Researcher at National Cerebral and Cardiovascular Center Releases New Study Findings on Stroke (Associations Between Adherence to Evidence-Based, Stroke Quality Indicators and Outcomes of Acute Reperfusion Therapy): Cerebrovascular Diseases and Conditions - Stroke - Insurance News

2022 AUG 30 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Research findings on stroke are discussed in a new report. According to news reporting originating from the National Cerebral and Cardiovascular Center by NewsRx correspondents, research stated, “Quality indicators (QIs) are an accepted tool for measuring a hospital’s performance in routine care. We examined national trends in adherence to the QIs developed by the Close The Gap-Stroke program by combining data from the health insurance claims database and electronic medical records, and the association between adherence to these QIs and early outcomes in patients with acute ischemic stroke in Japan.”

Our news correspondents obtained a quote from the research from National Cerebral and Cardiovascular Center: “In the present study, patients with acute ischemic stroke who received acute reperfusion therapy in 351 Close The Gap-Stroke-participating hospitals were analyzed retrospectively. The primary outcomes were changes in trends for adherence to the defined QIs by difference-in-difference analysis and the effects of adherence to distinct QIs on in-hospital outcomes at the individual level. A mixed logistic regression model was adjusted for patient and hospital characteristics (eg, age, sex, number of beds) and hospital units as random effects. Between 2013 and 2017, 21 651 patients (median age, 77 years; 43.0% female) were assessed. Of the 25 defined measures, marked and sustainable improvement in the adherence rates was observed for door-to-needle time, door-to-puncture time, proper use of endovascular thrombectomy, and successful revascularization. The in-hospital mortality rate was 11.6%. Adherence to 14 QIs lowered the odds of in-hospital mortality (odds ratio [95% CI], door-to-needle <60 min, 0.80 [0.69-0.93], door-to-puncture <90 min, 0.80 [0.67-0.96], successful revascularization, 0.40 [0.34-0.48]), and adherence to 11 QIs increased the odds of functional independence (modified Rankin Scale score 0-2) at discharge.”

According to the news reporters, the research concluded: “We demonstrated national marked and sustainable improvement in adherence to door-to-needle time, door-to-puncture time, and successful reperfusion from 2013 to 2017 in Japan in patients with acute ischemic stroke. Adhering to the key QIs substantially affected in-hospital outcomes, underlining the importance of monitoring the quality of care using evidence-based QIs and the nationwide Close The Gap-Stroke program.”

For more information on this research see: Associations Between Adherence to Evidence-Based, Stroke Quality Indicators and Outcomes of Acute Reperfusion Therapy. Stroke, 2022. The publisher for Stroke is Ovid Technologies (Wolters Kluwer Health).

A free version of this journal article is available at https://doi.org/10.1161/strokeaha.121.038483.

Our news editors report that more information may be obtained by contacting Nice Ren, Department of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Suita, Japan (N.R., S.O., E.K., K.N.). Additional authors for this research include Soshiro Ogata, Eri Kiyoshige, Kunihiro Nishimura, Ataru Nishimura, Ryu Matsuo, Takanari Kitazono, Takahiro Higashi, Kuniaki Ogasawara, Koji Iihara, Takashi Shimizu, Isao Sasaki, Junta Moroi, Hiroaki Shimizu, Minoru Asahi, Makoto Goda, Kensuke Murakami, Takamasa Mizuno, Ryougo Anei, Yukihide Kanemoto, Ryunosuke Uranishi, Yutaka Shimoe, Yorio Koguchi, Kenji Wakui, Atsushi Fujikawa, Junichiro Kumai, Yasushi Ejima, Hayashi Satoru, Isao Chokyu, Tatuya Singaki, Toshikazu Ichihasi, Takayuki Kato, Masamichi Kurosaki, Yukihiko Fujii, Tomonori Kobayashi, Satoshi Fujiwara, Keiji Fukui, Hideo Kunimine, Satoshi Taira, Ichiro Nakahara, Syogo Imae, Masanori Kabuto, Noritaka Sano, Toshio Higashi, Hiroshi Abe, Kei Harada, Naoko Fujimura, Tani Masaharu, Kin Shigenari, Kiyoshi Saito, Yoichi Watanabe, Tetsuya Tanigawara, Toru Iwama, Oki Yoshiharu, Ichiro Suzuki, Toshinari Misaki, Yoshihisa Maeda, Takaaki Yamazaki, Koichi Haraguchi, Shuji Hayashi, Teiji 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