1) La descarga del recurso depende de la página de origen
2) Para poder descargar el recurso, es necesario ser usuario registrado en Universia


Opción 1: Descargar recurso

Detalles del recurso

Descripción

Purpose: Translating research evidence into clinical practice often uses key performance indicators to monitor quality of care. We conducted a systematic review to identify the stroke key performance indicators used in large registries, and to estimate their association with patient outcomes. Method: We sought publications of recent (January 2000–May 2017) national or regional stroke registers reporting the association of key performance indicators with patient outcome (adjusting for age and stroke severity). We searched Ovid Medline, EMBASE and PubMed and screened references from bibliographies. We used an inverse variance random effects meta-analysis to estimate associations (odds ratio; 95% confidence interval) with death or poor outcome (death or disability) at the end of follow-up. Findings: We identified 30 eligible studies (324,409 patients). The commonest key performance indicators were swallowing/nutritional assessment, stroke unit admission, antiplatelet use for ischaemic stroke, brain imaging and anticoagulant use for ischaemic stroke with atrial fibrillation, lipid management, deep vein thrombosis prophylaxis and early physiotherapy/mobilisation. Lower case fatality was associated with stroke unit admission (odds ratio 0.79; 0.72–0.87), swallow/nutritional assessment (odds ratio 0.78; 0.66–0.92) and antiplatelet use for ischaemic stroke (odds ratio 0.61; 0.50–0.74) or anticoagulant use for ischaemic stroke with atrial fibrillation (odds ratio 0.51; 0.43–0.64), lipid management (odds ratio 0.52; 0.38–0.71) and early physiotherapy or mobilisation (odds ratio 0.78; 0.67–0.91). Reduced poor outcome was associated with adherence to swallowing/nutritional assessment (odds ratio 0.58; 0.43–0.78) and stroke unit admission (odds ratio 0.83; 0.77–0.89). Adherence with several key performance indicators appeared to have an additive benefit. Discussion: Adherence with common key performance indicators was consistently associated with a lower risk of death or disability after stroke. Conclusion: Policy makers and health care professionals should implement and monitor those key performance indicators supported by good evidence.

Pertenece a

Enlighten  

Autor(es)

Urimubenshi, Gerard -  Langhorne, Peter -  Cadilhac, Dominique A. -  Kagwiza, Jeanne N. -  Wu, Olivia - 

Id.: 70124896

Idioma: inglés  - 

Versión: 1.0

Estado: Final

Tipo:  text - 

Tipo de recurso: Articles  -  PeerReviewed  - 

Tipo de Interactividad: Expositivo

Nivel de Interactividad: muy bajo

Audiencia: Estudiante  -  Profesor  -  Autor  - 

Estructura: Atomic

Coste: no

Copyright: sí

Formatos:  text - 

Requerimientos técnicos:  Browser: Any - 

Relación: [References] http://eprints.gla.ac.uk/149388/
[References] 10.1177/2396987317735426

Fecha de contribución: 10-mar-2018

Contacto:

Localización:
* Urimubenshi, G. , Langhorne, P. , Cadilhac, D. A., Kagwiza, J. N. and Wu, O. (2017) Association between patient outcomes and key performance indicators of stroke care quality: A systematic review and meta-analysis. European Stroke Journal , 2(4), pp. 287-307. (doi:10.1177/2396987317735426 )

Otros recursos del mismo autor(es)

  1. Oral care after stroke: Where are we now? Purpose: There appears to be an association between poor oral hygiene and increased risk of aspirat...
  2. Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): an international observational study Background: Stroke disproportionately affects people in low-income and middle-income countries. Alth...
  3. Stroke care in Africa: a systematic review of the literature Background: Appropriate systems of stroke care are important to manage the increasing death and dis...
  4. Protocol for a systematic review and thematic synthesis of patient experiences of central venous access devices in anti-cancer treatment Background: Three types of central venous access devices (CVADs)—peripherally inserted central cathe...
  5. A systematic review of hepatitis B screening economic evaluations in low- and middle-income countries Background: Chronic hepatitis B infection is a significant cause of morbidity and mortality worldwi...

Otros recursos de la mismacolección

  1. Slow magnetic relaxation in a {CoIICoIII2} complex containing a high magnetic anisotropy trigonal bipyramidal CoII centre We report a trinuclear mixed-valence {CoIICoIII2} complex, where the CoII centre adopts a trigonal b...
  2. Surface chemistry, substrate, and topography guide the behavior of human articular chondrocytes cultured in vitro Understanding the behavior of chondrocytes in contact with artificial culture surfaces is becoming i...
  3. Dynamic risk stratification using serial measurements of plasma concentrations of natriuretic peptides in patients with heart failure Background: Prognostic models for patients with chronic heart failure are generally based on a singl...
  4. Representaciones culturales de la resistencia en el mundo hispánico. Congreso Internacional en Soria (11-13 junio, 2018)
  5. Steering Angle Prediction Using Neural Networks and Look-up Table for Different Drivers Individualized driving assistance system approach is not explored extensively. We are developing an ...

Aviso de cookies: Usamos cookies propias y de terceros para mejorar nuestros servicios, para análisis estadístico y para mostrarle publicidad. Si continua navegando consideramos que acepta su uso en los términos establecidos en la Política de cookies.