Article
Multidisciplinary Sciences
Masato Kanda, Kazuya Tateishi, Atsushi Nakagomi, Togo Iwahana, Sho Okada, Hiroyo Kuwabara, Yoshio Kobayashi, Takahiro Inoue
Summary: A retrospective study assessed the impact of early intensive care unit admission on post-discharge ADL performance in patients with acute decompensated heart failure, showing that patients in the intensive care unit group had significantly better ADL outcomes compared to those in the general ward group, especially for those with lower ADL at admission.
Article
Clinical Neurology
Alicia Brunssen, Viktoria Ruecker, Peter Heuschmann, Jana Held, Peter Hermanek, Ansgar Berlis, Martin Hecht, Klaus Berger
Summary: During the SARS-CoV-2 pandemic, there was a decrease in hospitalizations for stroke, but the quality of stroke care remained largely unchanged.
FRONTIERS IN NEUROLOGY
(2022)
Article
Multidisciplinary Sciences
Kiran Acharya, Raj Kumar Subedi, Sushma Dahal, Rajendra Karkee
Summary: In Nepal, improving Basic Emergency Obstetric and Newborn Care (BEmONC) services requires increasing staff, extending service hours, and conducting periodic review of maternal and newborn deaths. Public hospitals have higher readiness scores compared to private hospitals and peripheral public health facilities.
Review
Medicine, General & Internal
Robert Luo, Youyi Fong, Debi Boeras, Ilesh Jani, Lara Vojnov
Summary: This study aimed to compare the clinical effect of point-of-care HIV testing versus laboratory-based testing in HIV-exposed infants. The results showed that point-of-care testing significantly shortened the time to result delivery, time to antiretroviral therapy initiation, and increased the proportion of HIV-positive infants starting antiretroviral therapy within 60 days compared with standard of care.
Article
Clinical Neurology
L. A. Rinkel, J. C. M. Prick, R. E. R. Slot, N. M. A. Sombroek, J. Burggraaff, A. E. Groot, B. J. Emmer, Y. B. W. E. M. Roos, M. C. Brouwer, R. M. van den Berg-Vos, C. B. L. M. Majoie, L. F. M. Beenen, D. van de Beek, M. C. Visser, S. M. van Schaik, J. M. Coutinho
Summary: The study assessed the impact of the COVID-19 outbreak on acute stroke care in Amsterdam, finding a 24% decrease in suspected stroke patients during the outbreak period, but no evidence of a decrease in the quality of acute stroke care.
JOURNAL OF NEUROLOGY
(2021)
Article
Clinical Neurology
Suxi Zheng, Tong Zhang, Hong-Qiu Gu, Zi-Qin Zhang, Xin Yang, Chunjuan Wang, Hao Li, Yong Jiang, Haipeng Shen, Zixiao Li, Yongjun Wang
Summary: This study aims to explore the regional discrepancies in adherence to stroke interventions in the stroke belt and economic development divisions in China, as well as their interaction. The findings show that the overall quality of care in non-stroke belt regions is higher than in stroke belt regions, and there are interaction effects between the two divisions on several individual measures.
Article
Clinical Neurology
Oyebola Fasugba, Rupal Sedani, Robert Mikulik, Simeon Dale, Miroslav Varecha, Kelly Coughlan, Benjamin McElduff, Elizabeth McInnes, Sabina Hladikova, Dominique A. Cadilhac, Sandy Middleton
Summary: This study aimed to evaluate the use of RES-Q data in improving stroke care quality and identify the support and educational needs of clinicians in using RES-Q data. The results showed that RES-Q data were commonly used for quality improvement initiatives, monitoring stroke care quality, improving local practice, and benchmarking against evidence-based policies and guidelines. Formal training in RES-Q tools and data and education on using data to identify practice gaps and quality improvement methods were identified as the most needed support. Educating staff in quality improvement science may enhance competency and optimize the use of RES-Q data in practice.
EUROPEAN JOURNAL OF NEUROLOGY
(2023)
Article
Health Care Sciences & Services
Zeyu Liu, Hongqiu Gu, Minping Wei, Xianjing Feng, Fang Yu, Jie Feng, Zixiao Li, Jian Xia, Xin Yang
Summary: This study compared the quality of stroke care between primary stroke centers (PSCs) and comprehensive stroke centers (CSCs) in China. The results showed comparable performance between the two types of centers in many aspects of stroke care, but CSCs outperformed PSCs in thrombolysis, rehabilitation, and medication at discharge for acute ischaemic stroke (AIS).
LANCET REGIONAL HEALTH-WESTERN PACIFIC
(2023)
Article
Cardiac & Cardiovascular Systems
Mellanie Springer, Lesli E. Skolarus, Chunyang Feng, James F. Burke
Summary: This study aims to discuss post-stroke outcomes related to post-stroke function and post-acute care discharge setting, and found that post-stroke function and discharge setting are associated with mortality within 90 days. The study also found that low-functioning stroke survivors discharged to skilled nursing facilities have higher mortality rates within one year.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Clinical Neurology
Nice Ren, Soshiro Ogata, Eri Kiyoshige, Kunihiro Nishimura, Ataru Nishimura, Ryu Matsuo, Takanari Kitazono, Takahiro Higashi, Kuniaki Ogasawara, Koji Iihara
Summary: This study examined adherence to QIs in patients with acute ischemic stroke in Japan, showing a significant and sustainable improvement in adherence rates for key measures from 2013 to 2017. Adherence to key QIs affected in-hospital outcomes, highlighting the importance of monitoring quality of care using evidence-based QIs.
Article
Clinical Neurology
Jiawen Xu, Yanan Xie, Kun Fang, Xin Wang, Shengdi Chen, Xueyuan Liu, Yuwu Zhao, Yangtai Guan, Dingfang Cai, Gang Li, Jianmin Liu, JianRen Liu, Jianhua Zhuang, Ying Xian, Haipeng Shen, Hao Li, David Z. Wang, Bruce C. Campbell, Mark W. Parsons, Yi Dong, Qiang Dong
Summary: The intervention by the Shanghai Stroke Service System (4S) has led to improved adherence to stroke care guidelines and better clinical outcomes for stroke patients.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Clinical Neurology
Chun Chieh Lin, Brian C. Callaghan, James F. Burke, Lesli E. Skolarus, Chloe E. Hill, Brandon Magliocco, Gregory J. Esper, Kevin A. Kerber
Summary: The density of neurologists varies significantly by region, but the prevalence of neurologic conditions does not. As the supply of neurologists increases, access to neurologist care for certain conditions (such as dementia, pain, and stroke) increases much more than for others (Parkinson's disease and multiple sclerosis).
Article
Neurosciences
Muideen T. Olaiya, Dominique A. Cadilhac, Joosup Kim, Amanda G. Thrift, Barbora de Courten, Nadine E. Andrew, Rohan Grimley, Craig S. Anderson, Vijaya Sundararajan, Natasha A. Lannin, Christopher Levi, Helen M. Dewey, Monique F. Kilkenny
Summary: The study evaluated quality indicators and one-year outcomes for patients with acute ischemic stroke, intracerebral hemorrhage, or transient ischemic attack, and found that those with comorbid diabetes generally had worse outcomes. Even with adherence to best care standards, patients with comorbid diabetes had poorer outcomes at one-year compared to those without diabetes.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2021)
Review
Clinical Neurology
Aristeidis H. Katsanos, Lina Palaiodimou, Ramin Zand, Shadi Yaghi, Hooman Kamel, Babak B. Navi, Guillaume Turc, Vassiliki Benetou, Vijay K. Sharma, Dimitris Mavridis, Shima Shahjouei, Luciana Catanese, Ashkan Shoamanesh, Konstantinos Vadikolias, Konstantinos Tsioufis, Pagona Lagiou, Petros P. Sfikakis, Andrei V. Alexandrov, Sotirios Tsiodras, Georgios Tsivgoulis
Summary: The impact of the COVID-19 pandemic on stroke care worldwide was systematically evaluated. Patients admitted with stroke during the pandemic tended to be younger, more frequently male, have more severe strokes with higher rates of endovascular treatment, and higher in-hospital mortality risk compared to those admitted before the pandemic.
Review
Clinical Neurology
Cosette Cornelis, Sanne J. den Hartog, Carla M. Bastemeijer, Bob Roozenbeek, Paul J. Nederkoorn, Renske M. Van den Berg-vos
Summary: This study aimed to evaluate patient-reported experience measures (PREMs) in healthcare, focusing on the psychometric properties of tools validated for stroke patients. Findings indicated the existence of specific PREMs and generic PREMs for stroke care, with only one showing favorable psychometric performance, suggesting the need for further development in this area.