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

Detalles del recurso


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



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

Id.: 70124896

Versión: 1.0

Estado: Final

Tipo de recurso: Articles  -  PeerReviewed  - 

Tipo de Interactividad: Expositivo

Nivel de Interactividad: muy bajo

Audiencia: Estudiante  -  Profesor  -  Autor  - 

Estructura: Atomic

Coste: no

Copyright: sí

Requerimientos técnicos:  Browser: Any - 

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

Fecha de contribución: 10-oct-2017


* 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 , (doi:10.1177/2396987317735426 ) (Early Online Publication)

Otros recursos del mismo autor(es)

  1. A Very Early Rehabilitation Trial after stroke (AVERT): a Phase III, multicentre, randomised controlled trial Background: Mobilising patients early after stroke [early mobilisation (EM)] is thought to contribu...
  2. Comprehensive geriatric assessment for older adults admitted to hospital Background: Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary di...
  3. Occupational therapy for adults with problems in activities of daily living after stroke BACKGROUND A stroke occurs when the blood supply to part of the brain is cut off. Activities of dai...
  4. Early discharge hospital at home Background: Early discharge hospital at home is a service that provides active treatment by healthc...
  5. Early supported discharge services for people with acute stroke Background: People with stroke conventionally receive a substantial part of their rehabilitation i...

Otros recursos de la mismacolección

  1. The use of inhibitors of N-linked glycosylation and oligosaccharide processing to produce monoclonal antibodies against non-phosphorylcholine epitopes of Brugia pahangi excretory-secretory products Adult Brugia pahangi were cultured with [3H]-choline in both the absence and the presence of either ...
  2. High levels of parasite-specific IgG1 correlate with the amicrofilaremic state in Loa loa infection To investigate the mechanisms of protective immunity operating in Loa loa infection, 56 persons from...
  3. Variation in the nature of attachment of phosphorylcholine to excretory–secretory products of adult Brugia pahangi The mechanism of linkage of phosphorylcholine (PC) to excretory–secretory products (ES) of adult Bru...
  4. A time-course study of circulating antigen and parasite-specific antibody in cotton rats infected with Leishmania donovani Levels of circulating antigen in a group of cotton rats infected with Leishmania donovani were follo...
  5. Do Chinese exporters still need learning spillovers from foreign MNEs? The study investigates learning spillovers from local firms as well as MNEs in China, and their indi...

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.