Compliance With the Stroke Education Performance Measure in the Michigan Paul Coverdell National Acute Stroke Registry
| Autor: | Jay Fiedler, Mathew J. Reeves, Stacey Roberts, Adrienne V Nickles, Rochelle Hurst, Sarah Lyon-Callo |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty MEDLINE Logistic regression Compliance (psychology) Patient Education as Topic Humans Medicine Registries Stroke Aged Acute stroke Advanced and Specialized Nursing business.industry Middle Aged Stroke subtype medicine.disease Patient Discharge Warning signs Physical therapy Female Guideline Adherence Neurology (clinical) Cardiology and Cardiovascular Medicine Discharge medications business Delivery of Health Care |
| Zdroj: | Stroke. 44:1459-1462 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/strokeaha.111.000763 |
| Popis: | Background and Purpose— Stroke education, 1 of 8 endorsed stroke performance measures, consists of 5 specific subcomponents: risk factors, stroke warning signs, emergency medical service activation, physician follow-up, and discharge medications. We identified predictors of stroke education performance measure compliance in the Michigan Paul Coverdell National Acute Stroke Registry. Methods— Data were collected on 9609 acute stroke admissions to 20 registry hospitals during 2008 and 2009. Predictors of measure compliance (delivery of all 5 subcomponents) were determined using multivariable logistic regression. Results— Overall compliance with the stroke education measure was 61.8% (hospital-level compliance ranged between 16% and 93%). Compliance with individual subcomponents were risk factors (65.5%), stroke warning signs (68.9%), emergency medical service activation (66.8%), physician follow-up (92.9%), and discharge medications (91.5%). Age, gender, stroke subtype, prestroke ambulation, discharge destination, and hospital size were all significant independent predictors of compliance. Stroke education was delivered less often to patients who were ≥70 years of age, nonambulatory prestroke, not discharged to home, had transient ischemic attack, or hemorrhagic stroke. Conclusions— Only 60% of patients received stroke education consistent with the endorsed performance measures. Strategies to increase stroke education, including the impact of incorporating stroke-specific education measures into hospital care protocols, should be explored. |
| Databáze: | OpenAIRE |
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