Absence of July Phenomenon in Acute Ischemic Stroke Care Quality and Outcomes

Autor: Matthew J. Reeves, Deepak L. Bhatt, Ying Xian, Eric E. Smith, Adrian F. Hernandez, Christine Ju, Joshua Z. Willey, Gregg C. Fonarow, Lee H. Schwamm, Marco Gonzalez-Castellon
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Time Factors
medicine.medical_treatment
Health Status
8.1 Organisation and delivery of services
030204 cardiovascular system & hematology
Cardiorespiratory Medicine and Haematology
Brain Ischemia
0302 clinical medicine
Patient Admission
80 and over
Registries
Acute ischemic stroke
Stroke
media_common
Original Research
Patient discharge
Aged
80 and over
Thrombolysis
Middle Aged
Hospitals
Patient Discharge
Outcome and Process Assessment
Health Care
Treatment Outcome
Female
Patient Safety
Clinical Competence
Clinical competence
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
thrombolysis
Adverse outcomes
media_common.quotation_subject
Time to treatment
Personnel Staffing and Scheduling
Outcome and Process Assessment
Time-to-Treatment
03 medical and health sciences
Clinical Research
medicine
ischemic stroke
Humans
Quality (business)
Intensive care medicine
Hospitals
Teaching
Aged
Quality Indicators
Health Care
business.industry
Teaching
Neurosciences
Internship and Residency
medicine.disease
United States
Brain Disorders
Health Care
Quality Indicators
business
030217 neurology & neurosurgery
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Journal of the American Heart Association, vol 7, iss 3
ISSN: 2047-9980
Popis: Background Lower care quality and an increase in adverse outcomes as a result of new medical trainees is a concept well rooted in popular belief, termed the “July phenomenon.” Whether this phenomenon occurs in acute ischemic stroke has not been well studied. Methods and Results We analyzed data from patients admitted with ischemic stroke in 1625 hospitals participating in the Get With The Guidelines–Stroke program for the 5‐year period between January 2009 and December 2013. We compared acute stroke treatment processes and in‐hospitals outcomes among the 4 quarters (first quarter: July–September, last quarter: April–June) of the academic year. Multivariable logistic regression models were used to evaluate the relationship between academic year transition and processes measures. A total of 967 891 patients were included in the study. There was a statistically significant, but modest (P Conclusions We found no evidence of the “July phenomenon” in patients with acute ischemic stroke among hospitals participating in the Get With The Guidelines–Stroke program.
Databáze: OpenAIRE
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