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Related Concept Videos

Stroke: Introduction and Types01:29

Stroke: Introduction and Types

A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...

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Computerized Adaptive Testing System of Functional Assessment of Stroke
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Published on: January 7, 2019

Development of stroke performance measures: definitions, methods, and current measures.

Mathew J Reeves1, Carol Parker, Gregg C Fonarow

  • 1Department of Epidemiology, Michigan State University, B601 West Fee Hall, East Lansing, Mich 48824, USA. reevesm@msu.edu.

Stroke
|May 22, 2010
PubMed
Summary
This summary is machine-generated.

Developing and implementing stroke performance measures in the US improves acute stroke care quality. Current measures focus on inpatient care, but future measures should include outpatient and patient-centered outcomes for comprehensive stroke quality improvement.

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Area of Science:

  • Neurology
  • Public Health
  • Healthcare Quality Improvement

Background:

  • Stroke performance measures are crucial for monitoring and enhancing stroke care quality in the US and globally.
  • The development, implementation, and evaluation processes for these measures are complex and not fully understood.
  • This review focuses on the methodological evolution of stroke performance measures within the United States.

Purpose of the Study:

  • To review the methodological development of stroke performance measures in the United States.
  • To understand the complex processes involved in creating, implementing, and assessing stroke care quality indicators.

Main Methods:

  • A comprehensive literature search was conducted to identify relevant articles on the development and endorsement of stroke care performance measures.
  • Emphasis was placed on acute stroke care, with broader cardiovascular disease measures included when necessary.

Main Results:

  • Ten endorsed process-based performance measures for acute hospital-based stroke care have been established, covering areas like thrombolysis, DVT prophylaxis, dysphagia screening, and discharge planning.
  • Multiple major US stroke quality improvement programs utilize these measures, demonstrating their role in rapidly enhancing stroke care quality.
  • Current measures are limited, primarily addressing inpatient care and ischemic strokes.

Conclusions:

  • Stroke quality improvement initiatives are in their nascent stages but show promise for significant advancements through performance measure implementation.
  • Future performance measures should encompass multidisciplinary stroke unit care, outpatient services, and patient-centered outcomes like functional recovery.
  • Key challenges include defining the role of public reporting and establishing clear links between improved stroke care and patient outcomes.