniaki Ogasawara, Nobuyuki Sakai, Susumu Miyamoto, Koichi Arimura, Kunihiro Nishimura, Ataru Nishimura, Ryu Matsuo |
| المصدر: | Circulation Journal. 85:201-209 |
| بيانات النشر: | Japanese Circulation Society, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Time Factors, Standard of care, 030204 cardiovascular system & hematology, Brain Ischemia, 03 medical and health sciences, 0302 clinical medicine, Reperfusion therapy, Fibrinolytic Agents, Japan, Functionally independent, Humans, Medicine, Thrombolytic Therapy, 030212 general & internal medicine, Quality of care, Acute ischemic stroke, Stroke, Ischemic Stroke, Quality Indicators, Health Care, business.industry, Medical record, General Medicine, medicine.disease, Treatment Outcome, Tissue Plasminogen Activator, Reperfusion, Emergency medicine, Ischemic stroke, Tomography, X-Ray Computed, Cardiology and Cardiovascular Medicine, business |
| الوصف: | BACKGROUND In Japan there is no consensus on how to efficiently measure quality indicators (QIs), defined as a standard of care, for acute ischemic stroke (AIS). Using information from a health insurance claims database and electronic medical records, we evaluated the feasibility and validity of measuring QIs for AIS patients who received intravenous recombinant tissue plasminogen activator (IV rt-PA) or endovascular therapy (EVT).Methods and Results:AIS patients receiving rt-PA or EVT between 2013 and 2015 were identified. We selected 17 AIS QI measures for primary stroke centers (PSCs) and 8 for comprehensive stroke centers (CSCs). Defined QIs were calculated for each hospital and then averaged. In total, the data of 8,206 patients (rt-PA 83.7%, EVT 34.9%) from 172 hospitals were obtained. Median National Institute of Health Stroke Scale score at admission was 14, and 37.7% of the patients were functionally independent at discharge. All target QIs were successfully measured with fewer missing values, and the accuracy of preset data was about 90%. Adherence rates were low ( |
| تدمد: | 1347-4820 1346-9843 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::28a2e0316b832987115f1923a7cf0e85Test https://doi.org/10.1253/circj.cj-20-0639Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....28a2e0316b832987115f1923a7cf0e85 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13474820 13469843 |
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