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: 22-feb-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. Development and validation of a pharmacoeconomic tool for decision making in the implementation of pharmaceutical care for hypertensive patients in the Brazilian public health system (SUS) Systemic Arterial Hypertension (SAH) is a risk factor for 9.4 million deaths worldwide. In Brazil, t...
  2. Estimating the impact of stroke unit care on stroke deaths in a whole population: An epidemiological study using routine data International audience
  3. A conceptual model of treatment burden and patient capacity in stroke Background: Treatment burden is the workload of healthcare experienced by those with long-term condi...
  4. The Value of Health Technology Assessment: a mixed methods framework Whilst much research has been undertaken on establishing what factors influence improved decision-ma...
  5. Reliable sources? Generating, selecting, and applying evidence to inform the health benefits package

Otros recursos de la mismacolección

  1. Multifunctional sensor based on organic field-effect transistor and ferroelectric poly(vinylidene fluoride trifluoroethylene) A multifunctional sensor that responds to all – static/quasi-static or dynamic temperature or force ...
  2. Secondhand smoke exposure and risk of incident peripheral arterial disease and mortality
  3. Resolution limits of quantum ghost imaging
  4. Investigating economic efficiency in Italy: a regional comparison This paper provides a comparative analysis of the hospitality sector using the island of Sardinia an...
  5. Exploring the dynamics of the efficiency in the Italian hospitality sector. A regional case study This paper introduces a methodology to describe and compare the economic relative performance of the...

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.